scholarly journals Epidemiological, clinical and laboratory differences between male urethral infections due to Haemophilus spp. and those due to Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium and Ureaplasma urealyticum: A descriptive study

2021 ◽  
Vol 93 (4) ◽  
pp. 468-474
Author(s):  
Alvaro Vives ◽  
Marco Cosentino ◽  
Lluis Bassas ◽  
Carles Alonso ◽  
Felix Millan
Keyword(s):  
High Frequency ◽  
Ureaplasma Urealyticum ◽  
Mycoplasma Genitalium ◽  
Oral Sex ◽  
Sexual Partnership ◽  
Sexually Transmitted ◽  
Urethral Discharge ◽  
The Past ◽  
Route Of Transmission ◽  
Male Patients

Objective: To describe the epidemiological, clinical and laboratory characteristics of male patients diagnosed with Haemophilus spp. urethral infection and to compare them with the characteristics of male patients diagnosed with N. gonorrhoeae, C. trachomatis, M. genitalium and U. urealyticum urethral infection. Over the past 2 years, an increase in urethral infections due to Haemophilus spp. was observed. Materials and methods: All male patients who attended our Department of Sexually Transmitted Infections between January 2018 and February 2019 were retrospectively studied; they underwent conventional bacteriological and multiplex PCR studies in the urethra at the same time. Results: Of the 86 patients studied, a unique microorganism was detected in 76 cases, N. gonorrhoeae in 24, Haemophilus spp. in 21 (16 H. parainfluenzae and 5 H. influenzae), C. trachomatis in 19, M. genitalium in 8 and U. urealyticum in 4; 10 cases presented more than one microorganism. In case of multiple aetiological agents, sexual partnership was multiple. In the Haemophilus group, 81% reported only unprotected oral insertive sex; symptoms lasted for more than one week in 62% of the patients. Conclusions: Haemophilus is an aetiological agent of non-gonococcal urethritis whose incidence is clearly increasing; the main route of transmission is oral sex. The most common reason for consultation is dysuria and testicular pain, while urethral discharge was predominant for the other causes of urethral infection. Due to the high frequency of antibiotic resistance in the Haemophilus group, it is necessary to confirm eradication by performing a test of cure.

Urethral inflammatory response to ureaplasma is significantly lower than to Mycoplasma genitalium and Chlamydia trachomatis

2016 ◽  
Vol 28 (8) ◽  
pp. 773-780 ◽  
Author(s):  
Harald Moi ◽  
Nils Reinton ◽  
Ivana Randjelovic ◽  
Elina J Reponen ◽  
Line Syvertsen ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Inflammatory Response ◽  
Ureaplasma Urealyticum ◽  
Mycoplasma Genitalium ◽  
Nucleic Acid Amplification ◽  
Rrna Gene ◽  
Polymorphonuclear Leucocytes ◽  
Male Patients ◽  
Micro Organisms

A non-syndromic approach to treatment of people with non-gonococcal urethritis (NGU) requires identification of pathogens and understanding of the role of those pathogens in causing disease. The most commonly detected and isolated micro-organisms in the male urethral tract are bacteria belonging to the family of Mycoplasmataceae, in particular Ureaplasma urealyticum and Ureaplasma parvum. To better understand the role of these Ureaplasma species in NGU, we have performed a prospective analysis of male patients voluntarily attending a drop in STI clinic in Oslo. Of 362 male patients who were tested for NGU using microscopy of urethral smears, we found the following sexually transmissible micro-organisms: 16% Chlamydia trachomatis, 5% Mycoplasma genitalium, 14% U. urealyticum, 14% U. parvum and 5% Mycoplasma hominis. We found a high concordance in detecting in turn U. urealyticum and U. parvum using 16s rRNA gene and ureD gene as targets for nucleic acid amplification testing (NAAT). Whilst there was a strong association between microscopic signs of NGU and C. trachomatis infection, association of M. genitalium and U. urealyticum infections in turn were found only in patients with severe NGU (>30 polymorphonuclear leucocytes, PMNL/high powered fields, HPF). U. parvum was found to colonise a high percentage of patients with no or mild signs of NGU (0–9 PMNL/HPF). We conclude that urethral inflammatory response to ureaplasmas is less severe than to C. trachomatis and M. genitalium in most patients and that testing and treatment of ureaplasma-positive patients should only be considered when other STIs have been ruled out.

