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Anatomic distribution of Neisseria gonorrhoeae, Chlamydia trachomatis and Mycoplasma genitalium infections in men who have sex with men.
Sex Health 2013; 10(3):199-203SH

Abstract

BACKGROUND

New cases of gonorrhoea (Neisseria gonorrhoeae) and chlamydia (Chlamydia trachomatis) infections have been steadily increasing in Scandinavian countries over the last decade. There is a particular urgency in reducing new infections as isolation of multiple drug resistant strains of gonorrhoea is becoming more frequent. The aim of this study was to determine the prevalence and sites of infection of common sexually transmissible infections (STIs) in men who have sex with men (MSM).

METHODS

We have performed a retrospective analysis of the three major STIs, gonorrhoea, chlamydia and Mycoplasma genitalium in urogenital, anorectal and oropharyngeal samples from MSM that attended two STI clinics in Oslo.

RESULTS

One hundred and thirty-six men (6.0%) out of 2289 MSM tested were found to be positive for gonorrhoea using a porA gene targeted nucleic acid amplification test (NAAT). Of these, 106 (77.9%) would not have been identified through testing first-void urine alone. Two hundred and twenty eight (10.0%) patients from 2289 tested were found to be positive for chlamydia, 164 (71.9%) of which were identified through anorectal specimens. Ninety-one (5.1%) patients from 1778 tested were found to be positive for M. genitalium, with 65 (71.4%) identified through testing of anorectal specimens.

CONCLUSIONS

Our results supports the European findings that the MSM population carries a high burden of STIs and that testing the anorectum and oropharynx will identify a significantly higher percentage of infected patients and reservoirs of STIs.

Authors+Show Affiliations

Fürst Medisinsk Laboratorium, Søren Bulls vei 25, N-1051 Oslo, Norway. amoghaddam@furst.noNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23751932

Citation

Reinton, N, et al. "Anatomic Distribution of Neisseria Gonorrhoeae, Chlamydia Trachomatis and Mycoplasma Genitalium Infections in Men Who Have Sex With Men." Sexual Health, vol. 10, no. 3, 2013, pp. 199-203.
Reinton N, Moi H, Olsen AO, et al. Anatomic distribution of Neisseria gonorrhoeae, Chlamydia trachomatis and Mycoplasma genitalium infections in men who have sex with men. Sex Health. 2013;10(3):199-203.
Reinton, N., Moi, H., Olsen, A. O., Zarabyan, N., Bjerner, J., Tønseth, T. M., & Moghaddam, A. (2013). Anatomic distribution of Neisseria gonorrhoeae, Chlamydia trachomatis and Mycoplasma genitalium infections in men who have sex with men. Sexual Health, 10(3), pp. 199-203. doi:10.1071/SH12092.
Reinton N, et al. Anatomic Distribution of Neisseria Gonorrhoeae, Chlamydia Trachomatis and Mycoplasma Genitalium Infections in Men Who Have Sex With Men. Sex Health. 2013;10(3):199-203. PubMed PMID: 23751932.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomic distribution of Neisseria gonorrhoeae, Chlamydia trachomatis and Mycoplasma genitalium infections in men who have sex with men. AU - Reinton,N, AU - Moi,H, AU - Olsen,A O, AU - Zarabyan,N, AU - Bjerner,J, AU - Tønseth,T M, AU - Moghaddam,A, PY - 2012/06/22/received PY - 2012/12/03/accepted PY - 2013/6/12/entrez PY - 2013/6/12/pubmed PY - 2013/11/8/medline SP - 199 EP - 203 JF - Sexual health JO - Sex Health VL - 10 IS - 3 N2 - BACKGROUND: New cases of gonorrhoea (Neisseria gonorrhoeae) and chlamydia (Chlamydia trachomatis) infections have been steadily increasing in Scandinavian countries over the last decade. There is a particular urgency in reducing new infections as isolation of multiple drug resistant strains of gonorrhoea is becoming more frequent. The aim of this study was to determine the prevalence and sites of infection of common sexually transmissible infections (STIs) in men who have sex with men (MSM). METHODS: We have performed a retrospective analysis of the three major STIs, gonorrhoea, chlamydia and Mycoplasma genitalium in urogenital, anorectal and oropharyngeal samples from MSM that attended two STI clinics in Oslo. RESULTS: One hundred and thirty-six men (6.0%) out of 2289 MSM tested were found to be positive for gonorrhoea using a porA gene targeted nucleic acid amplification test (NAAT). Of these, 106 (77.9%) would not have been identified through testing first-void urine alone. Two hundred and twenty eight (10.0%) patients from 2289 tested were found to be positive for chlamydia, 164 (71.9%) of which were identified through anorectal specimens. Ninety-one (5.1%) patients from 1778 tested were found to be positive for M. genitalium, with 65 (71.4%) identified through testing of anorectal specimens. CONCLUSIONS: Our results supports the European findings that the MSM population carries a high burden of STIs and that testing the anorectum and oropharynx will identify a significantly higher percentage of infected patients and reservoirs of STIs. SN - 1448-5028 UR - https://www.unboundmedicine.com/medline/citation/23751932/Anatomic_distribution_of_Neisseria_gonorrhoeae_Chlamydia_trachomatis_and_Mycoplasma_genitalium_infections_in_men_who_have_sex_with_men_ L2 - http://www.publish.csiro.au/journals/abstractHTML.cfm?J=SH&V=10&I=3&F=SH12092abs.XML DB - PRIME DP - Unbound Medicine ER -