Tags

Type your tag names separated by a space and hit enter

Asymptomatic gonorrhoea and chlamydial infection in rural Tanzanian men.
BMJ. 1996 Feb 03; 312(7026):277-80.BMJ

Abstract

OBJECTIVE

To measure the prevalence of urethritis due to Neisseria gonorrhoeae and Chlamydial infection trachomatis in rural Tanzanian men

DESIGN

About 500 men aged 15-54 years were selected from each of 12 rural communities by random cluster sampling; interviewed concerning past or present symptoms of sexually transmitted diseases; and asked to provide a first catch urine specimen, which was tested for pyuria with a leucocyte esterase dipstick test. Subjects with symptoms or with a positive result on testing were examined, and urethral swabs were taken for detection of N gonorrhoeae by gram stain and of C trachomatis by antigen detection immunoassay.

SETTING

Mwanza region, north western Tanzania.

SUBJECTS

5876 men aged 15-54 years.

MAIN OUTCOME MEASURES

Prevalence of urethral symptoms, observed urethral discharge, pyuria, urethritis (> 4 pus cells per high power field on urethral smear), N gonorrhoeae infection (intracellular gram negative diplococci), and C trachomatis infection (IDEIA antigen detection assay).

RESULTS

1618 (28%) subjects reported ever having a urethral discharge. Current discharge was reported by 149 (2.5%) and observed on examination in 207 (3.5%). Gonorrhoea was found in 128 subjects (2.2%) and chlamydial infection in 39 (0.7%). Only 24 of 158 infected subjects complained of urethral discharge at the time of interview (15%).

CONCLUSION

Infection with N gonorrhoeae and C trachomatis is commonly asymptomatic among men in this rural African population. This has important implications for the design of control programmes for sexually transmitted disease.

Authors+Show Affiliations

National Institute for Medical Research, Mwanza, Tanzania.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8611782

Citation

Grosskurth, H, et al. "Asymptomatic Gonorrhoea and Chlamydial Infection in Rural Tanzanian Men." BMJ (Clinical Research Ed.), vol. 312, no. 7026, 1996, pp. 277-80.
Grosskurth H, Mayaud P, Mosha F, et al. Asymptomatic gonorrhoea and chlamydial infection in rural Tanzanian men. BMJ. 1996;312(7026):277-80.
Grosskurth, H., Mayaud, P., Mosha, F., Todd, J., Senkoro, K., Newell, J., Gabone, R., Changalucha, J., West, B., & Hayes, R. (1996). Asymptomatic gonorrhoea and chlamydial infection in rural Tanzanian men. BMJ (Clinical Research Ed.), 312(7026), 277-80.
Grosskurth H, et al. Asymptomatic Gonorrhoea and Chlamydial Infection in Rural Tanzanian Men. BMJ. 1996 Feb 3;312(7026):277-80. PubMed PMID: 8611782.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Asymptomatic gonorrhoea and chlamydial infection in rural Tanzanian men. A1 - Grosskurth,H, AU - Mayaud,P, AU - Mosha,F, AU - Todd,J, AU - Senkoro,K, AU - Newell,J, AU - Gabone,R, AU - Changalucha,J, AU - West,B, AU - Hayes,R, PY - 1996/2/3/pubmed PY - 1996/2/3/medline PY - 1996/2/3/entrez KW - Africa KW - Africa South Of The Sahara KW - Biology KW - Chlamydia--men KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Eastern Africa KW - English Speaking Africa KW - Examinations And Diagnoses KW - Gonorrhea--men KW - Infections KW - Laboratory Examinations And Diagnoses KW - Laboratory Procedures KW - Measurement KW - Physiology KW - Population KW - Population Characteristics KW - Prevalence KW - Reproductive Tract Infections KW - Research Methodology KW - Rural Population--men KW - Sexually Transmitted Diseases KW - Signs And Symptoms KW - Tanzania KW - Urogenital Effects KW - Urogenital System SP - 277 EP - 80 JF - BMJ (Clinical research ed.) JO - BMJ VL - 312 IS - 7026 N2 - OBJECTIVE: To measure the prevalence of urethritis due to Neisseria gonorrhoeae and Chlamydial infection trachomatis in rural Tanzanian men DESIGN: About 500 men aged 15-54 years were selected from each of 12 rural communities by random cluster sampling; interviewed concerning past or present symptoms of sexually transmitted diseases; and asked to provide a first catch urine specimen, which was tested for pyuria with a leucocyte esterase dipstick test. Subjects with symptoms or with a positive result on testing were examined, and urethral swabs were taken for detection of N gonorrhoeae by gram stain and of C trachomatis by antigen detection immunoassay. SETTING: Mwanza region, north western Tanzania. SUBJECTS: 5876 men aged 15-54 years. MAIN OUTCOME MEASURES: Prevalence of urethral symptoms, observed urethral discharge, pyuria, urethritis (> 4 pus cells per high power field on urethral smear), N gonorrhoeae infection (intracellular gram negative diplococci), and C trachomatis infection (IDEIA antigen detection assay). RESULTS: 1618 (28%) subjects reported ever having a urethral discharge. Current discharge was reported by 149 (2.5%) and observed on examination in 207 (3.5%). Gonorrhoea was found in 128 subjects (2.2%) and chlamydial infection in 39 (0.7%). Only 24 of 158 infected subjects complained of urethral discharge at the time of interview (15%). CONCLUSION: Infection with N gonorrhoeae and C trachomatis is commonly asymptomatic among men in this rural African population. This has important implications for the design of control programmes for sexually transmitted disease. SN - 0959-8138 UR - https://www.unboundmedicine.com/medline/citation/8611782/Asymptomatic_gonorrhoea_and_chlamydial_infection_in_rural_Tanzanian_men_ L2 - http://www.bmj.com/cgi/pmidlookup?view=long&pmid=8611782 DB - PRIME DP - Unbound Medicine ER -