scholarly journals Molecular epidemiology of non-viral sexually transmitted infections in the central Alpine province of Bolzano, northern Italy from April 2016 to March 2017

2018 ◽  
Vol 33 (1) ◽  
Author(s):  
Richard Aschbacher ◽  
Francesca Romagnoli ◽  
Elisa Masi ◽  
Valentina Pasquetto ◽  
Franco Perino ◽  
...  
Keyword(s):  
Molecular Epidemiology ◽  
Trichomonas Vaginalis ◽  
Ureaplasma Urealyticum ◽  
Mycoplasma Hominis ◽  
Mycoplasma Genitalium ◽  
Northern Italy ◽  
Sexually Transmitted ◽  
Ureaplasma Parvum ◽  
One Year ◽  
The One

Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Ureaplasma parvum, Ureaplasma urealyticum, Mycoplasma hominis and Mycoplasma genitalium are established or presumed as (??) STI pathogens. The present study aims  at ng describing the one-year molecular epidemiology of these seven pathogens in the Province of Bolzano, Northern Italy. From April 2016 to March 2017, a total of  2,949 patients, mainly females, were enrolled and 3,427 urine, vaginal, endocervical and/or urethral samples were subjected to simultaneous analysis of the seven pathogens by means of Real Time Polymerase Chain Reaction (AnyplexTM II STI-7 Detection Kit Seegene, Seoul, Korea). At least one of the seven microorganisms was detected in 40.7% of patients, with an uneven distribution: 43.1% in females (F) and 29.8% (p<0.001) in males (M). The prevalence of microorganisms was as follows: 30.3% U. parvum (F: 35.6%, M: 8.3%), 6.9% U. urealyticum (F: 6.8%, M: 7.0%), 4.9% M. hominis (F: 5.4%, M: 2.3%), 4.9% C. trachomatis (F: 3.4%, M: 11.4%), 1.1% M. genitalium (F: 1.0%, M: 1.2%), 1.2% N. gonorrhoeae (F: 0.17%, M: 5.6%) and 0.40% T. vaginalis (F: 0.38%, M: 0.53%). Mixed infections were detected in 7.4% of patients. The highest prevalence was observed for U. parvum, followed by U. urealyticum and M. hominis and a significant  presence of multi-pathogen infections was registered.

scholarly journals Clinical and Bacteriological Profile of Male Patients with Urethral Discharge at Western Regional Hospital, Nepal

2019 ◽  
Vol 2 (2) ◽  
pp. 178-182
Author(s):  
Anand Nepal ◽  
Kapil Subedi ◽  
Jitendra Shah ◽  
Manoj Koirala
Keyword(s):  
Sensitivity Testing ◽  
Cross Sectional ◽  
Hospital Laboratory ◽  
Sexually Transmitted ◽  
Urethral Discharge ◽  
Bacteriological Profile ◽  
Neisseria Gonorrhea ◽  
Male Patients ◽  
Western Regional ◽  
One Year

Background: Urethral discharge is a symptom of urethritis. Common organisms causing urethral discharge are Neisseria gonorrhea and Chlamydia trachomatis. Cephalosporines, Macrolides and Tetracycline groups of drugs are commonly used for the treatment. Materials and Methods: This was a prospective, cross sectional, observational study. The patients were enrolled from the Sexually Transmitted Infections clinic and also from the hospital laboratory in between the period of one year. All the male cases with urethral discharge at STI clinic in between this period were included for clinical examination and laboratory testing. All urine and discharge specimens of urethral discharge patients as referred from other departments directly to the hospital laboratory for relevant tests were also included for the study. Results: Neisseria gonorrhea was the most common agent of urethral discharge in male patients. Urethral discharge, dysuria and inguinal lymphadenopathy were common symptoms. All the Neisseria gonorrhea isolates were sensitive to Ceftriaxone and Imipenam. Conclusion: Continuous monitoring with culture sensitivity testing of urethral discharge cases is required.

scholarly journals INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS: LOCAL STUDY IN UKRAINE

