Extragenital sexually transmitted infections: epidemiology, clinical presentations, diagnosis, and therapy

Rakhmatulina M.R., Bolshenko N.V.

1 State Research Center of the Russian Federation – A.I. Burnazyan Federal Medical Biophysical Center, Federal Biomedical Agency of Russia, Moscow 123098, Zhivopisnaya str. 46, Russia; 2 Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow 111123, Novogireevskaya str. 3a, Russia
The paper analyzes the data available in the current literature on the epidemiology, clinical presentations, diagnosis, and therapy of extragenital bacterial sexually transmitted infections (STIs). It systematizes the results of studying the antibiotic resistance of infectious agents and the clinical efficiency of etiotropic antibiotic therapy. An update on the epidemiology of extragenital bacterial STIs is presented; the clinical forms of diseases and methods for their diagnosis and therapy are described. Current studies demonstrate the high prevalence of extragenital bacterial STIs not only in men having sex with men, but also in heterosexuals. The timely diagnosis of extragenital STIs using molecular biological tests and the adequate therapy based on the indicators of antibiotic susceptibility of infectious agents will be able to prevent recurrences and complicated forms of diseases.

Keywords

extragenital sexually transmitted infections
gonococcal infection
Chlamydia infection
proctitis
pharyngitis
conjunctivitis

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Received 11.09.2018

Accepted 22.09.2018

About the Authors

Rakhmatulina, Margarita R., MD, Professor of the Department of Dermatovenereology and Cosmetology with a course of clinical laboratory diagnosis, State Research Center of the Russian Federation – A.I. Burnazyan Federal Medical Biophysical Center, Federal Biomedical Agency of Russia.
123098, Russia, Moscow, Zhivopisnaya str. 46. Tel.: +79162031003. E-mail: ra.marg@yandex.ru
Bolshenko, Natalia V., PhD, Senior Researcher, Scientific Advisory Clinical and Diagnostic Center, Central Research Institute of Epidemiology, Russian Federal Service
for Supervision of Consumer Rights Protection and Human Well-Being. 111123, Russia, Moscow, Novogireevskaya str. 3a. Tel.: +79164224280. E-mail: sanabol@mail.ru

For citations: Rakhmatulina M.R., Bolshenko N.V. Extragenital sexually transmitted infections: epidemiology, clinical presentations, diagnosis, and therapy. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (10): 41-6. (in Russian)
https://dx.doi.org/10.18565/aig.2018.10.41-46

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