Abstract:
:Sexually transmitted infections of the urogenital tract are most commonly caused by the intracellular bacteria Chlamydia trachomatis worldwide, resulting the clinical picture of acute urethritis in men as well as urethritis and endocervicitis in women. As women often present with few symptoms only or a completely symptom-free disease course, one of the most important long-term complications is chronic pelvic inflammatory disease often followed by the development of infertility caused by chronic scar formation. Well-organized screening programs are considered to have a leading role in the prevention of disease spreading and long lasting unwanted complications. Antibiotic treatment options are often influenced by special circumstances, such as pregnancy and several complicated clinical forms. The aims of the authors are to give a concise review on the current knowledge regarding Chlamydia trachomatis infections and summarize typical clinical signs, modern diagnostic techniques as well as accepted treatment protocols and basic aspects of screening. :Az urogenitalis traktus szexuális úton közvetített infekcióinak világszerte leggyakoribb kórokozója a Chlamydia trachomatis, amely egy intracelluláris baktérium. Férfiaknál urethritis, míg nőknél az urethritis mellett leggyakrabban endocervicitis klinikai képét eredményezi. Mivel nőkben a fertőzés igen gyakran kifejezetten tünetszegény vagy aszimptomatikus, az egyik legfontosabb késői szövődményként kismedencei gyulladás, illetve a krónikus hegesedések kialakulásával infertilitás jelentkezhet. A fertőzés terjedésének és a nemkívánatos komplikációk kialakulásának megelőzésében meghatározó jelentőséget tulajdonítanak a szűrővizsgálatok bevezetésének. Az alkalmazott antibiotikus terápia megválasztását speciális tényezők, mint például várandósság vagy egyes szövődményes formák befolyásolhatják. A szerzők áttekintik a fertőzéssel kapcsolatos jelen ismereteket, összefoglalják többek között a jellegzetes klinikai megjelenési formákat, a rendelkezésre álló korszerű diagnosztikus lehetőségeket, csakúgy, mint az elfogadott kezelési protokollt és a szűrés alapvető aspektusait. Orv. Hetil., 2015, 156(1), 19–23.
journal_name
Orv Hetiljournal_title
Orvosi hetilapauthors
Holló P,Jókai H,Herszényi K,Kárpáti Sdoi
10.1556/OH.2015.30078subject
Has Abstractpub_date
2015-01-04 00:00:00pages
19-23issue
1eissn
0030-6002issn
1788-6120pii
RR21775353Q05555journal_volume
156pub_type
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