World Science ◽  
2018 ◽  
Vol 2 (8(36)) ◽  
pp. 4-7
Author(s):  
Fedorych P. V. ◽  
Mavrov G. I.
Keyword(s):  
Human Papillomavirus ◽  
Chlamydia Trachomatis ◽  
Sexually Transmitted Infections ◽  
Trichomonas Vaginalis ◽  
Ureaplasma Urealyticum ◽  
Mycoplasma Hominis ◽  
Mycoplasma Genitalium ◽  
Local Study ◽  
Sexually Transmitted ◽  
Clinically Significant

Introduction.The structure of incidence of sexually transmitted infections is changing constantly. Information on such changes supports correct planning of clinical and diagnostic activities of institutions providing specialized medical care by qualified specialists.Objective:to investigate the prevalence of sexually transmitted infections with pathogens clinically significant to the genitourinary system in Ukraine and at the local level.Materials and methods. Polymerase chain reaction was used to test the biological material obtained from the genitourinary clinical specimens from subjects with sexually transmitted infections, who underwent clinical and laboratory examinations in Oleksandrivsk Clinical Hospital (Kyiv, Ukraine) for Chlamydia trachomatis, Mycoplasma hominis, Mycoplasma genitalium, Ureaplasma urealyticum, Trichomonas vaginalis, Human papillomavirus, and Neisseria gonorrhoea. During 2017, 607 subjects of both genders, including 295 (48.6%) females and 312 (51.4%) males, were examined. Their mean age was 32±3.5.Findings. Chlamydia trachomatis was found in 159 (26.2%) of 607 examined subjects – 85 males and 74 females. Mycoplasma hominis was found in 122 of 585 (21.1%) examined subjects – 64 males and 58 females. Mycoplasma genitalium, respectively, in 17 (6.62%) of 258 subjects – 6 males and 11 females. Ureaplasma urealyticum was found in the largest number of subjects (305, i.e. in 48.77% of 601 examined subjects) – 157 males and 148 females. Trichomonas vaginalis was found in 28 (5.23%) of 535 subjects – 15 males and 13 females. Human papillomavirus was found in 158 of 297 (53.2%) examined subjects – 88 males and 70 females. Neisseria gonorrhea was found in 33 of 297 (8.45%) subjects – 8 males and 25 females.Conclusions. As suggested by the local study of the sexually transmitted infections incidence in Ukraine, the most clinically significant for the genitourinary system are Human papillomavirus (53.2%), Ureaplasma urealyticum (48.77%), Chlamydia trachomatis (26.2%) and Mycoplasma hominis (21.1%). Therefore, tests for these pathogens in the specified region is currently the most appropriate during diagnostic examinations and counselling of subjects with genitourinary infections.

scholarly journals Frequency of Sexually Transmitted Pathogens in HIV- Positive Individuals

2021 ◽  
Author(s):  
Tuğba Bozdemir ◽  
Candan Çİçek ◽  
Deniz Gökengin ◽  
Sabire Şöhret Aydemir ◽  
İmre Altuğlu ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Trichomonas Vaginalis ◽  
Ureaplasma Urealyticum ◽  
Mycoplasma Hominis ◽  
Mycoplasma Genitalium ◽  
Hiv Positive ◽  
Sexually Transmitted ◽  
Ureaplasma Parvum ◽  
Asymptomatic Individuals ◽  
Simplex Virus

