High prevalence of rectal gonorrhoea among men reporting contact with men with gonorrhoea: Implications for epidemiological treatment

BMC Public Health

Research Article

Ian Denham¹  Sarah Huffam¹  Krishneel Dutt¹  Eric P.F. Chow²  Catriona S Bradshaw²  Christopher K. Fairley²  Marcus Y. Chen²  Karen Klassen³ 

[1] Melbourne Sexual Health Centre, Alfred Health, Melbourne, VIC, Australia;Melbourne Sexual Health Centre, Alfred Health, Melbourne, VIC, Australia;Central Clinical school, Monash University, Melbourne, VIC, Australia;Melbourne Sexual Health Centre, Alfred Health, Melbourne, VIC, Australia;Faculty of Medicine, Melbourne University, Melbourne, VIC, Australia;

关键词: Gonorrhoea;    Men who have sex with men;    MSM;    Epidemiological treatment;    Empiric treatment;    Contact;   

DOI  :  10.1186/s12889-015-1971-3

 received in 2015-01-06, accepted in 2015-06-25,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThis study aimed to determine the prevalence of gonorrhoea and factors associated with rectal gonorrhoea among men reporting sexual contact with men with gonorrhoea.MethodsMen who presented to Melbourne Sexual Health Centre reporting sexual contact with a male with gonorrhoea were prospectively identified between March 2011 and December 2013. These men were screened for pharyngeal and rectal gonorrhoea using culture. The prevalence of gonorrhoea among contacts was compared to that among all men who have sex with men (MSM) screened at the clinic over the same period.ResultsAmong 363 contacts of gonorrhoea the prevalence of rectal gonorrhoea was 26.4 % (95 % CI: 21.8 %-31.0 %) compared to 3.9 % (95 % CI: 3.7 %-4.2 %) among clinic attendees (p < 0.001). The prevalence of pharyngeal gonorrhoea among contacts was 9.4 % (95 % CI: 6.4 %-12.4 %) compared to 2.1 % (95 % CI: 1.9 %-2.4 %) among clinic attendees (p < 0.001). Among contacts who reported not always using condoms during receptive anal sex with casual partners, rectal gonorrhoea was cultured in 42.4 % compared with 12.7 % among contacts reporting no receptive anal sex (p < 0.001) and 20.2 % among those reporting always using condoms (p < 0.001). On multivariate analysis rectal gonorrhoea was associated with inconsistent condom use during receptive anal sex with casual partners (adjusted odds ratio (AOR): 4.16; 95 % CI: 1.87-9.26) and a reported past history of gonorrhoea (AOR: 1.77; 95 % CI: 1.01-3.14).ConclusionsThe high proportion of positive cases of gonorrhoea among contacts in this study supports epidemiological treatment of MSM presenting as contacts of gonorrhoea.

【 授权许可】

Unknown   
© Dutt et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.