Protocolo diagnóstico y tratamiento de las uretritis en personas sexualmente activas

Abstract

Protocol for the diagnosis and treatment of urethritis in sexually active peopleSexually transmitted infections are the most common cause of urethritis, and therefore usually appear in young, sexually active people. It is usually classified as gonococcal and nongonococcal urethritis. Urethritis involves inflammation of the urethra, which results in: dysuria, urethral pruritis and mucopurulent discharge via the urinary meatus. Presumptive diagnosis is based on these symptoms, together with the presence of leukocytes in urine sediment with sterile urine culture. Microbiological confirmation of diagnosis is by nucleic acid detection techniques (real-time PCR as standard) and/or culture of the different agents in urethral discharge. The treatment objective is to cure the infection, prevent subsequent consequences and contagion to others. Other sexually transmitted diseases must be ruled out in all patients with infectious urethritis.