咽后（用于男男性行为者）

Pharyngeal in men who have sex with men.

机构信息

1949Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.

12190Brighton and Sussex Medical School, Brighton, UK.

出版信息

Int J STD AIDS. 2021 Apr;32(5):449-452. doi: 10.1177/0956462420975627. Epub 2021 Feb 3.

DOI:10.1177/0956462420975627

PMID:33533296

Abstract

Pharyngeal is important in the transmission dynamics of , and generation of antimicrobial resistance and the performing of culture remains vital. We reviewed the notes of men who have sex with men (MSM) presenting to our clinic with a positive pharyngeal NAAT for between January and December 2019. There were 383 cases of NAAT-positive pharyngeal , and 28 (7%, 95% CI = 5.11-10.36) reported sore throat at presentation. Pharyngeal cultures were taken from 270/383 (70%), and 73/270 (27%) were culture positive with available antimicrobial sensitivities. Overall, the presence of pharyngeal symptoms was not associated with pharyngeal chlamydia (OR = 1.6, CI = 0.19-13.32, = 0.7), HIV status (OR = 1.1, CI = 0.47-2.57, = 0.8), positive cultures (OR = 1.9, CI = 0.78-4.62, = 0.2) or age ( = 0.3). Routine screening of MSM for pharyngeal is important to maintain surveillance and measures need to be taken to improve pharyngeal culture sampling from MSM.

摘要

咽部分泌物在的传播动态、产生抗药性方面非常重要，培养物的表现仍然至关重要。我们回顾了 2019 年 1 月至 12 月间因咽拭子核酸扩增试验（NAAT）阳性而到我们诊所就诊的男男性行为者（MSM）的病历。共有 383 例咽拭子 NAAT 阳性的病例，其中 28 例（7%，95%CI=5.11-10.36）在就诊时报告有咽痛。从 383 例患者中采集了 270 例咽拭子培养物，270 例中有 73 例（27%）培养阳性且有可用的药敏结果。总体而言，咽部分泌物症状与咽衣原体（OR=1.6，CI=0.19-13.32， = 0.7）、HIV 状况（OR=1.1，CI=0.47-2.57， = 0.8）、阳性培养物（OR=1.9，CI=0.78-4.62， = 0.2）或年龄（ = 0.3）无关。对 MSM 进行咽拭子的常规筛查对于维持监测非常重要，需要采取措施提高从 MSM 中采集咽拭子培养物的效率。