2023 Korean sexually transmitted infections treatment guidelines for Mycoplasma genitalium by KAUTII

被引:0
|
作者
Lee, Seung-Ju [1 ]
Choi, Jin Bong [2 ]
Bae, Sangrak [3 ]
Na, Seong Woong [4 ]
Jung, Hae Do [5 ]
Jung, Hyun Jin [6 ]
Jung, Seung Il [7 ]
Song, Phil Hyun [8 ]
Lee, Gilho [9 ,10 ]
机构
[1] Catholic Univ Korea, St Vincents Hosp, Coll Med, Dept Urol, Seoul, South Korea
[2] Catholic Univ Korea, Bucheon St MarysHospital, Coll Med, Dept Urol, Seoul, South Korea
[3] Catholic Univ Korea, Uijeongbu St Marys Hosp, Coll Med, Dept Urol, Seoul, South Korea
[4] Gwangju Vet Hosp, Dept Urol, Gwangju, South Korea
[5] Inje Univ, Coll Med, Ilsan Paik Hosp, Dept Urol, Goyang, South Korea
[6] Daegu Catholic Univ, Med Ctr, Dept Urol, Taegu, South Korea
[7] Chonnam Natl Univ, Dept Urol, Med Sch, Hwasun, South Korea
[8] Yeungnam Univ, Coll Med, Dept Urol, Daegu, South Korea
[9] Dankook Univ, Coll Med, Dept Urol, Cheonan, South Korea
[10] Dankook Univ, Dept Urol, Coll Med, 119 Dandae, Cheonan 31116, South Korea
关键词
Guideline; Mycoplasma genitalium; Sexually transmitted infections; CHLAMYDIA-TRACHOMATIS; RESISTANCE; ASSOCIATION; MACROLIDE; ACQUISITION; MANAGEMENT; WOMEN; MEN;
D O I
10.4111/icu.20230314
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The Korean Association of Urogenital Tract Infection and Inflammation and the Korea Disease Control and Prevention Agency updated the Korean sexually transmitted infections (STIs) guidelines to respond to the changing epidemiologic trends, evolving scientific evidence, and advances in laboratory diagnostics and research. The main recommendations in the Mycoplasma genitalium infection parts of the Korean STIs guidelines 2023 revision are as follows: 1) For initial treatment: azithromycin 500 mg orally in a single dose, then 250 mg once daily for 4 days. 2) In case of treatment failure or recurrence, a macrolide susceptibility/resistance test is required, when susceptibility/resistance test is not feasible, doxycycline or minocycline 100 mg orally twice daily for 7 days, followed by azithromycin 1 g orally on the first day, then azithromycin 500 mg orally once daily for 3 days and then a test-of-cure should be considered 3 weeks after completion of therapy. 3) In case of macrolide sensitivity, doxycycline or minocycline 100 mg orally twice daily for 7 days, followed by azithromycin 1 g orally initial dose, then azithromycin 500 mg orally once daily for 3 days. 4) In case of macrolide resistance, doxycycline or minocycline 100 mg orally twice daily for 7 days, followed by moxifloxacin 400 mg orally once daily for 7 days. In the Korean STIs guideline 2023, macrolide resistance-guided antimicrobial therapy was emphasized due to the increased prevalence of macrolide resistance worldwide. Therefore, in case of treatment failure or recurrence, a macrolide susceptibility/resistance test is required.
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页码:16 / 22
页数:7
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