Public health measures to control the spread of antimicrobial resistance in Neisseria gonorrhoeae in men who have sex with men

2014 ◽  
Vol 143 (8) ◽  
pp. 1575-1584 ◽  
Author(s):  
M. XIRIDOU ◽  
L. C. SOETENS ◽  
F. D. H. KOEDIJK ◽  
M. A. B. VAN DER SANDE ◽  
J. WALLINGA
Keyword(s):  
Antimicrobial Resistance ◽  
Combination Therapy ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Treatment Rate ◽  
Sexually Transmitted ◽  
Effective Strategies ◽  
Development Of Resistance ◽  
Sex With Men ◽  
The Impact

SUMMARYGonorrhoea is one of the most common sexually transmitted infections. The control of gonorrhoea is extremely challenging because of the repeated development of resistance to the antibiotics used for its treatment. We explored different strategies to control the spread of antimicrobial resistance and prevent increases in gonorrhoea prevalence. We used a mathematical model that describes gonorrhoea transmission among men who have sex with men and distinguishes gonorrhoea strains sensitive or resistant to three antibiotics. We investigated the impact of combination therapy, switching first-line antibiotics according to resistance thresholds, and other control efforts (reduced sexual risk behaviour, increased treatment rate). Combination therapy can delay the spread of resistance better than using the 5% resistance threshold. Increased treatment rates, expected to enhance gonorrhoea control, may reduce gonorrhoea prevalence only in the short term, but could lead to more resistance and higher prevalence in the long term. Re-treatment of resistant cases with alternative antibiotics can substantially delay the spread of resistance. In conclusion, combination therapy and re-treatment of resistant cases with alternative antibiotics could be the most effective strategies to prevent increases in gonorrhoea prevalence due to antimicrobial resistance.

scholarly journals The Context of Sexual Risk Behaviour Among Men Who Have Sex with Men Seeking PrEP, and the Impact of PrEP on Sexual Behaviour

2018 ◽  
Vol 23 (7) ◽  
pp. 1708-1720 ◽  
Author(s):  
Mitzy Gafos ◽  
Rob Horne ◽  
Will Nutland ◽  
Gill Bell ◽  
Caroline Rae ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Sexual Behaviour ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Sex With Men ◽  
The Impact

Hepatitis B vaccination and changes in sexual risk behaviour among men who have sex with men in Amsterdam

2008 ◽  
Vol 137 (4) ◽  
pp. 504-512 ◽  
Author(s):  
M. XIRIDOU ◽  
J. WALLINGA ◽  
N. DUKERS-MUIJERS ◽  
R. COUTINHO
Keyword(s):  
High Risk ◽  
Hepatitis B ◽  
Sexual Risk ◽  
Vaccination Campaign ◽  
Risk Behaviour ◽  
Hepatitis B Vaccination ◽  
Sexual Risk Behaviour ◽  
Increased Risk ◽  
Sex With Men ◽  
The Impact

SUMMARYThe impact of hepatitis B vaccination in men having sex with men in Amsterdam has been marginal until now, possibly because of increases in sexual risk behaviour counterbalancing the effect of vaccination. A mathematical model is used to describe the hepatitis B epidemic. The model shows that, with the current vaccination coverage, the decrease in incidence is small in the beginning. However, the number of infections prevented per vaccine administered rises over time. Nevertheless, increased risk behaviour reduces the benefit of vaccination. Targeting high-risk men is more successful in reducing and containing the epidemic than targeting low-risk men. In conclusion, the vaccination campaign is effective and should be intensified. High-risk men should be targeted for vaccination and for risk reduction.

scholarly journals Sexual risk behaviour and sexually transmitted infections in men who have sex with men

2020 ◽  
Vol 6 (2) ◽  
pp. 178
Author(s):  
Murugan Swamiappan ◽  
Manjula Jagannathan ◽  
Aysha Abdulla
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Risk ◽  
Service Providers ◽  
Risk Behaviour ◽  
Unprotected Sex ◽  
Sexual Risk Behaviour ◽  
Sexually Transmitted ◽  
Condom Usage ◽  
Sex With Men ◽  
Clinical Records

