Mycoplasma genitalium is associated with symptomatic and asymptomatic non-gonococcal urethritis in men
| Autor: | Harald Moi, Nils Reinton, Amir Moghaddam |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Sexually transmitted disease medicine.medical_specialty Non-gonococcal urethritis Mycoplasma genitalium Dermatology urologic and male genital diseases medicine.disease_cause Asymptomatic Dysuria Internal medicine Prevalence Humans Medicine Mycoplasma Infections Urethritis Homosexuality Male Retrospective Studies Gynecology Chlamydia Unsafe Sex biology Norway business.industry medicine.disease biology.organism_classification Sex Work female genital diseases and pregnancy complications Infectious Diseases medicine.symptom business Chlamydia trachomatis |
| Zdroj: | Sexually Transmitted Infections. 85:15-18 |
| ISSN: | 1368-4973 |
| DOI: | 10.1136/sti.2008.032730 |
| Popis: | Objectives: To examine the prevalence of Mycoplasma genitalium in a large number of male patients attending a sexually transmitted infections (STI) clinic and to determine if there is an association with objective non-gonococcal urethritis (NGU) in patients with and without clinical symptoms. Methods: Patients were tested for both M genitalium and Chlamydia trachomatis if they had symptoms or microscopic signs of NGU or if they were perceived to be at high-risk of exposure to a STI (n = 8468). Urethral smears were examined for polymorphic mononuclear leucocytes. Results: We found that M genitalium infection was associated with symptoms of non-chlamydial NGU (discharge and dysuria; OR 4.3; 95% CI 3.4 to 5.5). We also found that M genitalium infection was associated with signs of non-chlamydial NGU independently with or without symptoms of NGU (with symptoms: OR 4.7; 95% CI 3.2 to 6.7; without symptoms: OR 3.1; 95% CI 2.0 to 4.6). Prevalence of M genitalium was also associated with severity of urethritis as quantified by microscopic examination of urethral smears. Conclusions: These data add further evidence to the association of M genitalium infection with NGU and should allow better risk analysis of recent recommendations of not performing urethral smears in asymptomatic men attending STI clinics. |
| Databáze: | OpenAIRE |
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