The Epidemiology of Gonorrhea Among Men Who Have Sex With Men in Stockholm, Sweden, 1990–2004

Berglund, Torsten; Asikainen, Tommi; Grützmeier, Sven; Ruden, Ann-Kerstin; Wretlind, Bengt; Sandström, Eric

doi:10.1097/01.olq.0000230442.13532.c7

Cited by 10 publications

(9 citation statements)

References 111 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even if figures have changed since the survey was performed it is clear that there is an overrepresentation of MSM among gonorrhoea cases in our study, a result common with other studies performed in similar settings both in Spain (Madrid [13] and Barcelona [14]) and elsewhere [15]. HIV prevalence among MSM was very high, 20.9%, although this figure is intermediate between the 31% found in the United Kingdom (UK) [16] and the 11% found in a Stockholm in studies performed in STI clinics [17]. It is worrisome that most HIV-infected MSM were aware of their status before their gonorrhoea diagnosis, and yet they had not used condoms, a finding also described in other studies [17], which highlights the importance of continuous reinforcement of secondary prevention in MSM infected with HIV.…”

Section: Discussionsupporting

confidence: 78%

“…HIV prevalence among MSM was very high, 20.9%, although this figure is intermediate between the 31% found in the United Kingdom (UK) [16] and the 11% found in a Stockholm in studies performed in STI clinics [17]. It is worrisome that most HIV-infected MSM were aware of their status before their gonorrhoea diagnosis, and yet they had not used condoms, a finding also described in other studies [17], which highlights the importance of continuous reinforcement of secondary prevention in MSM infected with HIV. The fact that in our study HIV prevalence is increasing only among MSM gonorrhoea cases adds urgency to this recommendation.…”

Section: Discussionmentioning

confidence: 88%

See 1 more Smart Citation

Gonorrhoea diagnoses in a network of STI clinics in Spain during the period 2006–2010: differences by sex and transmission route

et al. 2013

View full text Add to dashboard Cite

BackgroundGonorrhoea infection is one of the most common bacterial sexually transmitted infections and an important cause of morbidity and serious complications. The objectives of this paper are: a) to describe gonorrhoea cases diagnosed in a network of 15 (out of 16) STI clinics in Spain during 2006–2010; b) to analyse differences among men who have sex with men (MSM), men who have sex exclusively with women (MSW) and women; and c) to evaluate factors associated to with HIV co-infection.MethodsAll gonorrhoea cases diagnosed in the network were included (25.7% of total cases notified in Spain). Data were collected by clinical staff. Descriptive/bivariate analyses were carried out stratifying by sex and transmission category; association and trends were evaluated using the chi-square test. Factors associated with HIV co-infection were estimated using a logistic regression model.Results2385 cases were included: 55.3% among MSM, 31.3% among MSW and 13.3% among females; cases among MSM increased from 55.8% in 2006 to 62.9% in 2010 while no trends were found among the other two groups.Most MSM cases were Spaniards (72%), aged 25–34 years (46%), 49% reported previous STI and 25% concurrent STI (excluding HIV); casual partners were the commonest source of infection, and 21% of cases had rectal gonorrhoea. MSW cases did not differ from MSM by age, origin or source of infection, but frequencies of prior or concurrent STI were lower. Female cases were younger than male, were mostly foreigners (58%), and 41% were sex workers; concurrent STI (other than HIV) were diagnosed in 30%; 20.4% had symptoms (72.5% and 89.2% in MSM and MSW), and pharyngeal location was present in 30%.HIV co-infection was highest in MSM (20.9%). Co-infection was associated with age > 35 years, low educational level, being Western European or Latin-American, being MSM, having previous or concurrent STI and reporting contact with an HIV-infected partner; it was inversely associated with female sex.ConclusionDifferences by sex, transmission route and origin should be considered when implementing care and preventive programmes for gonorrhoea, and MSM are a priority group for intervention, in particular HIV-infected MSM.

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 88%

Gonorrhoea diagnoses in a network of STI clinics in Spain during the period 2006–2010: differences by sex and transmission route

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The advent of HIV and AIDS in the 1980s heralded a change in sexual behaviour which was associated with subsequent falls in the number of STI diagnosed in the early 1990s [27,28]. The resurgence of syphilis and gonorrhoea among MSM in Western Europe coincided with the introduction of highly active antiretroviral therapies (HAART) and the resultant decrease in HIV-associated mortality [29].…”

Section: Discussionmentioning

confidence: 99%

Syphilis and gonorrhoea in men who have sex with men: a European overview

Savage¹,

Hughes²,

Ison³

et al. 2009

Eurosurveillance

View full text Add to dashboard Cite

show abstract

“…[12][13][14] Most cases of gonococcal keratoconjunctivitis occur in sexually active adults and are transmitted by contact with infected urine or genital secretions, and the increase in gonococcal keratoconjunctivitis seems to be associated with the increase of genital-oral sexual practice. 15 Gonococcal keratoconjunctivitis is a potentially devastating infection because of the ability of N. gonorrhoeae to cause severe, ulcerative keratitis, which may rapidly progress to corneal perforation. [6][7][8] Therefore, it is necessary to obtain an accurate diagnosis and commence parenteral antibiotic treatment as early as possible.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of corneal perforation secondary to gonococcal keratoconjunctivitis

Kawashima

Kawakita

Den

et al. 2007

Eye

View full text Add to dashboard Cite

Aims To report five cases of gonococcal keratoconjunctivitis with severe corneal involvement treated with therapeutic keratoplasty. Design Retrospective case series. Methods Five consecutive cases of gonococcal keratoconjunctivitis treated with keratoplasty for corneal perforation, with a mean age of 21.2 years, were analysed by patient's history, surgical approaches, and clinical outcomes, corrected visual acuity at initial visit and last follow-up.

show abstract

The Epidemiology of Gonorrhea Among Men Who Have Sex With Men in Stockholm, Sweden, 1990–2004

Abstract: Gonorrhea is a marker for HIV infection in MSM, but the increase in gonorrhea may be associated with genital-oral sexual practice rather than with high-risk sexual practice.

Cited by 10 publications

References 111 publications

Gonorrhoea diagnoses in a network of STI clinics in Spain during the period 2006–2010: differences by sex and transmission route

Gonorrhoea diagnoses in a network of STI clinics in Spain during the period 2006–2010: differences by sex and transmission route

Syphilis and gonorrhoea in men who have sex with men: a European overview

Surgical management of corneal perforation secondary to gonococcal keratoconjunctivitis

Contact Info

Product

Resources

About