Features of urethritis in a cohort of male soldiers

被引:12
作者
McKee, KT
Jenkins, PR
Garner, R
Jenkins, RA
Nannis, ED
Hoffman, IF
Schmitz, JL
Cohen, MS
机构
[1] Woman Army Med Ctr, Ft Bragg, NC USA
[2] Univ N Carolina, Div Infect Dis, Chapel Hill, NC USA
[3] Univ N Carolina, Dept Microbiol & Immunol, Chapel Hill, NC USA
[4] Henry M Jackson Fdn Advancement Mil Med, Rockville, MD USA
关键词
D O I
10.1086/313745
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Of 400 cases of urethritis in male soldiers enrolled in a behavioral intervention project, the etiology of 69% was defined at study enrollment, as well as the etiology of 72% of 25 repeated episodes involving 21 men during the first 78 days of active follow-up (5% of the cohort). Chlamydia trachomatis (36%), Neisseria gonorrhoeae (34%), and Ureaplasma urealyticum (19%) were the most common causes of infection identified at enrollment and during subsequent visits (44%, 28%, and 12%, respectively). By univariate analysis, patients with repeated infection ("repeaters") were significantly more likely to report a history of sexually transmitted disease (STD; relative risk [RR], 3) and sex with sex workers (RR, 4) than were nonrepeaters, By multivariate analysis, only STD history was significant (RR, 2.8). Characteristics of repeaters in this cohort suggest that specific patterns may be used to establish screening "profiles" of potential repeaters, by which such individuals might be targeted for aggressive intervention at the time of the initial diagnosis.
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页码:736 / 741
页数:6
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