Journal article

Symptoms, Sites, and Significance of Mycoplasma genitalium in Men Who Have Sex with Men

Tim RH Read, Gerald L Murray, Jennifer A Danielewski, Christopher K Fairley, Michelle Doyle, Karen Worthington, Jenny Su, Elisa Mokany, LT Tan, David Lee, Lenka A Vodstrcil, Eric PF Chow, Suzanne M Garland, Marcus Y Chen, Catriona S Bradshaw

EMERGING INFECTIOUS DISEASES | CENTERS DISEASE CONTROL & PREVENTION | Published : 2019

Abstract

During 2016-2017, we tested asymptomatic men who have sex with men (MSM) in Melbourne, Australia, for Mycoplasma genitalium and macrolide resistance mutations in urine and anorectal swab specimens by using PCR. We compared M. genitalium detection rates for those asymptomatic men to those for MSM with proctitis and nongonococcal urethritis (NGU) over the same period. Of 1,001 asymptomatic MSM, 95 had M. genitalium; 84.2% were macrolide resistant, and 17% were co-infected with Neisseria gonorrhoeae or Chlamydia trachomatis. Rectal positivity for M. genitalium was 7.0% and urine positivity was 2.7%. M. genitalium was not more commonly detected in the rectums of MSM (n = 355, 5.6%) with symptoms..

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