对与男性发生性关系的无症状男性进行尿道淋病筛查是否值得？

Is screening asymptomatic men who have sex with men for urethral gonorrhoea worthwhile?

作者信息

Ryder Nathan, Lockart Ian G, Bourne Chris

出版信息

Sex Health. 2010 Mar;7(1):90-1. doi: 10.1071/SH09100.

PMID:20152104

Abstract

We determined the prevalence of symptomatic and asymptomatic urethral gonorrhoea among men who have sex with men (MSM) at our Australian sexual health clinic. Asymptomatic MSM are screened using the Roche Amplicor((R)) PCR, whereas culture is used for symptomatic MSM. We analysed data from all MSM tested for urethral gonorrhoea from March 2006 to July 2008. Among the 4453 asymptomatic MSM, there were two (0.04%) diagnoses of urethral gonorrhoea, compared with 38 (3.13%) among 1213 symptomatic MSM. Despite a high prevalence of symptomatic infection, asymptomatic urethral gonococcal infection was extremely uncommon among MSM seen in our sexual health clinic.

摘要

我们在澳大利亚性健康诊所确定了男男性行为者（MSM）中有症状和无症状尿道淋病的患病率。无症状的MSM使用罗氏Amplicor((R)) PCR进行筛查，而有症状的MSM则采用培养法。我们分析了2006年3月至2008年7月间所有接受尿道淋病检测的MSM的数据。在4453名无症状的MSM中，有2例（0.04%）被诊断为尿道淋病，而在1213名有症状的MSM中，这一数字为38例（3.13%）。尽管有症状感染的患病率很高，但在我们性健康诊所就诊的MSM中，无症状尿道淋球菌感染极为罕见。