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Titolo:
MALE URETHRITIS WITH AND WITHOUT DISCHARGE - A CLINICAL AND MICROBIOLOGICAL STUDY
Autore:
JANIER M; LASSAU F; CASIN I; GRILLOT P; SCIEUX C; ZAVARO A; CHASTANG C; BIANCHI A; MOREL P;
Indirizzi:
HOP ST LOUIS,CTR CLIN & BIOL MALADIES SEXUELLEMENT TRANSMISSIB,42 RUEBICHAT F-75010 PARIS FRANCE HOP ST LOUIS,MICROBIOL LAB F-75010 PARIS FRANCE
Titolo Testata:
Sexually transmitted diseases
fascicolo: 4, volume: 22, anno: 1995,
pagine: 244 - 252
SICI:
0148-5717(1995)22:4<244:MUWAWD>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
1ST-VOIDED URINE SEDIMENT; NON-GONOCOCCAL URETHRITIS; MYCOPLASMA-GENITALIUM; CHLAMYDIA-TRACHOMATIS; MEN; DIAGNOSIS; INFECTIONS; PREVALENCE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
M. Janier et al., "MALE URETHRITIS WITH AND WITHOUT DISCHARGE - A CLINICAL AND MICROBIOLOGICAL STUDY", Sexually transmitted diseases, 22(4), 1995, pp. 244-252

Abstract

Background: The definition of male urethritis in the absence of urethral discharge has not been well established. The sensitivity of urethral swabs and first-catch urine is controversial. Goal of this Study: To correlate clinical data (discharge or not), urethral swabs, and first-catch urine examinations with the microorganisms found within the urethra in a cohort of men attending the sexually transmitted disease clinic of Hopital Saint Louis (Paris) for treatment of urethral symptomswith or without discharge. Study Design: Two-hundred-seventy-three consecutive male patients entered this prospective study between October1, 1992 and November 30, 1992. Fifty-two patients were excluded because they had been treated with antibiotics in the previous 3 months. All patients were screened for Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, Ureaplasma urealyticum, Mycoplasma hominis, and Candida albicans. Results: Two-hundred-nineteen patients were eligible for the study (122 with discharge and 97with no discharge). The prevalence of microorganisms was as follows: Chlamydia trachomatis in 13%, Neisseria gonorrhoeae in 11%, Ureaplasmaurealyticum in 7%, Mycoplasma genitalium in 17%, Trichomonas vaginalis in 1%, and indeterminate pathogens alone in 20%. All major pathogensand Mycoplasma genitalium were more common in patients with discharge. Stratification of results according to the presence of polymorphonuclear leukocytes on the urethral swab and first-catch urine showed a low sensitivity of both tests for Chlamydia trachomatis (29%), Mycoplasma genitalium (50% and 62%), and Ureaplasma urealyticum (33%) in patients with no discharge. Conclusion: A specific and sensitive search for Chlamydia trachomatis should be done in every patient with urethral symptoms whether or not the classic symptoms of urethritis are present (discharge, presence of polymorphonuclear leukocytes in the urethra or first-catch urine).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 14:30:19