Dixon L, Pearson S, Clutterbuck D J
Department of Genitourinary Medicine, Royal Infirmary of Edinburgh, EH3 9YW, UK.
Int J STD AIDS. 2002 Jun;13(6):425-6. doi: 10.1258/095646202760029877.
In 1998, when ligase chain reaction testing for chlamydial infection was introduced in our clinic in Edinburgh, routine clinic protocol included the testing of all heterosexual, but not homosexual, men for urethral chlamydial infection. We audited all new homosexual and bisexual male attendees with a diagnosis of chlamydial infection or non-gonococcal urethritis (NGU) in 1999, together with heterosexual men with the same diagnoses attending in alternate months of the same year. Urethral Chlamydia trachomatis infection was detected in 14.6% (350/2402) of heterosexual men and 2.4% (11/465) of homosexual men tested. Fifty percent of chlamydial infections were asymptomatic. In this population 44% (84/190) of NGU in heterosexual men is attributable to C. trachomatis as opposed to only 10% (6/59) of that in homosexual men. These rates of chlamydial infection differ from previous reports in Scotland and recent studies from the USA. Our clinic protocol has been revised to include routine testing for chlamydial infection in all men.
1998年，当我们爱丁堡诊所引入用于衣原体感染的连接酶链反应检测时，常规诊所方案包括对所有异性恋男性而非同性恋男性进行尿道衣原体感染检测。1999年，我们对所有新诊断为衣原体感染或非淋菌性尿道炎（NGU）的同性恋和双性恋男性就诊者进行了审核，同时审核了同年交替月份就诊的患有相同诊断的异性恋男性。在接受检测的异性恋男性中，14.6%（350/2402）检测出尿道沙眼衣原体感染，而在接受检测的同性恋男性中，这一比例为2.4%（11/465）。50%的衣原体感染无症状。在该人群中，异性恋男性中44%（84/190）的NGU归因于沙眼衣原体，而同性恋男性中这一比例仅为10%（6/59）。这些衣原体感染率与苏格兰之前的报告以及美国最近的研究不同。我们的诊所方案已修订，将对所有男性进行衣原体感染的常规检测纳入其中。
