Guidelines for the Diagnosis and Treatment of Uncomplicated (Non-Lymphogranuloma Venereum) Chlamydia trachomatis Infection in Portugal

Authors

  • Pedro Andrade Serviço de Dermatovenereologia. Hospital Pedro Hispano. Unidade Local de Saúde de Matosinhos. Matosinhos. https://orcid.org/0000-0003-3194-3055
  • Jacinta Azevedo Consulta de Doenças Sexualmente Transmissíveis. Unidade de Cuidados de Saúde Personalizados da Lapa. ACES Lisboa Central. Lisboa. https://orcid.org/0000-0001-8904-5819
  • Carmen Lisboa Departamento de Dermatologia e Venereologia. Unidade Local de Saúde São João. Porto; Departamento de Patologia e Microbiologia. Faculdade de Medicina. Universidade do Porto; Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS)/RISE. Faculdade de Medicina. Universidade do Porto. https://orcid.org/0000-0001-8247-8902
  • Cândida Fernandes Centro de Responsabilidade Integrada de Dermatovenereologia. Hospital dos Capuchos. Unidade Local de Saúde São José. Centro Clínico Académico de Lisboa. Lisboa. https://orcid.org/0000-0003-2913-2536
  • Maria José Borrego Laboratório Nacional de Referência das Infeções Sexualmente Transmissíveis. Instituto Nacional de Saúde Doutor Ricardo Jorge. Lisboa. https://orcid.org/0000-0002-8604-8800
  • João Borges-Costa Serviço de Dermatovenereologia. Centro Hospitalar de Lisboa Norte. Unidade Local de Saúde de Santa Maria. Lisboa; Unidade de Investigação em Dermatologia. Clínica Universitária de Dermatologia de Lisboa. Faculdade de Medicina. Universidade de Lisboa. Lisboa. https://orcid.org/0000-0001-8903-209X
  • Joel Reis Serviço de Dermatovenereologia. Hospital Pedro Hispano. Unidade Local de Saúde de Matosinhos. Matosinhos. https://orcid.org/0000-0002-8007-2420
  • Felicidade Santiago Serviço de Dermatovenereologia. Centro Hospitalar Universitário de Coimbra. Unidade Local de Saúde de Coimbra. Coimbra. https://orcid.org/0000-0003-2402-4229
  • António Santos Centro de Dermatologia EPIDERMIS. Instituto CUF. Matosinhos. https://orcid.org/0000-0002-4039-7335
  • João Alves Serviço de Dermatovenereologia. Hospital Garcia de Orta. Unidade Local de Saúde de Almada-Seixal. Almada. https://orcid.org/0009-0004-2796-9986
  • em representação do Grupo Português para o Estudo e Investigação das Doenças Sexualmente Transmissíveis da Sociedade Portuguesa de Dermatologia e Venereologia (GEIDST/SPDV)

DOI:

https://doi.org/10.20344/amp.21442

Keywords:

Chlamydia Infections/diagnosis, Chlamydia Infections/therapy, Chlamydia trachomatis

Abstract

Chlamydia trachomatis infection is the most prevalent sexually transmitted bacterial infection in the world. Being associated with a large number of asymptomatic carriers, the diagnosis is frequently challenging and requires appropriate laboratory testing. In Portugal, the incidence of the disease has been consistently increasing in recent years, meaning that special awareness is required for case identification, contact tracing and application of appropriate treatments. These recommendations result from the adaptation of the international consensuses on the diagnosis and treatment of Chlamydia trachomatis infection to the Portuguese healthcare setting, with the aim of standardizing the clinical and laboratory approach to symptomatic and nonsymptomatic carriers of the disease.

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References

Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine. Australasian IST management guidelines for use in primary care – Chlamydia. ASHM. 2021. [consultado 2023 set 2]. Disponível em: https://sti.guidelines.org.au/wp-content/uploads/2022/07/sexuallytransmissible-infections-chlamydia-2022-07-21-06_33_12.pdf.

Lanjouw E, Ouburg S, de Vries HJ, Stary A, Radcliffe K, Unemo M. 2015 European guideline on the management of chlamydia trachomatis infections. Int J STD AIDS. 2016;27:333-48.

Nwokolo NC, Gragovic B, Patel S, Tong CY, Muzny CA, Park I, et al. 2015 UK national guideline for the management of infection with chlamydia trachomatis. Int J STD AIDS. 2016;27:251-67.

Sadoghi B, Kranke B, Komerichi P, Hutterer G. Sexually transmitted pathogens causing urethritis: a mini-review and proposal of a clinically based diagnostic and therapeutic algorithm. Front Med. 2022;9:931765.