<p class="abstract"><strong>Background:</strong> In India the estimated men who have sex with men (MSM) population is around 352, 000, among that 4.3% are living with HIV. The incidence of sexually transmitted infections (STIs) in MSM is greater than that reported in women and men who have sex with women only. The aim of the study is to determine the trends of sexual behaviour and the pattern of sexually transmitted infections in men who have sex with men.</p><p class="abstract"><strong>Methods:</strong> A retrospective study of the data collected from the clinical records of all MSM, who had attended the STI clinic of Kilpauk Medical College, Chennai, Tamil Nadu, during the three-year study period, from July 2016 to June 2019. Demographic data, sexual risk behaviour, condom usage and STIs, among the MSM, were computed and analyzed.<strong></strong></p><p class="abstract"><strong>Results:</strong> During the study period 489 MSM attended the STI clinic, 51.9% were bisexual and 48.1 % were homosexual. Among them, exclusive penetrative sex in 50.7%, exclusive receptive sex in 15.7% and both in 33.6% were reported. Condom usage was consistent in 18.8%, inconsistent in 28.8% and 52.9% never used condom. Unprotected sex is more common in oral sex than with anal sex. STIs were seen in 20.9% and HIV in 1.4% of MSM. Syphilis was the most common STI seen.</p><p class="abstract"><strong>Conclusions:</strong> Our study elucidated the high prevalence of STIs among MSM and increasing trends of sexual risk behaviour. Health service providers must take necessary steps to improve the provision of biological and medical measures to screen, treat and prevent infections.</p><p class="abstract"> </p>

scholarly journals A longitudinal study to investigate previousChlamydia trachomatisinfection as a risk factor for subsequent anorectal infection in men who have sex with men (MSM) and women visiting STI clinics in the Netherlands

2019 ◽  
Vol 147 ◽  
Author(s):  
J. Leenen ◽  
G.A.F.S. van Liere ◽  
C.J.P.A. Hoebe ◽  
A.A. Hogewoning ◽  
H.J.C. de Vries ◽  
...  
Keyword(s):  
Risk Factor ◽  
Risk Behaviour ◽  
Anal Sex ◽  
Gi Tract ◽  
Large Dataset ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
The Impact

AbstractAlthough anorectalChlamydia trachomatis(CT) infections are frequently diagnosed in men who have sex with men (MSM) and women, the reason for this infection often remains unexplained, as anal sex is not always reported. Oropharyngeal infections inoculating the gastrointestinal (GI) tract may contribute to anorectal-CT infections, as evidence in animals suggests that chlamydia bacteria undergo GI passage; however, no evidence exists in humans. Longitudinal patient clinic-registry data from MSM (n= 17 125) and women (n= 4120) from two Dutch sexually transmitted infection clinics were analysed. When adjusting for confounding socio-demographics, co-infections and risk behaviour, previous (from 3 weeks up to 24 months) oropharyngeal CT was not a risk factor for subsequent anorectal CT in women (odds ratio (OR) 0.46; 95% confidence interval (CI) 0.18–1.18;P= 0.11) and MSM (OR 1.33; 95% CI 0.86–2.07;P= 0.204). Despite the large dataset, the numbers did not allow for the estimation of risk in specific subgroups of interest. The role of the GI tract cannot be excluded with this epidemiological study, but the impact of preceding oropharyngeal CT on anorectal-CT infection is likely limited.

scholarly journals Monitoring HIV prevalence and behaviour of men who have sex with men in Barcelona, Spain

2002 ◽  
Vol 7 (2) ◽  
pp. 19-22 ◽  
Author(s):  
K Pérez ◽  
A Rodes ◽  
J Casabona Barbarà
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Hiv Prevalence ◽  
Sexual Risk Behaviour ◽  
Hiv Incidence ◽  
Protective Measures ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
Near Future

Recently, different studies among men who have sex with men (MSMs) have reported an increase in HIV incidence and sexually transmitted infections, and an increase in sexual risk behaviour. But the optimism regarding anti-retroviral treatments may lead to a greater relaxation in protective measures in the near future.

scholarly journals Sexual risk behaviour, sexually transmitted diseases, and the HIV epidemic

2002 ◽  
Vol 6 (15) ◽  
Author(s):  
B Twisselmann
Keyword(s):  
Risk Behaviour ◽  
The United States ◽  
Sexual Risk Behaviour ◽  
Sexually Transmitted ◽  
The Past ◽  
Aids Epidemic ◽  
Hiv Epidemic ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour ◽  
Sex With Men

The rates of sexually transmitted infections (STIs) and high risk sexual behaviour among men who have sex with men (MSM) have increased in Europe and the United States in the past few years, raising fears about a resurgence of the HIV/AIDS epidemic, according to a recent article in Current Opinion in Infectious Diseases (1).

scholarly journals O02.5 Narrating risk: new and traditional methods to understand sexual risk behaviour among hiv-uninfected men who have sex with men in lima, peru

2017 ◽  
Author(s):  
Jesse L Clark ◽  
Ximena Salazar ◽  
Williams Gonzales ◽  
Amaya Perez-Brumer ◽  
Francisco Nanclares ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Traditional Methods ◽  
Sex With Men
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