{"id":57711,"date":"2026-03-10T09:14:13","date_gmt":"2026-03-10T09:14:13","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=57711"},"modified":"2026-03-11T11:31:07","modified_gmt":"2026-03-11T11:31:07","slug":"tratamento-do-mycoplasma-genitalium","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/tratamento-do-mycoplasma-genitalium\/","title":{"rendered":"Tratamento do Mycoplasma genitalium: Terap\u00eautica Dirigida e Novas Abordagens"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"57711\" class=\"elementor elementor-57711\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Introdu\u00e7\u00e3o<\/h2><p><span style=\"font-weight: 400;\">O\u00a0<\/span><strong><a href=\"https:\/\/www.mediconanet.pt\/produto\/mycoplasma-tratamento\/\" target=\"_blank\" rel=\"noopener\">tratamento do Mycoplasma genitalium<\/a><\/strong><span style=\"font-weight: 400;\">\u00a0evoluiu significativamente face \u00e0 crescente resist\u00eancia antimicrobiana, passando de regimes emp\u00edricos para uma abordagem de terap\u00eautica dirigida por testes de resist\u00eancia. As guidelines da British Association for Sexual Health and HIV (BASHH) e da International Union against Sexually Transmitted Infections (IUSTI) recomendam atualmente a realiza\u00e7\u00e3o de teste de resist\u00eancia \u00e0 azitromicina antes do in\u00edcio do tratamento, sempre que poss\u00edvel.<\/span><\/p><p><span style=\"font-weight: 400;\">A abordagem &#8220;testar e tratar&#8221; (resistance-guided therapy) representa uma mudan\u00e7a de paradigma no tratamento das ISTs bacterianas, sendo o <strong>Mycoplasma <\/strong>o primeiro exemplo de gest\u00e3o terap\u00eautica rotineiramente guiada por teste de resist\u00eancia molecular neste contexto.<\/span><\/p><h2>Terap\u00eautica Guiada por Resist\u00eancia<\/h2><p><span style=\"font-weight: 400;\">Quando o teste de resist\u00eancia \u00e0 azitromicina \u00e9 negativo (aus\u00eancia de muta\u00e7\u00f5es no gene 23S rRNA), o regime recomendado \u00e9 doxiciclina 100 mg duas vezes por dia durante 7 dias, seguida de azitromicina 1 g no primeiro dia e 500 mg nos dias 2 a 4 (regime sequencial). Este regime alcan\u00e7a taxas de cura de 85 a 95 %.<\/span><\/p><p><span style=\"font-weight: 400;\">Quando existe resist\u00eancia \u00e0 azitromicina (muta\u00e7\u00f5es no 23S rRNA detetadas), a doxiciclina durante 7 dias \u00e9 seguida de moxifloxacina 400 mg uma vez por dia durante 7 dias. A moxifloxacina permanece eficaz em 90 a 100 % das estirpes resistentes \u00e0 azitromicina, embora a resist\u00eancia emergente seja preocupante.<\/span><\/p><p><span style=\"font-weight: 400;\">A European Society of Clinical Microbiology and Infectious Diseases (ESCMID) enfatiza que o regime sequencial com doxiciclina pr\u00e9via \u00e9 fundamental, pois reduz a carga bacteriana antes do macr\u00f3lido, aumentando a probabilidade de erradica\u00e7\u00e3o do <strong>Mycoplasma genitalium<\/strong>.<\/span><\/p><h2>Tratamento de Casos Resistentes<\/h2><p><span style=\"font-weight: 400;\">Os casos de <strong>Mycoplasma genitalium<\/strong> com resist\u00eancia simult\u00e2nea \u00e0 azitromicina e \u00e0 moxifloxacina representam o maior desafio terap\u00eautico atual. A preval\u00eancia de resist\u00eancia dupla varia entre 5 e 15 % na Europa, segundo dados de vigil\u00e2ncia.<\/span><\/p><p><span style=\"font-weight: 400;\">A pristinamicina 1 g quatro vezes por dia durante 10 dias \u00e9 utilizada como terap\u00eautica de resgate em alguns centros europeus, embora a disponibilidade seja limitada. A minocicilina em doses elevadas \u00e9 outra op\u00e7\u00e3o estudada para casos refrat\u00e1rios.<\/span><\/p><p><span style=\"font-weight: 400;\">Novos f\u00e1rmacos em investiga\u00e7\u00e3o incluem a lefamulina (pleuromutilin) e a sitafloxacina (fluoroquinolona de 4\u00aa gera\u00e7\u00e3o), ambos com atividade promissora contra Mycoplasma genitalium resistente. O Australian STI Management Guidelines e a BASHH lideram a investiga\u00e7\u00e3o de algoritmos terap\u00eauticos para casos complexos de <strong>Mycoplasma genitalium<\/strong>.<\/span><\/p><h2>Gest\u00e3o de Parceiros e Seguimento<\/h2><p><span style=\"font-weight: 400;\">O tratamento de parceiros sexuais \u00e9 recomendado para <strong>Mycoplasma genitalium<\/strong>, embora a evid\u00eancia seja menos robusta do que para clam\u00eddia e gonorreia. A BASHH recomenda teste e tratamento de parceiros sexuais dos \u00faltimos 3 meses (ou do parceiro mais recente se &gt; 3 meses).