World Health Organization. WHO Guidelines for the treatment of chlamydia trachomatis. Geneva: World Health Organization; 2016.

Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I, et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep. 2021;70:1-187.

Wu IB, Schwartz RA. Reiter’s syndrome: the classic triad and more. J Am Acad Dermatol. 2008;59:113-21.

Hiyama Y, Takahashi S, Yasuda M. AAUS guideline for chlamydial urethritis. J Infect Chemother. 2022;28:142-5.

European Centre for Disease Prevention and Control. Chlamydia infection. In: ECDC. Annual epidemiological report for 2019. Stockholm: ECDC; 2022.

European Centre for Disease Prevention and Control. Surveillance atlas of infectious diseases. [consultado 2023 nov 06]. Disponível em: https://atlas.ecdc.europa.eu/public/index.aspx.

Geretti AM, Mardh O, de Vries HJ, Winter A, McSorley J, Seguy N, et al. Sexual transmission of infections across Europe: appraising the present, scoping the future. Sex Transm Infect. 2022 (in press). doi: 10.1136/sextrans-2022-055455.

Portugal. Despacho 5681-A/2014. Diário da República, II Série, n.º 82 (2014/074/29).

Rodrigues R, Sousa C, Vale N. Chlamydia trachomatis as a current health problem: challenges and opportunities. Diagnostics. 2022;12:1795.

Chan PA, Robinette A, Montgomery M, Almonte A, Cu-Uvin S, Lonks JR, et al. Extragenital infections caused by chlamydia trachomatis and neisseria gonorrhoeae: a review of the literature. Infect Dis Obstet Gynecol. 2016;2016:5758387.

Carlin EM, Ziza JM, Keat A, Janier M. 2014 European Guideline on the management of sexually acquired reactive arthritis. Int J STD AIDS. 2014;25:901-12.

Meyer T. Diagnostic procedures to detect chlamydia trachomatis infections. Microorganisms. 2016;4:25.

Sousa EL, Girão RS, Simões JM, Reis CM, Galvão NA, Andrade SC, et al. Chlamydia trachomatis: a major agent of respiratory infections in infants from low-income families. J Pediatr. 2012;88:423-9.

Kelly H, Coltard CE, Pant Pai N, Klausner JD, Unemo M, Toskin I, et al. Systematic reviews of point-of-care tests for the diagnosis of urogenital chlamydia trachomatis infections. Sex Transm Infect. 2017;93:S22-30.

DeVries HJ, de Barbeyrac B, de Vrieze NH, Viset JD, White JA, Vall-Mayans M, et al. 2019 European guideline on the management of lymphogranuloma venereum. J Eur Acad Dermatol Venereol. 2019;33:1821-8.

European Centre for Disease Prevention and Control. Gonococcal antimicrobial susceptibility surveillance in the EU/EEA: Summary of results for 2019. Stockholm: ECDC; 2021.

Grant JS, Stafylis C, Celum C, Grennan T, Haire B, Kaldor J, et al. Doxycycline prophylaxis for bacterial sexually transmitted infections. Clin Infect Dis. 2020;70:1247-53.

Portugal. Despacho 12513-B/2019. Diário da República, II Série, n.º 251 (2019/12/31).

Sociedade Portuguesa de Dermatologia e Venereologia. Folhetos informativos – grupo português de estudo e investigação das doenças sexualmente transmissíveis. [consultado 2023 out 26]. Disponível em: https://www.spdv.pt/_grupo_para_o_estudo_e_investigacao_das_doencas_sexualmente_transmissiveis.

Meites E, Szilagyi PG, Chesson HW, Unger ER, Romero JR, Markowitz LE. Human papillomavirus vaccination for adults: updated recommendations of the advisory committee on immunization practices. MMWR Morb Mortal Wkly Rep. 2019;68:698-702.

Direçã o-Geral da Saúde. Norma n.º 001/2024 de 22/03/2024. Lisboa: DGS; 2024.

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Published

2024-06-03

How to Cite

1.
Andrade P, Azevedo J, Lisboa C, Fernandes C, Borrego MJ, Borges-Costa J, Reis J, Santiago F, Santos A, Alves J, em representação do Grupo Português para o Estudo e Investigação das Doenças Sexualmente Transmissíveis da Sociedade Portuguesa de Dermatologia e Venereologia (GEIDST/SPDV). Guidelines for the Diagnosis and Treatment of Uncomplicated (Non-Lymphogranuloma Venereum) Chlamydia trachomatis Infection in Portugal. Acta Med Port [Internet]. 2024 Jun. 3 [cited 2024 Nov. 22];37(6):475-82. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/21442

Issue

Vol. 37 No. 6 (2024): June

Section

Guidelines

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