Route of gonococcal and chlamydial infections of the oropharynx or the genitals in patients of a sexually transmitted infection clinic

  • Yoda Keiko
    Department of Otorhinolaryngology, Tokyo Women's Medical University Medical Center East
  • Onoye Yasuhiko
    Miyamoto-Cho Chuoh Clinic
  • Nishida Suguru
    Department of Otorhinolaryngology, Tokyo Women's Medical University Medical Center East
  • Kaneko Fumie
    Department of Otorhinolaryngology, Tokyo Women's Medical University Medical Center East
  • Sunose Hiroshi
    Department of Otorhinolaryngology, Tokyo Women's Medical University Medical Center East

Bibliographic Information

Other Title
  • 性感染症クリニックにおける咽頭の淋菌およびクラミジア陽性者の背景

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Abstract

To determine gonococcal and chlamydial infection routes, we compared oropharynx and genital gonococcal infection and chlamydial infection test results against questionnaire answers on profession and sexual partner in 250 subjects-169 women and 81 men-seen at a sexually transmitted infection (STI) clinic from September 2008 to January 2009.<br>The 162 (96%) women consisted of commercial sex workers (CSW) and 7 (4%) were non-CSW. Of CSW testing positive in oropharynx to genital results with gonococcal and chlamydial test, 27 (17%) to 11 (7%) had gonococcal and 25 (15%) to 54 (33%) chlamydial disease. Of non-CSW, positive cases numbered 1 to 2 for gonococcal and 0 to 4 for chlamydial disease.<br>The sexual partner suggested source of STI by the questionnaires is from male indicated sexual partners included 61 (75%) CSW, 13 (16%) private partners such as wife or girlfriend, and 5 (6%) nonexclusive or accidental partners. Two (2%) did not answer. The percentage (number of CSW/number of all positive male subjects) of CSW estimated 89% (16/18) as the source of pharyngeal gonococcal infection, 93% (37/40) genital gonococcal infection, 100% (2/2) pharyngeal chlamydial infection, and/or 77% (10/13) genital chlamydial infection in male subjects. A small number of male subjects had gonococcal or chlamydial infection transmitted by private partners.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 24 (2), 171-177, 2011

    Japan Society of Stomato-pharyngology

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