Current status of gonococcal and chlamydial infections of the oropharynx and genitals in patients of a sexually transmitted infection clinic by three prospective studies

DOI 3 Citations 12 References
  • Yoda Keiko
    Department of Otorhinolaryngology, Tokyo Women's Medical University Medical Center East
  • Onoye Yasuhiko
    Miyamoto-Cho Chuoh Clinic
  • Nishida Suguru
    Department of Otorhinolaryngology, Tokyo Women's Medical University Medical Center East
  • Arai Yasuko
    Department of Otorhinolaryngology, Tokyo Women's Medical University Medical Center East

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Other Title
  • 淋菌およびクラミジアの咽頭および性器感染: 性感染症クリニック受診者からみた現状

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Description

To determine positive gonococcal infection and chlamydial infection rates of the oropharynx and genitals in subjects seen at a sexually transmitted infection (STI) clinic, we analyzed data from three prospective studies conducted from November 2005 to January 2009. Pharyngeal and genital specimens were obtained on the same day from 854 subjects. A nucleic acid amplification test (NAAT), Becton Dickinson strand displacement amplification (SDA), and gonococcal culture were conducted to detect Neisseria gonorrhoeae, and SDA and Roche PCR to detect Chlamydia trachomatis in pharyngeal and genital specimens. Subjects were 519 women from 17 to 57 years old (mean, 28.6 years) and 335 men from 17 to 57 years old (mean, 36.1 years). The number (percentage) of women to men were 79 (15%) to 53 (16%) with gonococcal infection of the pharynx, and 58 (11%) to 9 (3%) with chlamydial infection of the pharynx. The number (percentage) of women to men were 40 (8%) to 108 (32%) with gonococcal infection of the genitals, and 135 (26%) to 84 (25%) with chlamydial infection of the genitals. Only male chlamydial infection of the pharynx was significantly-low in positive rates. Our results suggested the presence of many subjects infected with gonococcus or chlamydia of the pharynx but not in the genitals except for male chlamydial infections.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 23 (2), 207-212, 2010

    Japan Society of Stomato-pharyngology

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