Article Text

PDF
The prevalence of causative organisms of community-acquired urethritis in an age group at high risk for sexually transmitted infections in Korean Soldiers
  1. Hyung Jin Kim1,
  2. J K Park1,
  3. S C Park2,
  4. Y G Kim1,
  5. H Choi3,
  6. J I Ko3,
  7. M K Kim1,
  8. Y B Jeong1 and
  9. Y S Shin1,3
  1. 1Department of Urology, Chonbuk National University Medical School, Jeonju, Korea
  2. 2Department of Urology, Wonkwang University School of Medicine, Institute of Wonkwang Medical Science, Iksan, Korea
  3. 3Department of Urology, Armed Forces Capital Hospital, Seongnam, Korea
  1. Correspondence to Capt Yu Seob Shin, Department of Urology, The Armed Forces Capital Hospital, 66 Yuldong-2-gil, Bundang-gu, Seongnam 463-040, Korea; ball1210{at}hanmail.net

Abstract

Objectives This study was designed to evaluate the causative organisms in young male soldiers with clinical signs and symptoms after sexual contact that suggests a diagnosis of urethritis.

Methods Between June 2012 and January 2015, male patients with urethritis symptoms that had resulted from sexual contact within 3 months participated in this study. All patients were evaluated using urinalysis and were screened for Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), Ureaplasma urealyticum (UU), Mycoplasma genitalium (MG), Mycoplasma hominis (MH), herpes simplex virus (HSV) type II and Trichomonas vaginalis (TV) using multiplex PCR (mPCR) assay in order to detect sexually transmitted infections (STI) or pathogens.

Results A total of 436 male patients aged 18–28 years were included in the study. The median age was 22.0 years. The prevalence of STI pathogens were as follows: NG in 19.0%, CT in 36.6%, UU in 24.0%, MG in 21.5%, MH in 6.1%, HSV type II in 1.6%, TV in 0.2% and indeterminate STI pathogens in 9.4%. Coinfection of NG with non-NG was detected in 5.7% of the participants, while the coinfection rates for STI pathogens were: with CT in 3.4%, with UU in 2.7%, with MG in 0.2% and with MH in 0.2%.

Conclusions CT was the most prevalent STI pathogen and coinfections of NG with non-NG appeared less frequently. The young male soldiers with urethritis should be administered suitable antibiotics for STI pathogens that were found by mPCR results, rather than an experimental combination of antibiotics for coinfections.

  • Received June 12, 2015.
  • Accepted September 24, 2015.

Statistics from Altmetric.com

  • Received June 12, 2015.
  • Accepted September 24, 2015.
View Full Text

Footnotes

  • Collaborators WonKuk Cho (student of Washington University in St Louis) offered excellent English editing, A Ram Doo (clinical professor of Chonbuk National University Hospital) offered advice on content and style.

  • Contributors All authors contributed to authorship of the article. HJK and JKP contributed equally to this study. YSS is responsible for the overall contents.

  • Competing interests None declared.

  • Ethics approval Armed Forces Capital Hospital, Seongnam, Korea.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.