Expanding the Spectrum of Pathogens in Urethritis: Implications for Presumptive Therapy?

Manhart, Lisa E.; Golden, Matthew R.; Marrazzo, Jeanne M.

doi:10.1086/521265

Cited by 6 publications

(1 citation statement)

References 26 publications

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“…M. genitalium has been established as a common cause of NGU in men, and like chlamydia, it has been increasingly recognized as a cause of cervicitis and upper genital tract infection in women. 69 To our knowledge, there have not been any published studies demonstrating that the female partners of men with so-called ‘pathogen negative’ NGU, that is NGU where C. trachomatis and M. genitalium have also been excluded, are at risk of pelvic inflammatory disease or its sequelae. This raises the question of whether partner notification of the female partners of such men should be undertaken, as it is by the majority of sexual health physicians in Australasia.…”

Section: Discussionmentioning

confidence: 99%

How men with non-chlamydial, non-gonococcal urethritis are managed in Australasia

et al. 2008

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The aim of this study was to ascertain how sexual health physicians in Australia and New Zealand manage men with chlamydia-negative non-gonococcal urethritis (NGU), particularly in relation to the notification of their female sexual partners. In July 2006, a cross-section survey was sent out to all the members of the Australasian Chapter of Sexual Health Medicine. Seventy-three percent of sexual health physicians believed that female partners of men who present with chlamydia-negative NGU were at risk of adverse reproductive health outcomes. At least 62% usually initiated some form of partner notification of female partners of men with chlamydia-negative NGU. However, only 19% (21/111) of sexual health physicians routinely tested for, and only 65% sometimes tested for, pathogens other than Neisseria gonorrhoeae and Chlamydia trachomatis in men presenting with NGU. These included Mycoplasma genitalium, herpes simplex virus, ureaplasma species, Trichomonas vaginalis and adenoviruses.

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Section: Discussionmentioning

confidence: 99%