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Auch f\u00fcr die nicht meldepflichtigen STI Gonorrhoe, <jats:italic>Chlamydia\u2010trachomatis<\/jats:italic>\u2010 <jats:italic>und Mycoplasma\u2010genitalium<\/jats:italic>\u2010Infektionen wird eine zunehmende Inzidenz beobachtet. Entscheidend f\u00fcr die Weiterverbreitung ist, dass das breite klinische Spektrum, welches neben Urogenitalsitus auch Pharynx und Rektum einbezieht, durch eine hohe Zahl asymptomatischer Verl\u00e4ufe erg\u00e4nzt wird. Neue Real\u2010Time\u2010Multiplex\u2010Diagnostikverfahren erm\u00f6glichen einen schnellen und gezielten Nachweis von STI\u2010Erregern. Die h\u00e4ufigste bakterielle STI ist die urogenitale Chlamydieninfektion mit den Serovaren D\u2013K, die besonders bei jungen Erwachsenen auftritt. Einer Chlamydien\u2010Proktitis kann eine Infektion mit L\u2010Serovaren und damit eine Lymphogranuloma\u2010venereum (LGV)\u2010Infektion zugrunde liegen. <jats:italic>Neisseria (N.) gonorrhoeae<\/jats:italic> zeigte in den letzten Jahren eine starke Resistenzentwicklung mit Ausbildung von Einzel\u2010 und Multiresistenzen gegen\u00fcber bisher g\u00e4ngigen Antibiotika. Daher ist f\u00fcr <jats:italic>N.\u00a0gonorrhoeae<\/jats:italic> zus\u00e4tzlich zum <jats:italic>nucleic acid amplification test<\/jats:italic> (NAAT) eine kulturelle Empfindlichkeitstestung durchzuf\u00fchren. Auch f\u00fcr <jats:italic>Mycoplasma genitalium<\/jats:italic> sind Resistenzentwicklungen bekannt, die eine Therapie erschweren k\u00f6nnen.<\/jats:p>","DOI":"10.1111\/ddg.13804_g","type":"journal-article","created":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T14:45:30Z","timestamp":1553784330000},"page":"287-317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Bakterielle sexuell \u00fcbertragbare Infektionen"],"prefix":"10.1111","volume":"17","author":[{"given":"Susanne","family":"Buder","sequence":"first","affiliation":[{"name":"Konsiliarlabor f\u00fcr Gonokokken Klinik f\u00fcr Dermatologie und Venerologie Vivantes\u2010Klinikum Region S\u00fcd  Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmut","family":"Sch\u00f6fer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Dermatologie Venerologie und Allergologie Universit\u00e4tsklinikum Frankfurt  Frankfurt am Main"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Meyer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Dermatologie Venerologie und Allergologie St. Josef Hospital Ruhr\u2010Universit\u00e4t Bochum"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viviane","family":"Bremer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Infektionsepidemiologie Robert Koch\u2010Institut  Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Kohl","sequence":"additional","affiliation":[{"name":"Konsiliarlabor f\u00fcr Gonokokken Klinik f\u00fcr Dermatologie und Venerologie Vivantes\u2010Klinikum Region S\u00fcd  Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriane","family":"Skaletz\u2010Rorowski","sequence":"additional","affiliation":[{"name":"WIR \u201eWalk In Ruhr\u201c Kompetenznetz HIV\/AIDS Zentrum f\u00fcr Sexuelle Gesundheit und Medizin Klinik f\u00fcr Dermatologie, Venerologie und Allergologie, Ruhr\u2010Universit\u00e4t Bochum"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Brockmeyer","sequence":"additional","affiliation":[{"name":"WIR \u201eWalk In Ruhr\u201c Kompetenznetz HIV\/AIDS Zentrum f\u00fcr Sexuelle Gesundheit und Medizin Klinik f\u00fcr Dermatologie, Venerologie und Allergologie, Ruhr\u2010Universit\u00e4t Bochum"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,28]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"WHO.Report on global sexually transmitted infection surveillance. 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