Update in Epidemiology and Management of Mycoplasma genitalium Infections.
Antimicrobial resistance
Mycoplasma genitalium
Pelvic inflammatory disease
Urethritis
Journal
Infectious disease clinics of North America
ISSN: 1557-9824
Titre abrégé: Infect Dis Clin North Am
Pays: United States
ID NLM: 8804508
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
medline:
1
5
2023
pubmed:
28
4
2023
entrez:
27
4
2023
Statut:
ppublish
Résumé
Mycoplasma genitalium is a frequent cause of urogenital syndromes in men and women and is associated with adverse sequelae in women. M genitalium also infects the rectum, and may cause proctitis, but rarely infects the pharynx. Diagnosis requires nucleic acid amplification testing. Antibiotic resistance is widespread: more than half of infections are resistant to macrolides and fluoroquinolone resistance is increasing. Resistance-guided therapy is recommended for symptomatic patients, involving initial treatment with doxycycline to reduce organism load followed by azithromycin for macrolide-sensitive infections or moxifloxacin for macrolide-resistant infections. Neither screening nor tests of cure are recommended in asymptomatic persons.
Identifiants
pubmed: 37105645
pii: S0891-5520(23)00019-3
doi: 10.1016/j.idc.2023.02.009
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Macrolides
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
311-333Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.