The contribution of Mycoplasma genitalium to the aetiology of sexually acquired infectious proctitis in men who have sex with men.
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This study examined the contribution of Mycoplasma genitalium to sexually acquired infectious proctitis in men who have sex with men (MSM). MSM with symptomatic proctitis between May 2012 and August 2013 were tested for rectal sexually transmitted infections including chlamydia, gonorrhoea, herpes simplex virus (HSV) and M. genitalium. The load of rectal M. genitalium in men with symptomatic proctitis was compared with a separate group of men who had rectal M. genitalium but no symptoms of proctitis. Among 154 MSM with proctitis, rectal M. genitalium was detected in 18 men (12%, 95% CI 6.9-17.1) and was significantly more common among human immunodeficiency virus (HIV) -positive men (21%, 95% CI 9.5-32.6) than HIV-negative men (8%, 95% CI 2.9-13.1; prevalence ratio 3.2, 95% CI 1.2-8.8). Among HIV-positive men the detection of M. genitalium was comparable to that for chlamydia (21%, 95% CI 9.5-32.5), gonorrhoea (25%, 95% CI 16.2-41.8) and HSV (19%, 95% CI 7.9-30.1). Rectal M. genitalium load was significantly higher among the 18 men with symptomatic M. genitalium-associated proctitis than among a separate group of 18 men with asymptomatic rectal M. genitalium infection (60 000 copies of organism/swab versus 10 744 copies of organism/swab, p 0.023). Comprehensive testing for rectal pathogens in MSM with proctitis should include testing for M. genitalium.
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M. genitalium has been detected in certain cases of proctitis and might be more common among persons with HIV infection.
“M. genitalium has been detected in certain cases of proctitis and might be more common among persons with HIV infection (937,1382).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [937]
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- Authors
- Bissessor, M., Tabrizi, S. N., Bradshaw, C. S., Fairley, C. K., Hocking, J. S., Garland, S. M., Twin, J., Poljak, M., Peel, J., & Chen, M. Y.
- Affiliations
- The University of Melbourne (AU)
- Royal Women's Hospital (AU)
- The Alfred Hospital (AU)
- Corresponding author
- Bissessor, M.
- Chen, M.Y.
- ORCID
- Venue
- Clinical Microbiology and Infection
- Publisher
- Elsevier BV
- Published
- 2016-03
- Volume
- 22
- Issue
- 3
- Pages
- 260-265
- ISSN
- 1198-743X (ISSN-L)
- OpenAlex
- W2195865263
- Cited by
- 99
- References
- 25
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 11 · 2023: 11 · 2022: 9 · 2021: 11 · 2020: 8 · 2019: 18 · 2018: 7 · 2017: 9 · 2016: 2
- FWCI
- 5.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Clinical Microbiology and Infection (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Melbourne
- National Health and Medical Research Council (1038734)
- National Medical Research Council
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Life Sciences › Immunology and Microbiology › Microbiology › Microbial infections and disease research
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- Mycoplasma genitalium, men who have sex with men, sexually transmitted infections, HIV, rectal infection, bacterial load, chlamydia, gonorrhea, herpes simplex virus, etiology
- MeSH terms
- Adult, Humans, Male, Mycoplasma Infections, Proctitis, Sexual Behavior, Sexually Transmitted Diseases, Victoria, HIV Infections, Prevalence, Homosexuality, Male, Mycoplasma genitalium, Young Adult, Coinfection
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