Objective: Sexually transmitted infections are frequently seen and significant infections for public health. Prevention, early diagnosis and treatment of sexually transmitted infections have an important role in controlling the transmission of Human Immunodeficiency Virus (HIV). The investigation of the frequency of other sexually transmitted pathogens in asymptomatic HIV- positive individuals was aimed in the present study. Method: Vaginal and urethral swab samples were collected by 90 HIV- positive asymptomatic individuals themselves aged between 20-69 (median=36, SD=10.48) years, between September 2015 and April 2016. The samples were assessed for the presence of Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma urealyticum, Ureaplasma parvum, Herpes simplex virus type 1 and 2, and Human papillomavirus using real-time polymerase chain reaction (PCR) method. Results: At least one or more than one sexually transmitted pathogen was identified in 49 (54.4%) of 90 HIV-positive individuals. Human Papillomavirus was found in 31 (34.4%), Ureaplasma urealyticum in 20 (22.2%), Ureaplasma parvum in 15 (16.6%), Mycoplasma genitalium in 8 (8.8%), Mycoplasma hominis in 8 (8.8%), Neisseria gonorrhoeae in 5 (5.5%) and Chlamydia trachomatis in 2 (2.2%) individuals. Trichomonas vaginalis, Herpes simplex virus type 1 and 2 were not detected in any of the clinical specimens. Conclusion: Approximately 55% of 90 HIV- positive individuals were found to be positive for sexually transmitted pathogens, and . Human Papillomavirus was the most frequently detected pathogen. This condition reveals the necessity of screening even asymptomatic individuals for the presence of this pathogen. Studies are needed to increase awareness in our country on this issue.

Correlates of Putting Condoms On After Sex Has Begun and of Removing Them Before Sex Ends: A Study of Men Attending an Urban Public STD Clinic

2007 ◽  
Vol 1 (3) ◽  
pp. 190-196 ◽  
Author(s):  
William L. Yarber ◽  
Richard A. Crosby ◽  
Cynthia A. Graham ◽  
Stephanie A. Sanders ◽  
Janet Arno ◽  
...  
Keyword(s):  
African American ◽  
Sexually Transmitted Disease ◽  
African American Men ◽  
Transmitted Disease ◽  
Vaginal Intercourse ◽  
Sexually Transmitted ◽  
The Past ◽  
Disease Clinic ◽  
Sexually Transmitted Disease Clinic ◽  
Male Patients

This study aimed to identify possible correlates of putting condoms on after sex has begun and taking them off before sex has ended among male patients of an urban, public sexually transmitted disease clinic. Participants responded to a questionnaire and were largely African American men, 18 to 35 years old, who had used a condom during penile-vaginal intercourse at least three times in the past 3 months. In controlled analyses, men who were not highly motivated to use condoms correctly were nearly twice as likely to put a condom on after sex had begun. Men who reported erection loss during sex were about twice as likely to remove condoms before sex ended. Men reporting difficulties with the fit and feel of condoms were 2.5 times more likely to remove condoms early. Identified correlates may be amenable to clinic-based education and counseling augmented by offering a variety of condom brands and sizes to patients.

scholarly journals Prevalence Rates of Chlamydia Trachomatis and Other Sexually Transmitted Organisms in Infertile Couples Attending a Tertiary Medical Centre in Malaysia

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Umi Kalsom A ◽  
Suvra B ◽  
Zainul RMR ◽  
Siti Norlia O ◽  
Zalina I ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Trichomonas Vaginalis ◽  
Ureaplasma Urealyticum ◽  
Mycoplasma Hominis ◽  
Mycoplasma Genitalium ◽  
Married Couples ◽  
Prevalence Rates ◽  
Sexually Transmitted ◽  
Neisseria Gonorrhoea ◽  
Infertile Couples

 INTRODUCTION: Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Trichomonas vaginalis (TV) and Mycoplasma genitalium (MG) infections are well recognized and prevalent sexually transmitted infections (STIs). The role of Mycoplasma spp and Ureaplasma spp are still controversial as some are commensals of genitourinary tract. OBJECTIVES: To estimate the prevalence rate of 7 organisms: Chlamydia trachomatis, Neisseria gonorrhoea, Mycoplasma genitalium, Trichomonas vaginalis, Mycoplasma hominis, Ureaplasma urealyticum (UU) and Ureaplasma parvum (UP) in infertile married couples during infertility evaluation. MATERIALS & METHODS: A total of 274 samples from all of the 137 couples who attended the reproductive center from June to December 2014 were collected. Detection of the organisms was performed using multiplex polymerase chain reaction. RESULTS: STI-associated organisms were detected in 35.4% (97/274) of subjects. The prevalence rates of CT, MG, TV, UU, MH were 7.3%,1.1%, 0.4%,5.4% and 5.1% respectively. Twenty-one (7.7%) subjects were positive for more than one organism. 24/274 (8.8%) of subjects had history of urogenital tract-related symptoms and 50% (12/24) were tested positive to one or more organisms. The presence of symptoms in both male and female subjects were found to be 10% (2/20) in CT infection, 10% (7/67) in UP, 14% (2/14) in MH and 13% (2/15) in UU infections. CONCLUSION: Sexually transmitted organisms were detected in one third of subjects planning for fertility evaluation. The absence of symptom in most subjects particularly in CT infection emphasizes the need for microbiological screening during infertility evaluation. The presence of genital ureaplasmas and mycoplasmas in infertile couples should not be neglected. There is a growing need to clarify whether their roles are simply colonizers or pathogens implicated in infertility.

