Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal

Detalhes bibliográficos
Autor(a) principal: Valejo Coelho, Margarida Moura
Data de Publicação: 2018
Outros Autores: Matos-Pires, Eugénia, Serrão, Vasco, Rodrigues, Ana, Fernandes, Cândida
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146
Resumo: Introduction: Recent studies worldwide reveal a significant prevalence of extragenital infections by Neisseria gonorrhoeae among men who have sex with men. We aimed to analyse the frequency and characteristics of extragenital gonococcal infections diagnosed in men who have sex with men in a walk-in Sexually Transmitted Infection clinic in Lisbon, Portugal.Material and Methods: We conducted a cross-sectional, retrospective study of the anorectal and/or oropharyngeal Neisseria gonorrhoeae infections in men who have sex with men, diagnosed in our Sexually Transmitted Infection clinic between January 2014 and December 2016.Results: We found extragenital infection in 87 cases of gonorrhoea identified in men who have sex with men in this period, including: 49 cases of anorectal disease, 9 of oropharyngeal disease, 13 cases of infection at both extragenital sites, and 16 of simultaneous extragenital and urogenital gonorrhoea. Patients’ ages ranged from 17 to 64 years (median: 28 years). Forty-seven (54%) of the patients did not present with any extragenital symptoms. Thirty (35%) were human immunodeficiency virus-1-positive.Discussion: Since most extragenital Neisseria gonorrhoeae infections are asymptomatic, they may be missed and go untreated unless actively investigated. Current international guidelines recommend the screening of gonorrhoea at extragenital sites in men who have sex with men because anorectal and oropharyngeal infections constitute a potential disease reservoir, and may facilitate transmission and/or acquisition of human immunodeficiency virus infection.Conclusion: Our results highlight the relevance of testing men who have sex with men for Neisseria gonorrhoeae at extragenital sites, regardless of the existence of local complaints. The implementation of adequate screening programmes in Portugal should be considered. We also reinforce the need to raise awareness in the population regarding the adoption of prophylactic measures against transmission of sexually transmitted infections during anal and/or oral sexual exposure.
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spelling Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, PortugalGonorreia Extragenital em Homens Que Têm Sexo com Homens: Estudo Retrospetivo numa Consulta de IST em Lisboa, PortugalGonorrheaHomosexualityMaleNeisseria gonorrhoeaePortugalGonorreiaHomossexualidade MasculinaNeisseria gonorrhoeaePortugalIntroduction: Recent studies worldwide reveal a significant prevalence of extragenital infections by Neisseria gonorrhoeae among men who have sex with men. We aimed to analyse the frequency and characteristics of extragenital gonococcal infections diagnosed in men who have sex with men in a walk-in Sexually Transmitted Infection clinic in Lisbon, Portugal.Material and Methods: We conducted a cross-sectional, retrospective study of the anorectal and/or oropharyngeal Neisseria gonorrhoeae infections in men who have sex with men, diagnosed in our Sexually Transmitted Infection clinic between January 2014 and December 2016.Results: We found extragenital infection in 87 cases of gonorrhoea identified in men who have sex with men in this period, including: 49 cases of anorectal disease, 9 of oropharyngeal disease, 13 cases of infection at both extragenital sites, and 16 of simultaneous extragenital and urogenital gonorrhoea. Patients’ ages ranged from 17 to 64 years (median: 28 years). Forty-seven (54%) of the patients did not present with any extragenital symptoms. Thirty (35%) were human immunodeficiency virus-1-positive.Discussion: Since most extragenital Neisseria gonorrhoeae infections are asymptomatic, they may be missed and go untreated unless actively investigated. Current international guidelines recommend the screening of gonorrhoea at extragenital sites in men who have sex with men because anorectal and oropharyngeal infections constitute a potential disease reservoir, and may facilitate transmission and/or acquisition of human immunodeficiency virus infection.Conclusion: Our results highlight the relevance of testing men who have sex with men for Neisseria gonorrhoeae at extragenital sites, regardless of the existence of local complaints. The implementation of adequate screening programmes in Portugal should be considered. We also reinforce the need to raise awareness in the population regarding the adoption of prophylactic measures against transmission of sexually transmitted infections during anal and/or oral sexual exposure.Introdução: Estudos internacionais recentes revelam uma prevalência significativa de infeções extragenitais por Neisseria gonorrhoeae em homens que têm sexo com homens. Pretendemos analisar a frequência e caraterísticas das infeções gonocócicas extragenitais diagnosticadas em homens que têm sexo com homens numa consulta aberta de Infeções Sexualmente Transmissíveis em Lisboa, Portugal.Material e Métodos: Conduzimos um estudo observacional transversal, retrospetivo, das infeções anorrectais e/ou orofaríngeas por Neisseria gonorrhoeae em homens que têm sexo com homens, diagnosticadas na nossa consulta de Infeções Sexualmente Transmissíveis entre janeiro de 2014 e dezembro de 2016.Resultados: Detetámos infeção extragenital em 87 dos casos de gonorreia identificados em homens que têm sexo com homens no período analisado, incluindo: 49 casos de doença anorrectal, 9 de doença orofaríngea, 13 casos de infeção em ambas as localizações extragenitais, e 16 de gonorreia simultaneamente extragenital e urogenital. A idade dos doentes variou entre 17 e 64 anos (mediana: 28 anos). Quarenta e sete (54%) dos doentes não apresentavam qualquer sintoma extragenital. Trinta (35%) tinham também infeção pelo vírus da imunodeficiência humana-1.Discussão: Dado