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The day the British Association for Sexual Health and HIV organizes a day of education for infection by Mycoplasma genitalium a bacterium found in various sexually transmitted diseases ,
BBC [19659003] suggests that it can become a new "superbugia" if it is not identified and contained. Especially because it affects men and women and spreads through unprotected sex.
But what is the Mycoplasma genitalium ? It is a small parasitic bacterium that lives in the epithelial and ciliated cells of the genital and respiratory tract.
Alexander Valentim Lourenço, of the Department of Surgical Gynecology of the Hospital Santa Maria, in Lisbon, ensures that there is no reason to alarm. . At least in Portugal
"There are not a lot of cases identified in Portugal, it is not very common here, it is more identified in the countries of Eastern Europe.C & # 39; Is as if there were countries that have a genetic predisposition for certain infections. "Let's say that in the Mediterranean,
As it is a sexually transmitted bacterium and if it is not yet very common, will only enter our country if there is a lot of "unprotected sex" between Portuguese and local people in the country. Is. "The use of a condom is the fundamental issue of preventing sexually transmitted infections [ISS]," says Fernando Sururão, director of the Gynecology and Obstetrics Department of the US Department of Homecare. São Francisco Xavier Hospital in Lisbon
. "There are several types of mycoplasmas " and the fact that this bacterium "belongs to the same class q chlamydia and gonorrhea "makes identification more difficult. "We have never given much importance to this bacterium because we have other very well documented". The question now is whether this bacterium is present in these infections. "
The British are" a little alarmist "
but I believe that they have found a diagnostic test for Mycoplasma genitalium and that they now identify it in cases where they have not seen it before.is no longer a bacterium in the vaginal flora or if it is the bacteria responsible for the infection, but there is no data allowing to talk about a possible epidemic, says the gynecologist surgeon at Santa Maria Hospital, who sees this alarm as a possibility and to fight "the possible outbreak" of which the BBC talks "as it was the case before with Influenza A or with Ebola. "
A BBC, Paddy Horner, who writes I guidelines for a new approach to the bacteria, said," These new guidelines have been elaborate because we can not pursue the approach we've followed over the last 15 It will undoubtedly lead to a health catastrophe Mycoplasma genitalium as a superbug. Our guidelines recommend that patients with symptoms be correctly diagnosed with the help of an accurate test, treated properly and followed up to ensure successful treatment. We ask the government to provide funds to prevent Mycoplasma genitalium from escaping any control. "
" We must ask for a specific means of diagnosis, an under-diagnosis, to be analyzed in the laboratory. Cytology does not detect chlamydia, for example. There must be a collection of vaginal or rectal secretions, "confirms Fernando Surgeon at DN
" Superbacteria "or not, Mycoplasma genitalium when he is diagnosed is easily treated with antibiotics. can lead to infertility in patients. "Bacteria can migrate upwards and reach the uterine cervix, uterus, fallopian tubes and pelvis in women, in men, testicles and the prostate."
Symptoms MG
Symptoms are almost non-existent, but may occur one week after transmission: burning or painful urination, urethral or vaginal discharge., pruritus, joint pain or swelling, and, in women, bleeding after intercourse are some of the warning signs.
In men, the infection usually causes inflammation of the urethra, the channel through which the urine passes., causes inflammation in the testes and prostate.In women this infection is responsible for the inflammation of the uterus and cervix of the uterus, increasing the risk of complications such as premature labor and l? infertility.
Mycoplasma gen italium untreated, infected women may develop cervicitis, urethritis, ectopic pregnancy and pelvic inflammatory disease. The diagnosis is not easy, but "it is important to remember that there are underdiagnoses, that patients should always ask for specific tests and never neglect the atypical symptoms in their body", defended Fernando Sururgião
Jorge tests the bacterium
Dr. Ricardo Jorge, of the National Institute of Health, through the Department of Infectious Diseases, made a study on the prevalence in Portugal of this microorganism and three other microorganisms responsible for sexually transmitted infections (STIs). The study targeted young people, aged between 18 and 24, as the population most at risk of developing serious clinical complications, such as infertility.
Chlamydia trachomatis Trichomonas vaginalis were the targets of the study coordinated by the National Reference Laboratory for Sexually Transmitted Infections with the support of the Laboratory Medical Center Germano de Sousa, Biomérieux and Genomica
Knowledge of the frequency of these four STIs in Portugal can be essential in the implementation of preventive actions, because this bacterium is relatively new in the sexual context – the bacterium was known for years 1980 by the acronym MG
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