The prevalence and clinical significance of urethritis and cervicitis in asymptomatic people by use of multiplex polymerase chain reaction.
Abstract
PURPOSE
Our purpose was to conduct a screening test for urethritis or cervicitis as a sexually transmitted disease (STD) by using
multiplex polymerase chain reaction(PCR) and to determine the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae,
Mycoplasma genitalium, Ureaplasma urealyticum, Mycoplasma hominis, and Trichomonas vaginalis in asymptomatic people.
MATERIALS AND METHODS
From July 2010 to December 2010, 709 persons who came to the hospital for a general checkup were tested. Multiplex PCR assays
were done with first voided urine samples or endocervical swabs by use of the Seeplex® STD6 ACE Detection kit.
RESULTS
The mean age in this study was 45.4±8.1 years. Among the 709 persons, 229 (32.3%) had a positive result for at least one microorganism,
48 (6.8%) had two different species, 6 (0.8%) had three different species, and 1 person had four different species. The overall
prevalence of asymptomatic STDs such as urethritis or cervicitis was 7.1% (50/709). The prevalence rates of chlamydia trachomatis,
Neisseria gonorrhoeae, Mycoplasma genitalium, Ureaplasma urealyticum, Mycoplasma hominis, and Trichomonas vaginalis infection
in asymptomatic persons were 5.6% (40/709), 0.4% (3/709), 0.3% (2/709), 22.1% (157/709), 11.6% (82/709), and 1.1% (8/709),
respectively.
CONCLUSIONS
With only a single sample, we could identify the prevalence rates of six microorganisms and the overall proportion of urethritis
or cervicitis in asymptomatic people. This proportion cannot be neglected; therefore, screening tests for sexually transmitted
diseases such as urethritis or ervicitis should be recommended to asymptomatic people.
Links
Authors
Institution
Department of Urology, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, Korea.
Source
Korean journal of urology 52:10 2011 Oct pg 703-8Pub Type(s)
Journal ArticleLanguage
eng
PubMed ID
22087366
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