2019 European guideline on the management of lymphogranuloma venereum
| Autor: | J. D. Viset, John White, M. Vall-Mayans, B. de Barbeyrac, N H N de Vrieze, Magnus Unemo, H J C de Vries |
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| Přispěvatelé: | APH - Methodology, AII - Infectious diseases, Dermatology, Public Health Service of Amsterdam, Institut National de la Recherche Agronomique (INRA), University Medical Center [Utrecht], Vrije universiteit = Free university of Amsterdam [Amsterdam] (VU), Western Health, Vall d'Hebron University Hospital [Barcelona], Örebro University, VU University Amsterdam |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
[SDV]Life Sciences [q-bio] Population Dermatology medicine.disease_cause urologic and male genital diseases Asymptomatic Men who have sex with men 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Medicine Humans 030212 general & internal medicine education Disease Notification 0303 health sciences education.field_of_study 030306 microbiology business.industry Transmission (medicine) Lymphogranuloma venereum Guideline medicine.disease female genital diseases and pregnancy complications 3. Good health Anti-Bacterial Agents Europe Infectious Diseases Lymphogranuloma Venereum medicine.symptom Contact Tracing business Chlamydia trachomatis Contact tracing |
| Zdroj: | Journal of the European Academy of Dermatology and Venereology, 33(10), 1821-1828. Wiley-Blackwell Journal of the European Academy of Dermatology and Venereology Journal of the European Academy of Dermatology and Venereology, Wiley, 2019, 33 (10), pp.1821-1828. ⟨10.1111/jdv.15729⟩ |
| ISSN: | 0926-9959 1468-3083 |
| Popis: | International audience; New or important issues in this updated version of the 2013 European guideline on the management of lymphogranuloma venereum (LGV): Epidemiology Lymphogranuloma venereum continues to be endemic among European men who have sex with men (MSM) since 2003. Lymphogranuloma venereum infections in heterosexuals are extremely rare in Europe, and there is no evidence of transmission of LGV in the European heterosexual population. Aetiology and transmission Chlamydia trachomatis serovars/genovars L2b and L2 are the causative strains in the majority of cases in Europe. Clinical features Among MSM, about 25% of the anorectal LGV infections are asymptomatic. Genital infections among MSM are rare; the ratio of genital vs. anorectal LGV infections is 1 in 15. Diagnosis To diagnose LGV, a sample tested C. trachomatis positive with a commercial nucleic acid amplification test (NAAT) platform should be confirmed with an LGV discriminatory NAAT. Treatment Doxycycline 100 mg twice a day orally for 21 days is the recommended treatment for LGV. This same treatment is recommended also in asymptomatic patients and contacts of LGV patients. If another regimen is used, a test of cure (TOC) must be performed. |
| Databáze: | OpenAIRE |
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