scholarly journals Sexualidade na terceira idade: conhecimento e comportamento de idosos residentes em um município de Minas Gerais

2015 ◽  
Vol 4 (3/4) ◽  
pp. 187-190
Author(s):  
Luís Paulo Souza e Souza ◽  
Maria Cecília De Fátima Oliveira Paulino ◽  
Claudinéia Alves Bernardes ◽  
Carla Silvana de Oliveira Silva ◽  
Jansen Maxwell De Freitas Santana ◽  
...  
Keyword(s):  
Sexually Transmitted Diseases ◽  
Old Age ◽  
Sexual Behaviors ◽  
The Elderly ◽  
Sexual Partnership ◽  
Sexually Transmitted ◽  
Descriptive Research ◽  
The Past ◽  
Uso Del Preservativo ◽  
And Behavior

Resumo: O estudo objetivou identificar comportamentos sexuais e conhecimento de idosos sobre doenças sexualmente transmissíveis. Pesquisa quantitativa e descritiva com idosos em Montes Claros, MG. Os dados foram coletados por meio de questionário. Dos 153 idosos pesquisados, 96 (63%) apresentaram parceria sexual fixa; 88 (57,5%) não tiveram relação sexual nos últimos seis meses; 120 (78,5%) não realizaram teste para HIV; 98 (64%) fizeram uso de preservativo na última relação sexual. O conhecimento dos idosos pesquisados sobre doenças sexualmente transmissíveis é deficiente, principalmente frente à baixa utilização de preservativos como forma de prevenção, estando com riscos aumentados às doenças sexualmente transmissíveis.Descritores: Idosos, Doenças Sexualmente Transmissíveis, Comportamento SexualSexuality in old age: knowledge and behavior of elderly residents in a municipality of Minas GeraisAbstract: The study aimed to identify sexual behaviors and knowledge of the elderly on sexually transmitted diseases. Quantitative and descriptive research with seniors in Montes Claros, MG. The data were collected through a questionnaire. Of the 153 seniors surveyed, 96 (63%) presented a fixed sexual partnership; 88 (57.5%) have not had sexual intercourse in the past six months; 120 (78.5%) not performed testing for HIV; 98 (64%) made use of a condom at last intercourse. Knowledge of seniors surveyed about sexually transmitted diseases is deficient, especially vis-à-vis the low use of condoms as a means of prevention, and with increased risks of sexually transmitted diseases.Descriptors: Aged, Sexually Transmitted Diseases, Sexual BehaviorSexualidad en la vejez: conocimiento y comportamento de las personas mayores que viven en un municipio de Minas GeraisResumen: El estudio pretende identificar los comportamientos sexuales y el conocimiento de las personas mayores en enfermedades de transmisión sexual. Investigación cuantitativa y descriptiva con las personas mayores en Montes Claros, MG. Los datos fueron recogidos a través de un cuestionario. De las 153 personas mayores encuestados, 96 (63%) presentó una asociación sexual fija; 88 (57,5%) no ha tenido relaciones sexuales en los últimos seis meses; 120 (78.5%) no realizada pruebas del VIH; 98 (64%) hizo uso de un condón en el último coito. Conocimiento de los estudiantes encuestados sobre enfermedades de transmisión sexual es deficiente, especialmente à frente el bajo uso del preservativo como medio de prevención y aumentado los riesgos de enfermedades de transmisión sexual. Conclusión: Contribuye a la generalización del conocimiento, es importante para la práctica, la formación y la investigación en enfermería.Descriptores: Anciano, Enfermedades de Transmisión Sexual, Conducta Sexual

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