que a maioria das infeções extragenitais por Neisseria gonorrhoeae são assintomáticas, estas podem não ser diagnosticadas, e não tratadas, se não pesquisadas ativamente. Em várias normas de orientação clínica internacionais atuais é recomendado o rastreio da gonorreia em localizações extragenitais em homens que têm sexo com homens, visto que as infeções anorrectais e orofaríngeas constituem potenciais reservatórios da doença e podem facilitar a transmissão e/ou aquisição de infeção pelo vírus da imunodeficiência humana.Conclusão: Os nossos resultados apontam para a relevância de testar os homens que têm sexo com homens para a presença de Neisseria gonorrhoeae em localizações extragenitais, independentemente da existência de sintomas locais. A implementação de programas de rastreio adequados em Portugal deverá ser considerada. Relevamos também a necessidade de sensibilizar a população para a adoção de medidas profiláticas contra a transmissão de infeções sexualmente transmissíveis durante o contacto sexual anal e/ou oral.Ordem dos Médicos2018-05-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/jpegimage/jpegimage/jpegapplication/pdfapplication/pdfapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146oai:ojs.www.actamedicaportuguesa.com:article/10146Acta Médica Portuguesa; Vol. 31 No. 5 (2018): May; 247-253Acta Médica Portuguesa; Vol. 31 N.º 5 (2018): Maio; 247-2531646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146/5424https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146/9885https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146/9886https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146/9887https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146/9934https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146/9935https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146/10194https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10146/10218Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessValejo Coelho, Margarida MouraMatos-Pires, EugéniaSerrão, VascoRodrigues, AnaFernandes, Cândida2022-12-20T11:05:53Zoai:ojs.www.actamedicaportuguesa.com:article/10146Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:50.226491Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
Gonorreia Extragenital em Homens Que Têm Sexo com Homens: Estudo Retrospetivo numa Consulta de IST em Lisboa, Portugal
title Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
spellingShingle Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
Valejo Coelho, Margarida Moura
Gonorrhea
Homosexuality
Male
Neisseria gonorrhoeae
Portugal
Gonorreia
Homossexualidade Masculina
Neisseria gonorrhoeae
Portugal
title_short Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
title_full Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
title_fullStr Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
title_full_unstemmed Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
title_sort Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal
author Valejo Coelho, Margarida Moura
author_facet Valejo Coelho, Margarida Moura
Matos-Pires, Eugénia
Serrão, Vasco
Rodrigues, Ana
Fernandes, Cândida
author_role author
author2 Matos-Pires, Eugénia
Serrão, Vasco
Rodrigues, Ana
Fernandes, Cândida
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Valejo Coelho, Margarida Moura
Matos-Pires, Eugénia
Serrão, Vasco
Rodrigues, Ana
Fernandes, Cândida
dc.subject.por.fl_str_mv Gonorrhea
Homosexuality
Male
Neisseria gonorrhoeae
Portugal
Gonorreia
Homossexualidade Masculina
Neisseria gonorrhoeae
Portugal
topic Gonorrhea
Homosexuality
Male
Neisseria gonorrhoeae
Portugal
Gonorreia
Homossexualidade Masculina
Neisseria gonorrhoeae
Portugal
description Introduction: Recent studies worldwide reveal a significant prevalence of extragenital infections by Neisseria gonorrhoeae among men who have sex with men. We aimed to analyse the frequency and characteristics of extragenital gonococcal infections diagnosed in men who have sex with men in a walk-in Sexually Transmitted Infection clinic in Lisbon, Portugal.Material and Methods: We conducted a cross-sectional, retrospective study of the anorectal and/or oropharyngeal Neisseria gonorrhoeae infections in men who have sex with men, diagnosed in our Sexually Transmitted Infection clinic between January 2014 and December 2016.Results: We found extragenital infection in 87 cases of gonorrhoea identified in men who have sex with men in this period, including: 49 cases of anorectal disease, 9 of oropharyngeal disease, 13 cases of infection at both extragenital sites, and 16 of simultaneous extragenital and urogenital gonorrhoea. Patients’ ages ranged from 17 to 64 years (median: 28 years). Forty-seven (54%) of the patients did not present with any extragenital symptoms. Thirty (35%) were human immunodeficiency virus-1-positive.Discussion: Since most extragenital Neisseria gonorrhoeae infections are asymptomatic, they may be missed and go untreated unless actively investigated. Current international guidelines recommend the screening of gonorrhoea at extragenital sites in men who have sex with men because anorectal and oropharyngeal infections constitute a potential disease reservoir, and may facilitate transmission and/or acquisition of human immunodeficiency virus infection.Conclusion: Our results highlight the relevance of testing men who have sex with men for Neisseria gonorrhoeae at extragenital sites, regardless of the existence of local complaints. The implementation of adequate screening programmes in Portugal should be considered. We also reinforce the need to raise awareness in the population regarding the adoption of prophylactic measures against transmission of sexually transmitted infections during anal and/or oral sexual exposure.
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dc.rights.driver.fl_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 31 No. 5 (2018): May; 247-253
Acta Médica Portuguesa; Vol. 31 N.º 5 (2018): Maio; 247-253
1646-0758
0870-399X
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