<\/span><\/p><p><span style=\"font-weight: 400;\">O teste de cura \u00e9 obrigat\u00f3rio no <strong>Mycoplasma genitalium<\/strong>, realizado por NAAT pelo menos 3 semanas ap\u00f3s o t\u00e9rmino do tratamento, para garantir erradica\u00e7\u00e3o e evitar sele\u00e7\u00e3o de resist\u00eancia. A persist\u00eancia de infe\u00e7\u00e3o ap\u00f3s tratamento adequado pode indicar resist\u00eancia n\u00e3o detetada ou reinfe\u00e7\u00e3o.<\/span><\/p><p><span style=\"font-weight: 400;\">A abstin\u00eancia sexual \u00e9 recomendada at\u00e9 confirma\u00e7\u00e3o do teste de cura negativo, tanto no doente como no parceiro. A preven\u00e7\u00e3o da reinfe\u00e7\u00e3o baseia-se no uso de preservativo e no tratamento simult\u00e2neo de parceiros. O Centers for Disease Control and Prevention (CDC) refor\u00e7a a import\u00e2ncia do seguimento no controlo do <strong>Mycoplasma genitalium<\/strong>.<\/span><\/p><p><i><span style=\"font-weight: 400;\">Na<strong> M\u00e9dico na Net<\/strong>, a <strong>equipa cl\u00ednica<\/strong> disponibiliza diagn\u00f3stico molecular e tratamento dirigido do <strong>Mycoplasma genitalium<\/strong>, com teste de resist\u00eancia, gest\u00e3o de casos complexos e seguimento com teste de cura.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-375973d elementor-widget elementor-widget-image\" data-id=\"375973d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/ChatGPT-Image-Mar-10-2026-02_13_47-PM.jpg\" title=\"Consulta m\u00e9dica online sobre tratamento de infe\u00e7\u00f5es\" alt=\"Mulher em casa a fazer consulta m\u00e9dica online num tablet sobre tratamento do Mycoplasma genitalium\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Porque \u00e9 necess\u00e1rio teste de resist\u00eancia antes do tratamento? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">A resist\u00eancia do <strong>Mycoplasma genitalium<\/strong> \u00e0 azitromicina \u00e9 elevada na Europa. O teste de resist\u00eancia permite escolher o antibi\u00f3tico mais eficaz, evitando tratamentos falhados e sele\u00e7\u00e3o de resist\u00eancia adicional.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O tratamento do Mycoplasma genitalium \u00e9 diferente do da clam\u00eddia? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sim. O <strong>Mycoplasma genitalium<\/strong> requer regimes terap\u00eauticos mais complexos e prolongados, idealmente guiados por teste de resist\u00eancia. A azitromicina em dose \u00fanica, eficaz na clam\u00eddia, \u00e9 frequentemente insuficiente para o <strong>Mycoplasma genitalium<\/strong>.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O que fazer se o primeiro tratamento falhar? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Se o teste de cura permanecer positivo, o tratamento de segunda linha \u00e9 iniciado conforme o perfil de resist\u00eancia. Casos duplamente resistentes requerem terap\u00eauticas de resgate com f\u00e1rmacos como pristinamicina.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7083\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7083\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O Mycoplasma genitalium \u00e9 inclu\u00eddo no rastreio de ISTs de rotina? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-e6b82d0 e-con-full e-flex e-con e-child\" data-id=\"e6b82d0\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-ff98332 e-flex e-con-boxed e-con e-child\" data-id=\"ff98332\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b745fb3 elementor-widget elementor-widget-text-editor\" data-id=\"b745fb3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Atualmente n\u00e3o. O teste \u00e9 recomendado em situa\u00e7\u00f5es cl\u00ednicas espec\u00edficas, como uretrite ou cervicite persistente. A inclus\u00e3o no rastreio de rotina est\u00e1 a ser discutida face \u00e0 preval\u00eancia crescente.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7084\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7084\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O preservativo protege contra o Mycoplasma genitalium? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-7547615 e-con-full e-flex e-con e-child\" data-id=\"7547615\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-8c9a957 e-flex e-con-boxed e-con e-child\" data-id=\"8c9a957\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f07efa elementor-widget elementor-widget-text-editor\" data-id=\"2f07efa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"6119\" data-end=\"6336\"><span style=\"font-weight: 400;\">Sim. O uso consistente de preservativo reduz significativamente o risco de transmiss\u00e3o do <strong>Mycoplasma genitalium<\/strong>, sendo a medida preventiva mais importante dispon\u00edvel.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Porque \\u00e9 necess\\u00e1rio teste de resist\\u00eancia antes do tratamento?