DOENÇA INFLAMATÓRIA PÉLVICA DECORRENTE DE INFECÇÃO POR CHLAMYDIA TRACHOMATIS

Autores

  • Lara Victória Pinheiro
  • Ivamara De Morais Silva
  • Fernanda Bruna De Medeiros Freire
  • Laís Araújo Torres
  • Vinicius Dutra Campelo

DOI:

https://doi.org/10.51161/rems/1509

Palavras-chave:

CLAMÍDIA, DIP, GRAM-NEGATIVA, PERITONITE, SALPINGITE

Resumo

Introdução: O gênero Chlamydia integra um grupo de bactérias gram-negativas, parasitos intracelulares obrigatórios com tropismo por epitélios oculares e órgãos genitais. Dentre as espécies conhecidas, destaca-se a Chlamydia trachomatis que, em mulheres, afeta o colo do útero e uretra, podendo causar endocervicite e disúria. Uma vez não tratada, essa infecção chega às trompas e causa a Doença Inflamatória Pélvica (DIP), o que a torna um quadro clínico muito preocupante. OBJETIVOS: Relacionar a gênese da DIP com o desenvolvimento da infecção por C. trachomatis, analisando o grau de interferência dessa inficionação com o surgimento das manifestações clínicas típicas da DIP. Materiais e Métodos: Por meio de um levantamento bibliográfico detalhado, foram selecionados estudos publicados entre setembro de 2012 e março de 2021, utilizando as plataformas PUBMED, SCIELO e WEB OF SCIENCE como base de dados, operando os descritores “Doença Inflamatória Pélvica”, “Chlamydia trachomatis”, “DIP” e “Clamídia”, nos idiomas inglês e português. Resultados: A DIP consiste em um processo inflamatório que pode ocorrer através de diversas vias, incluindo uma via ascendente, pela qual há infecção por microrganismos, que ascendem pelo canal vaginal, como na infecção por C. trachomatis. Após instalada, a DIP se manifesta em quatro estágios seguidos: Inicialmente nota-se o surgimento de endometrite, salpingite e peritonite; Em seguida, a salpingite aguda permanece associada à peritonite; Já no terceiro estágio, a salpingite aguda torna-se associada à abscessos tubo-ovarianos e oclusão tubária; Por fim, nota-se a presença de abscesso tubo-ovariano rompido. Após ascender para o trato genital superior, a bactéria pode desencadear uma resposta inflamatória, caracterizando-se como fibrinosa ou supurativa, devido aos danos causados por todo o epitélio das tubas uterinas e ovários, os quais, por mediação do sistema imune, começam a se regenerar, resultando em cicatrizes e abscessos que, caso se rompam, podem originar choques sépticos. Conclusão: A DIP pode ter diferentes fatores etiológicos, dentre eles o principal é o que ocorre pela via ascendente, decorrente de infecção por Chlamydia trachomatis, que poderá levar à diferentes manifestações clínicas dependendo do estágio evolutivo, sendo essa classificação de estágio necessária para determinação da terapia adequada e melhoria na qualidade de vida dos pacientes afetados.

Publicado

2021-07-28

Como Citar

Pinheiro , L. V. ., Silva, I. D. M. ., Freire, F. B. D. M. ., Torres, L. A. ., & Campelo, V. D. . (2021). DOENÇA INFLAMATÓRIA PÉLVICA DECORRENTE DE INFECÇÃO POR CHLAMYDIA TRACHOMATIS. Revista Multidisciplinar Em Saúde, 2(3), 97. https://doi.org/10.51161/rems/1509

Edição

Seção

II Congresso Brasileiro de Saúde On-line
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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