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STI with Mycoplasma genitalium: More common than Chlamydia trachomatis in patients attending youth clinics in Sweden
Department of Communicable Disease Control and Prevention, Region of Västra Götaland, Skaraborg Hospital, Skövde, Sweden.
Department of Infectious Diseases, Skaraborg Hospital, Skövde, Sweden.
Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre. Clinical molecular microbiology, Laboratory Medicine, Unilabs, Skövde, Sweden. (Infektionsbiologi)ORCID iD: 0000-0001-7684-5702
2019 (English)In: European Journal of Clinical Microbiology and Infectious Diseases, ISSN 0934-9723, E-ISSN 1435-4373, Vol. 38, no 1, p. 81-86Article in journal (Refereed) Published
Abstract [en]

The prevalence of Chlamydia trachomatis in Sweden is well known, whereas the prevalence of Mycoplasma genitalium is less well documented. Youth clinics offer free contraception advice, sexually transmitted infection (STI) testing and/or contact tracing for the age group 15–25 years. The main objective of this study was to determine the prevalence of STIs, the presence of symptoms and the role of contact tracing. From July 2013 to March 2014, 1001 persons, 509 women and 492 men, were included in this study of six youth clinics in the Region of Västra Götaland. Symptoms were registered and whether the patient was tested because of contract tracing. Collection of urine samples, testing, treatment and disease registration were performed according to clinical routines. Urine samples were analysed for C. trachomatis/N. gonorrhoeae on the Cobas 4800 system (Roche). M. genitalium was analysed by lab-developed PCR. Genital infection was present in 16.8%. The prevalence of M. genitalium was higher than for C. trachomatis (9.6% and 7.1%). Men with symptoms have a significantly higher relative risk for infection with M. genitalium or C. trachomatis compared to asymptomatic men, while there is no increase for women. Contact tracing is important since positive outcome has a high relative risk for both infections. The prevalence of M. genitalium was higher than C. trachomatis in this study population. Initial testing for both C. trachomatis and M. genitalium should at least be considered for young men presenting with symptoms of genital infection. In finding positive cases, contact tracing is of great importance. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.

Place, publisher, year, edition, pages
Springer, 2019. Vol. 38, no 1, p. 81-86
Keywords [en]
chlamydia trachomatis, mycoplasma genitalium, prevalence, STI, youth clinic
National Category
Clinical Laboratory Medicine
Research subject
Infection Biology; INF000
Identifiers
URN: urn:nbn:se:his:diva-16414DOI: 10.1007/s10096-018-3395-3ISI: 000454792400008PubMedID: 30327896Scopus ID: 2-s2.0-85055557269OAI: oai:DiVA.org:his-16414DiVA, id: diva2:1264633
Available from: 2018-11-20 Created: 2018-11-20 Last updated: 2019-08-23Bibliographically approved

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Enroth, Helena

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