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A resist\\u00eancia do Mycoplasma genitalium \\u00e0 azitromicina \\u00e9 elevada na Europa. O teste de resist\\u00eancia permite escolher o antibi\\u00f3tico mais eficaz, evitando tratamentos falhados e sele\\u00e7\\u00e3o de resist\\u00eancia adicional.\"}},{\"@type\":\"Question\",\"name\":\"O tratamento do Mycoplasma genitalium \\u00e9 diferente do da clam\\u00eddia?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. O Mycoplasma genitalium requer regimes terap\\u00eauticos mais complexos e prolongados, idealmente guiados por teste de resist\\u00eancia. A azitromicina em dose \\u00fanica, eficaz na clam\\u00eddia, \\u00e9 frequentemente insuficiente para o Mycoplasma genitalium.\"}},{\"@type\":\"Question\",\"name\":\"O que fazer se o primeiro tratamento falhar?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Se o teste de cura permanecer positivo, o tratamento de segunda linha \\u00e9 iniciado conforme o perfil de resist\\u00eancia. Casos duplamente resistentes requerem terap\\u00eauticas de resgate com f\\u00e1rmacos como pristinamicina.\"}},{\"@type\":\"Question\",\"name\":\"O Mycoplasma genitalium \\u00e9 inclu\\u00eddo no rastreio de ISTs de rotina?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Atualmente n\\u00e3o. O teste \\u00e9 recomendado em situa\\u00e7\\u00f5es cl\\u00ednicas espec\\u00edficas, como uretrite ou cervicite persistente. A inclus\\u00e3o no rastreio de rotina est\\u00e1 a ser discutida face \\u00e0 preval\\u00eancia crescente.\"}},{\"@type\":\"Question\",\"name\":\"O preservativo protege contra o Mycoplasma genitalium?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. O uso consistente de preservativo reduz significativamente o risco de transmiss\\u00e3o do Mycoplasma genitalium, sendo a medida preventiva mais importante dispon\\u00edvel.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Conclus\u00e3o<\/h2><p><span style=\"font-weight: 400;\">O tratamento do <strong>Mycoplasma genitalium<\/strong> requer uma abordagem de terap\u00eautica dirigida por teste de resist\u00eancia, representando uma mudan\u00e7a de paradigma na gest\u00e3o das ISTs. O seguimento com teste de cura obrigat\u00f3rio, a gest\u00e3o de parceiros e a investiga\u00e7\u00e3o de novos f\u00e1rmacos s\u00e3o essenciais para o controlo desta IST emergente e multirresistente.<\/span><\/p><h2>Refer\u00eancias<\/h2><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35182080\/?utm_source=chatgpt.com\" rel=\"dofollow noopener\" target=\"_blank\">European guideline on the management of Mycoplasma genitalium infections \u2014 International Union against Sexually Transmitted Infections<\/a><\/p><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29873691\/?utm_source=chatgpt.com\" rel=\"dofollow noopener\" target=\"_blank\">Guideline on Mycoplasma genitalium Resistance-Guided Therapy \u2014 British Association for Sexual Health and HIV<\/a><\/p><p><a href=\"https:\/\/www.bashh.org\/guidelines\" rel=\"dofollow noopener\" target=\"_blank\">Guideline on Mycoplasma genitalium Resistance-Guided Therapy \u2014 British Association for Sexual Health and HIV<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8a5517f e-flex e-con-boxed e-con e-parent\" data-id=\"8a5517f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o O\u00a0tratamento do Mycoplasma genitalium\u00a0evoluiu significativamente face \u00e0 crescente resist\u00eancia antimicrobiana, passando de regimes emp\u00edricos para uma abordagem de terap\u00eautica dirigida por testes de resist\u00eancia. As guidelines da British Association for Sexual Health and HIV (BASHH) e da International Union against Sexually Transmitted Infections (IUSTI) recomendam atualmente a realiza\u00e7\u00e3o de teste de resist\u00eancia \u00e0 azitromicina [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":57782,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-57711","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude-sexual"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/mulher_preocupada_1632x640_100kb.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57711","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=57711"}],"version-history":[{"count":28,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57711\/revisions"}],"predecessor-version":[{"id":57986,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57711\/revisions\/57986"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/57782"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=57711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=57711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=57711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}