Penatalaksanaan Uretritis Non-gonore

Oleh :

dr. Apri Haryono Hafid

Penatalaksanaan definitif uretritis non-gonore adalah antibiotik dengan lini pertama azithromycin atau doxycycline. Penatalaksanaan uretritis non-gonore tidak perlu menunggu hasil pemeriksaan penunjang bila klinis uretritis seperti duh tubuh uretra, disuria, iritasi uretra, dan pruritus meatal, sudah jelas.[4,5,13,14]

Regimen Lini Pertama

Pilihan tata laksana lini pertama untuk uretritis non-gonore antara lain:

Referensi

1. Moi H, Blee K, Horner PJ. Management of non-gonococcal urethritis. BMC Infect Dis. 2015; 15: 294.
4. Horner PJ, Blee K, Falk L, Meijden WVD, Moi H. 2016 European guideline on the management of non-gonococcal urethritis. Int J STD AIDS. 2016 Oct;27(11):928-37.
5. Workowski KA, Bolan GA. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1–137.
9. Bachmann LH, Manhart LE, Martin DH, et al. Advances in the Understanding and Treatment of Male Urethritis, Clinical Infectious Diseases, Volume 61, Issue suppl_8, December 2015, Pages S763–S769, https://doi.org/10.1093/cid/civ755
13. International Union Against Sexually Transmitted Infections. STI treatment pocket European guideline 2019. https://iusti.org/wp-content/uploads/2020/07/PocketGuideline2019.pdf
14. Deguchi T. Proposed treatment strategies for non-gonococcal urethritis. Lancet Infect Dis. 2017 Nov;17(11):1121-1122.
15. Daili SF, Nilasari H. Infeksi genital non spesifik. In: Menaldi SL, Bramono K, Indriatmi W. Ilmu penyakit kulit dan kelamin edisi ketujuh. Jakarta: Badan Penerbit FKUI; 2015. Pg. 439-42.
16. Carter N, Horner P. Treatment regimens in non-gonococcal urethritis. Sex Transm Infect. 2015 Jun;91(4):244.
17. Moi H, Horner PJ. 2016 European guideline on the management of non-gonococcal urethritis published. Euro Surveill. 2016 Jun 2;21(22).
18. Sadoghi B, Kränke B, Komericki P, Hutterer G. Sexually transmitted pathogens causing urethritis: A mini-review and proposal of a clinically based diagnostic and therapeutic algorithm. Front Med (Lausanne). 2022 Aug 26;9:931765. doi: 10.3389/fmed.2022.931765. PMID: 36091700; PMCID: PMC9459106.
19. Jordan SJ, Toh E, Williams JA, Fortenberry L, LaPradd ML, Katz BP, Batteiger BE, Nelson DE, Batteiger TA. Aetiology and prevalence of mixed-infections and mono-infections in non-gonococcal urethritis in men: a case-control study. Sex Transm Infect. 2020 Jun;96(4):306-311. doi: 10.1136/sextrans-2019-054121. Epub 2019 Sep 12. PMID: 31515293; PMCID: PMC7065951.

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Penatalaksanaan Uretritis Non-gonore

Referensi

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