Concurrent gonococcal and chlamydial infections among men attending a sexually transmitted diseases clinic

被引：10

作者：

McMillan, A

Manavi, K

Young, H

机构：

[1] Lothian Univ, Hosp NHS Trust, Royal Edinburgh Infirm, Dept Genitourinary Med, Edinburgh EH3 9HA, Midlothian, Scotland

[2] Royal Infirm Edinburgh NHS Trust, Scottish Neisseria Gonorrhoeae Reference Lab, Directorate Lab Med Microbiol, Edinburgh, Midlothian, Scotland

来源：

INTERNATIONAL JOURNAL OF STD & AIDS | 2005年 / 16卷 / 05期

关键词：

gonorrhoea; chlamydial infection; MSM;

D O I：

10.1258/0956462053888925

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The aim of this retrospective study was to determine the prevalence of Chlamydia trachomatis co-infection in men with gonorrhoea attending a sexually transmitted diseases clinic in Edinburgh, Scotland. During the study period, there were 660 cases of culture-proven gonorrhoea. Chlamydial DNA was detected in the urethra in 79 (31%; 95% confidence interval [CI], 25-37%) heterosexual men who have sex with women (MSW); the median age was significantly lower than those with gonorrhoea alone (24.0 versus 30.0; P < 0.0005). The prevalence of urethral chlamydial infection among MSW was significantly higher than among men who have sex with men (MSM) (32 [12%; 95% CI, 8-16%] of 268 MSM) (chi(2) = 27.21; P < 0.001). Sixteen (24%; 95% CI, 14-34%) of 68 MSM with rectal gonorrhoea had concurrent rectal chlamydial infection. The high prevalence of concurrent gonorrhoea and chlamydiae therefore warrants empirical treatment and/or testing for chlamydia in all men with urethral gonorrhoea.

引用

页码：357 / 361

页数：5

共 12 条

[1] ETIOLOGIES OF POST-GONOCOCCAL URETHRITIS IN HOMOSEXUAL AND HETEROSEXUAL MEN - ROLES OF CHLAMYDIA-TRACHOMATIS AND UREAPLASMA-UREALYTICUM [J].

BOWIE, WR ;

ALEXANDER, ER ;

HOLMES, KK .

SEXUALLY TRANSMITTED DISEASES, 1978, 5 (04) :151-154

[2]

*CDCP, 2002, MMWR-MORBID MORTAL W, V51, P36

[3] Reexamining the prevalence of Chlamydia trachomatis infection among gay men with urethritis -: Implications for STD policy and HIV prevention activities [J].

Ciemins, EL ;

Flood, J ;

Kent, CK ;

Shaw, H ;

Rowniak, S ;

Moncada, J ;

Klausner, JD ;

Schachter, J .

SEXUALLY TRANSMITTED DISEASES, 2000, 27 (05) :249-251

[4]

*CLIN EFF GROUP, 2001 NAT GUID MAN GO

[5] Co-infection with gonorrhoea and chlamydia: how much is there and what does it mean? [J].

Creighton, S ;

Tenant-Flowers, M ;

Taylor, CB ;

Miller, R ;

Low, N .

INTERNATIONAL JOURNAL OF STD & AIDS, 2003, 14 (02) :109-113

[6] Screening for Neisseria gonorrhoeae and Chlamydia trachomatis at entertainment venues among men who have sex with men [J].

Debattista, J ;

Clementson, C ;

Mason, D ;

Dwyer, J ;

Argent, S ;

Woodward, C ;

Dean, J ;

Buks, L ;

Copley, M ;

Hinwood, G ;

Benfield, C ;

Walton, P .

SEXUALLY TRANSMITTED DISEASES, 2002, 29 (04) :216-221

[7] Chlamydia trachomatis among patients infected with and treated for Neisseria gonorrhoeae in sexually transmitted disease clinics in the United States [J].

Lyss, SB ;

Kamb, ML ;

Peterman, TA ;

Moran, JS ;

Newman, DR ;

Bolan, G ;

Douglas, JM ;

Iatesta, M ;

Malotte, CK ;

Zenilman, JM ;

Ehret, J ;

Gaydos, C ;

Newhall, WJ .

ANNALS OF INTERNAL MEDICINE, 2003, 139 (03) :178-185

[8] The prevalence of rectal chlamydial infection amongst men who have sex with men attending the genitourinary medicine clinic in Edinburgh [J].

Manavi, K ;

McMillan, A ;

Young, H .

INTERNATIONAL JOURNAL OF STD & AIDS, 2004, 15 (03) :162-164

[9] Concurrent gonococcal and chlamydial infection - How best to treat [J].

Robinson, AJ ;

Ridgway, GL .

DRUGS, 2000, 59 (04) :801-813

[10]

Stamm WE., 1999, SEX TRANSM DIS, V3rd, P407

← 1 2 →