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首页> 外文期刊>BMC Infectious Diseases >Clinical presentation of asymptomatic and symptomatic heterosexual men who tested positive for urethral gonorrhoea at a sexual health clinic in Melbourne, Australia
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Clinical presentation of asymptomatic and symptomatic heterosexual men who tested positive for urethral gonorrhoea at a sexual health clinic in Melbourne, Australia

机译：澳大利亚墨尔本性健康诊所测试尿道淋病阳性和症状异素男性的临床介绍

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摘要

Asymptomatic screening for gonorrhoea in heterosexual men is currently not recommended in many countries including Australia, given the prevalence is relatively low in the heterosexual population. We aimed to determine the proportion of urethral gonorrhoea cases among heterosexual men attending a sexual health clinic that was asymptomatic and symptomatic, the time since last sexual contact to the onset of symptoms and the time to clinic presentation following the onset of symptoms. This was a cross-sectional study that included heterosexual men aged 16?years or above attending the Melbourne Sexual Health Centre (MSHC) in Australia between August 2017 and August 2018. Gonorrhoea cases were diagnosed by nucleic acid amplification testing (NAAT) and/or culture. Descriptive analyses were conducted for all gonorrhoea cases including demographic characteristics, recent sexual practices, reported urethral symptoms and duration, sexual contact with a person diagnosed with gonorrhoea, investigations performed and laboratory results. There were 116 confirmed cases of urethral gonorrhoea in heterosexual men over the study period of which 6.0% (95% CI: 2.7–12.1%) were asymptomatic. Typical urethral discharge was present in 80.2% (95% CI: 71.9–86.5%) of men. The mean time between last sexual contact and the onset of symptoms was 7.0?days, and between the onset of symptoms to presentation to the clinic was 5.6?days. A small proportion of heterosexual men with urethral gonorrhoea do not have any symptoms. Heterosexual men with urethral symptoms usually seek for healthcare within a week, prompting rapid healthcare-seeking behaviour.
机译：在包括澳大利亚在内的许多国家，目前不推荐在包括澳大利亚的许多国家，鉴于异性恋人群的患病率，无症状筛查。我们旨在确定出席尿道诊所的异性恋诊所中尿道淋病患者的比例，这是无症状的，自上次性接触以来症状后症状的发生时间和临床介绍的时间。这是一项横断面研究，包括16岁以下的异性恋男性或以上参加澳大利亚的墨尔本性健康中心（MSHC）于2017年8月至2018年8月。核酸扩增试验（Naat）和/或诊断淋病病例文化。对所有淋病病例进行了描述性分析，包括人口统计特征，最近的性行为，报告尿道症状和持续时间，与诊断淋病的人进行性接触，进行的调查和实验室结果。在研究期间，在研究期间有116例尿道淋病病例，其中6.0％（95％CI：2.7-12.1％）无症状。典型的尿道排出量为80.2％（95％CI：71.9-86.5％）。上次性接触和症状发作之间的平均时间为7.0？天，症状发作到诊所的展示之间为5.6？天。一小部分尿道淋病淋病的异性糖尿病没有任何症状。尿道症状的异性症状通常在一周内寻求医疗保健，促使寻求快速的医疗保健行为。

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