Estimate of male urethritis incidences in France between 2007 and 2017 with a specific focus on Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis infections

BMC Infectious Diseases

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[1] 0000 0001 2308 1657, grid.462844.8, Réseau Sentinelles, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), UMR S 1136 Inserm Sorbonne Université, Faculté de médecine Sorbonne Université - site Saint Antoine, 27 rue Chaligny, 75571, cedex 12, Paris, France;0000 0001 2308 1657, grid.462844.8, Réseau Sentinelles, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), UMR S 1136 Inserm Sorbonne Université, Faculté de médecine Sorbonne Université - site Saint Antoine, 27 rue Chaligny, 75571, cedex 12, Paris, France;0000 0001 2323 0229, grid.12832.3a, Université de Versailles Saint-Quentin-en-Yvelines, UVSQ, UFR de Médecine, FR-78000, Versailles, France;0000 0000 9982 5352, grid.413756.2, Service de Médecine Interne, Hôpital Ambroise Paré, Assistance Publique - Hôpitaux de Paris, APHP, FR-92100, Boulogne Billancourt, France;0000 0004 5948 8741, grid.493975.5, Data Science Division, Santé publique France, F-954415, Saint-Maurice, France;0000 0004 5948 8741, grid.493975.5, Infectious Diseases Division, Santé publique France, F-954415, Saint-Maurice, France;

关键词: Sexually transmitted diseases;    Urethritis;    Male;    General practice;    Public health surveillance;    Diagnostic techniques;    Urological;   

DOI  :  10.1186/s12879-019-4202-1

来源: publisher

【 摘 要 】

BackgroundIn a context of increasing use of Nucleic Acid Amplification Test, diagnoses of Neisseria gonorrhoeae and Chlamydia trachomatis infections among men increased in Europe and USA since 2007. We aimed to describe trends in the incidence of male urethritis in France between 2007 and 2017.MethodsWe analysed male urethritis clinical cases reported by the French GPs’ Sentinelles network.ResultsGPs reported 1944 cases of male urethritis during the study period. The estimated annual incidence rates in men aged 15 years and older remained stable between 226 cases per 100,000 seen in 2007 and 196 in 2017 (P value = 0.9). A third-generation cephalosporin with macrolide or tetracycline was prescribed in 17.5% of cases in 2009 (27/154) and 32.4% in 2017 (47/145) (P value = 0.0327).ConclusionsThe incidence rates for adult male urethritis diagnosed in primary care have remained stable since 2007 in France in contrast with the increasing trend of Neisseria gonorrhoeae and Chlamydia trachomatis infections based on microbiological surveillance. Using stable clinical definition for male urethritis seems essential to follow correctly epidemiological dynamic.

【 授权许可】

CC BY