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
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..View full abstract
Awarded by Australian National Health and Medical Research Council
T.R.H.R. and E.P.F.C. are funded by Australian National Health and Medical Research Council early career fellowships (nos. 1091536 and 1091226).