Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
Introduction: Recent studies worldwide reveal a significant prevalence of extragenital infections by Neisseria gonorrhoeae among men who have sex with men. We aimed to analyse the frequency and characteristics of extragenital gonococcal infections diagnosed in men who have sex with men in a walk-in...
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doaj-f1fe02dcc3e941b89341aef689974e0c2020-11-25T00:29:30ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582018-05-0131524725310.20344/amp.101464697Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, PortugalMargarida Moura Valejo Coelho0Eugénia Matos-Pires1Vasco Serrão2Ana Rodrigues3Cândida Fernandes4Department of Dermatology and Venereology. Centro Hospitalar de Lisboa Central. Lisbon.Department of Dermatology and Venereology. Centro Hospitalar de Lisboa Central. Lisbon.Department of Dermatology and Venereology. Centro Hospitalar de Lisboa Central. Lisbon.Department of Dermatology and Venereology. Centro Hospitalar de Lisboa Central. Lisbon.Department of Dermatology and Venereology. Centro Hospitalar de Lisboa Central. Lisbon.Introduction: Recent studies worldwide reveal a significant prevalence of extragenital infections by Neisseria gonorrhoeae among men who have sex with men. We aimed to analyse the frequency and characteristics of extragenital gonococcal infections diagnosed in men who have sex with men in a walk-in Sexually Transmitted Infection clinic in Lisbon, Portugal. Material and Methods: We conducted a cross-sectional, retrospective study of the anorectal and/or oropharyngeal Neisseria gonorrhoeae infections in men who have sex with men, diagnosed in our Sexually Transmitted Infection clinic between January 2014 and December 2016. Results: We found extragenital infection in 87 cases of gonorrhoea identified in men who have sex with men in this period, including: 49 cases of anorectal disease, 9 of oropharyngeal disease, 13 cases of infection at both extragenital sites, and 16 of simultaneous extragenital and urogenital gonorrhoea. Patients’ ages ranged from 17 to 64 years (median: 28 years). Forty-seven (54%) of the patients did not present with any extragenital symptoms. Thirty (35%) were human immunodeficiency virus-1-positive. Discussion: Since most extragenital Neisseria gonorrhoeae infections are asymptomatic, they may be missed and go untreated unless actively investigated. Current international guidelines recommend the screening of gonorrhoea at extragenital sites in men who have sex with men because anorectal and oropharyngeal infections constitute a potential disease reservoir, and may facilitate transmission and/or acquisition of human immunodeficiency virus infection. Conclusion: Our results highlight the relevance of testing men who have sex with men for Neisseria gonorrhoeae at extragenital sites, regardless of the existence of local complaints. The implementation of adequate screening programmes in Portugal should be considered. We also reinforce the need to raise awareness in the population regarding the adoption of prophylactic measures against transmission of sexually transmitted infections during anal and/or oral sexual exposure.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146GonorrheaHomosexuality, MaleNeisseria gonorrhoeaePortugal |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Margarida Moura Valejo Coelho Eugénia Matos-Pires Vasco Serrão Ana Rodrigues Cândida Fernandes |
spellingShingle |
Margarida Moura Valejo Coelho Eugénia Matos-Pires Vasco Serrão Ana Rodrigues Cândida Fernandes Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal Acta Médica Portuguesa Gonorrhea Homosexuality, Male Neisseria gonorrhoeae Portugal |
author_facet |
Margarida Moura Valejo Coelho Eugénia Matos-Pires Vasco Serrão Ana Rodrigues Cândida Fernandes |
author_sort |
Margarida Moura Valejo Coelho |
title |
Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal |
title_short |
Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal |
title_full |
Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal |
title_fullStr |
Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal |
title_full_unstemmed |
Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal |
title_sort |
extragenital gonorrhoea in men who have sex with men: a retrospective study in a sti clinic in lisbon, portugal |
publisher |
Ordem dos Médicos |
series |
Acta Médica Portuguesa |
issn |
0870-399X 1646-0758 |
publishDate |
2018-05-01 |
description |
Introduction: Recent studies worldwide reveal a significant prevalence of extragenital infections by Neisseria gonorrhoeae among men who have sex with men. We aimed to analyse the frequency and characteristics of extragenital gonococcal infections diagnosed in men who have sex with men in a walk-in Sexually Transmitted Infection clinic in Lisbon, Portugal.
Material and Methods: We conducted a cross-sectional, retrospective study of the anorectal and/or oropharyngeal Neisseria gonorrhoeae infections in men who have sex with men, diagnosed in our Sexually Transmitted Infection clinic between January 2014 and December 2016.
Results: We found extragenital infection in 87 cases of gonorrhoea identified in men who have sex with men in this period, including: 49 cases of anorectal disease, 9 of oropharyngeal disease, 13 cases of infection at both extragenital sites, and 16 of simultaneous extragenital and urogenital gonorrhoea. Patients’ ages ranged from 17 to 64 years (median: 28 years). Forty-seven (54%) of the patients did not present with any extragenital symptoms. Thirty (35%) were human immunodeficiency virus-1-positive.
Discussion: Since most extragenital Neisseria gonorrhoeae infections are asymptomatic, they may be missed and go untreated unless actively investigated. Current international guidelines recommend the screening of gonorrhoea at extragenital sites in men who have sex with men because anorectal and oropharyngeal infections constitute a potential disease reservoir, and may facilitate transmission and/or acquisition of human immunodeficiency virus infection.
Conclusion: Our results highlight the relevance of testing men who have sex with men for Neisseria gonorrhoeae at extragenital sites, regardless of the existence of local complaints. The implementation of adequate screening programmes in Portugal should be considered. We also reinforce the need to raise awareness in the population regarding the adoption of prophylactic measures against transmission of sexually transmitted infections during anal and/or oral sexual exposure. |
topic |
Gonorrhea Homosexuality, Male Neisseria gonorrhoeae Portugal |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146 |
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