Nongonococcal urethritis--a new paradigm.
نویسندگان
چکیده
Urethritis in men has been categorized historically as gonococcal or nongonococcal (NGU). The major pathogens causing NGU are Chlamydia trachomatis and Ureaplasma urealyticum. Trichomonas vaginalis may be involved occasionally. In up to one-half of cases, an etiologic organism may not be identified. In this review we present recent advances in the diagnosis and management of NGU and discuss how they may be applied in a variety of clinical settings, including specialized STD clinics and primary health care practices. In particular, the development of the noninvasive urine-based nucleic acid amplification tests may warrant rethinking of the traditional classification of urethritis as gonococcal urethritis or NGU. Diagnostic for Chlamydia are strongly recommended because etiologic diagnosis of chlamydial urethritis may have important public health implications, such as the need for partner referral and reporting. A single 1-g dose of azithromycin was found to be therapeutically equivalent to the tetracyclines and may offer the advantage of better compliance.
منابع مشابه
Nongonococcal urethritis associated with T strains of mycoplasma. MF12.524.009-80003.12.
The biological properties of T strains of mycoplasma, the development of methods for their isolation and cultivation, their detection in clinical exudates by means of the urease reaction, and their identification by laboratory methods are reviewed. The current status of T-strain mycoplasma-associated nongonococcal urethritis in the male is reviewed and discussed. Evidence in support of the infe...
متن کاملSexually transmitted infections in Saudi Arabia
BACKGROUND Data on sexually transmitted infections (STIs) in Saudi Arabia (SA) and other Islamic countries are limited. This study describes the results of a five-year surveillance for STIs in SA. METHODS This is a case series descriptive study of all confirmed STIs diagnosed in SA from January, 1995 through December, 1999. RESULTS A total of 39049 STIs were reported to the Ministry of Heal...
متن کاملSexually transmitted infections case notification rates in the Kingdom of Saudi Arabia, 2005-2012.
INTRODUCTION Sexually transmitted infections (STIs) are major public health concerns around the world. This study describes the epidemiology of reported STI cases from 2005 to 2012 in the Kingdom of Saudi Arabia. METHODOLOGY The annual registry was the main source of data as reported by healthcare providers. Case definitions were based on positive human immunodeficiency virus (HIV) antibodies...
متن کاملProstatic massage method versus first -void Urine samples to isolate Mycoplasma hominis and Ureaplasma urealyticum from urinary tract infection
Abstract Background and objectives: Ureaplasma urealyticum is one of the most important causes of Nongonococcal urethritis (NGU) and non-specific urethritis (NSU) in men. Also Mycoplasma hominis has a role in causing NGU and NSU. The aim of this study was the detection of Mycoplasma hominis & Ureaplasma urealyticum in men suffering from NGU and NSU by prostatic massage method and first- void Ur...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
دوره 28 Suppl 1 شماره
صفحات -
تاریخ انتشار 1999