Potential value of rectal-screening cultures for Chlamydia trachomatis in homosexual men.
Potential value of rectal-screening cultures for Chlamydia trachomatis in homosexual men.
复制标题
直肠筛查培养物对同性恋男性沙眼衣原体的潜在价值。
DOI：
10.1093/infdis/153.5.888
复制
发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Stamm,WE
中科院分区：
文献类型：
--
作者：
Rompalo,AM;Price,CB;Roberts,PL;Stamm,WE
我们比较了在性病门诊就诊的男同性恋者中进行沙眼衣原体和淋病奈瑟菌直肠筛查培养的潜在价值，并评估了这两种感染与患者年龄、症状、既往感染史和早期治疗可能性的关系。在1,429名男性同性恋者中，有118人（8%）患有淋球菌直肠感染，72人（5%）患有衣原体直肠感染，15人（1%）两者兼而有之。直肠衣原体感染的患病率与年龄密切相关，以直肠衣原体感染率最高。沙眼多发生于感染N.淋病（11%）比男性未感染N。淋病（5%;P= .01），同时尿道感染的患者直肠培养阳性发生率更高的男性感染N。男性淋病感染者比C.沙眼（分别为27%和14%;P= 0.05）。大多数直肠感染与N.淋病和C.这一人群中的沙眼是无症状的。虽然80%的直肠感染患者有N.淋病在初次就诊时得到了适当的治疗，而直肠衣原体感染者中只有18%得到了适当的治疗（P<0.0001）。新发现并接受治疗的患者的产率为每100个筛选培养物中有4.8个患者。沙眼1.9每100个筛选培养物的患者数N。淋病
We compared the potential value of rectal-screening cultures forChlamydia trachomatisandNeisseria gonorrhoeaeamong homosexual men attending a sexually transmitted disease clinic and also assessed the relation of either infection to patient age, symptoms, history of previous infection, and likelihood of early treatment. Of 1,429 homosexual men cultured over a six-month period, 118 (8%) had gonococcal rectal infection, 72 (5%) had chlamydial rectal infection, and 15 (1%) had both. The prevalence of rectal chlamydial infection was strongly related to age, with the highest occurrence in adolescents.C. trachomatiswas isolated more often from men infected withN. gonorrhoeae(11%) than from men not infected withN. gonorrhoeae(5%;P= .01), and simultaneous urethral infection in patients with positive rectal cultures occurred more frequently in men infected withN. gonorrhoeaethan in men infected withC. trachomatis(27% vs. 14%, respectively;P= .05). The majority of rectal infections withN. gonorrhoeaeandC. trachomatisin this population were asymptomatic. Although 80% of the patients who had rectal infection withN. gonorrhoeaewere appropriately treated on the initial clinic visit, only 18% of those with rectal chlamydial infections received proper treatment (P< .0001). The yield of patients who were newly identified and brought to treatment was 4.8 patients per 100 screening cultures forC. trachomatisvs. 1.9 patients per 100 screening cultures forN. gonorrhoeae.