Epidemiological, clinical and laboratory differences between male urethral infections due to Haemophilus spp. and those due to Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium and Ureaplasma urealyticum : A descriptive study
Vives, Álvaro (Institut d'Investigació Biomèdica Sant Pau)
Cosentino, Marco (Fundació Puigvert)
Bassas, Lluís (Institut d'Investigació Biomèdica Sant Pau)
Alonso-Tarrés, Carles (Fundació Puigvert)
Millan, F. (Fundació Puigvert)
Universitat Autònoma de Barcelona

Fecha:	2021
Resumen:	Objective: To describe the epidemiological, clinical and laboratory characteristics of male patients diagnosed with Haemophilus spp. urethral infection and to compare them with the characteristics of male patients diagnosed with N. gonorrhoeae, C. trachomatis, M. genitalium and U. urealyticum urethral infection. Over the past 2 years, an increase in urethral infections due to Haemophilus spp. was observed. Materials and methods: All male patients who attended our Department of Sexually Transmitted Infections between January 2018 and February 2019 were retrospectively studied; they underwent conventional bacteriological and multiplex PCR studies in the urethra at the same time. Results: Of the 86 patients studied, a unique microorganism was detected in 76 cases, N. gonorrhoeae in 24, Haemophilus spp. in 21 (16 H. parainfluenzae and 5 H. influenzae), C. trachomatis in 19, M. genitalium in 8 and U. urealyticum in 4; 10 cases presented more than one microorganism. In case of multiple aetiological agents, sexual partnership was multiple. In the Haemophilus group, 81% reported only unprotected oral insertive sex; symptoms lasted for more than one week in 62% of the patients. Conclusions: Haemophilus is an aetiological agent of non-gonococcal urethritis whose incidence is clearly increasing; the main route of transmission is oral sex. The most common reason for consultation is dysuria and testicular pain, while urethral discharge was predominant for the other causes of urethral infection. Due to the high frequency of antibiotic resistance in the Haemophilus group, it is necessary to confirm eradication by performing a test of cure.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Haemophilus spp ; Neisseria gonorrhoeae ; Chlamydia trachomatis ; Mycoplasma genitalium ; Ureaplasma urealyticum ; Urethral infections ; Males ; Sexually transmitted infections
Publicado en:	Archivio Italiano di Urologia e Andrologia, Vol. 93 Núm. 4 (December 2021) , p. 468-474, ISSN 2282-4197

DOI: 10.4081/aiua.2021.4.468
PMID: 34933533

7 p, 141.7 KB

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