Asymptomatic gonorrhoea and chlamydial infection in rural Tanzanian men
OBJECTIVE: To measure the prevalence of urethritis due to Neisseria gonorrhoeae and Chlamydial infection trachomatis in rural Tanzanian men.
DESIGN: About 500 men aged 15-54 years were selected from each of 12 rural communities by random cluster sampling; interviewed concerning past or present symptoms of sexually transmitted diseases; and asked to provide a first catch urine specimen, which was tested for pyuria with a leucocyte esterase dipstick test. Subjects with symptoms or with a positive result on testing were examined, and urethral swabs were taken for detection of N gonorrhoeae by gram stain and of C trachomatis by antigen detection immunoassay.
SETTING: Mwanza region, north western Tanzania.
SUBJECTS: 5876 men aged 15-54 years.
MAIN OUTCOME MEASURES: Prevalence of urethral symptoms, observed urethral discharge, pyuria, urethritis ( > 4 pus cells per high power field on urethral smear), N gonorrhoeae infection (intracellular gram negative diplococci), and C trachomatis infection (IDEIA antigen detection assay).
RESULTS: 1618 (28%) subjects reported ever having a urethral discharge. Current discharge was reported by 149 (2.5%) and observed on examination in 207 (3.5%). Gonorrhoea was found in 128 subjects (2.2%) and chlamydial infection in 39 (0.7%). Only 24 of 158 infected subjects complained of urethral discharge at the time of interview (15%).
CONCLUSION: Infection with N gonorrhoeae and C trachomatis is commonly asymptomatic among men in this rural African population. This has important implications for the design of control programmes for sexually transmitted disease.
| Errataetall: | |
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| Medienart: |
Artikel |
| Erscheinungsjahr: |
1996 |
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| Erschienen: |
1996 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:312 |
|---|---|
| Enthalten in: |
BMJ (Clinical research ed.) - 312(1996), 7026 vom: 03. Feb., Seite 277-80 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Grosskurth, H [VerfasserIn] |
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| Anmerkungen: |
Date Completed 06.06.1996 Date Revised 01.05.2019 published: Print CommentIn: BMJ. 1996 May 11;312(7040):1231. - PMID 8634599 Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM085858609 |
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| 100 | 1 | |a Grosskurth, H |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Asymptomatic gonorrhoea and chlamydial infection in rural Tanzanian men |
| 264 | 1 | |c 1996 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a Date Completed 06.06.1996 | ||
| 500 | |a Date Revised 01.05.2019 | ||
| 500 | |a published: Print | ||
| 500 | |a CommentIn: BMJ. 1996 May 11;312(7040):1231. - PMID 8634599 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To measure the prevalence of urethritis due to Neisseria gonorrhoeae and Chlamydial infection trachomatis in rural Tanzanian men | ||
| 520 | |a DESIGN: About 500 men aged 15-54 years were selected from each of 12 rural communities by random cluster sampling; interviewed concerning past or present symptoms of sexually transmitted diseases; and asked to provide a first catch urine specimen, which was tested for pyuria with a leucocyte esterase dipstick test. Subjects with symptoms or with a positive result on testing were examined, and urethral swabs were taken for detection of N gonorrhoeae by gram stain and of C trachomatis by antigen detection immunoassay | ||
| 520 | |a SETTING: Mwanza region, north western Tanzania | ||
| 520 | |a SUBJECTS: 5876 men aged 15-54 years | ||
| 520 | |a MAIN OUTCOME MEASURES: Prevalence of urethral symptoms, observed urethral discharge, pyuria, urethritis ( > 4 pus cells per high power field on urethral smear), N gonorrhoeae infection (intracellular gram negative diplococci), and C trachomatis infection (IDEIA antigen detection assay) | ||
| 520 | |a RESULTS: 1618 (28%) subjects reported ever having a urethral discharge. Current discharge was reported by 149 (2.5%) and observed on examination in 207 (3.5%). Gonorrhoea was found in 128 subjects (2.2%) and chlamydial infection in 39 (0.7%). Only 24 of 158 infected subjects complained of urethral discharge at the time of interview (15%) | ||
| 520 | |a CONCLUSION: Infection with N gonorrhoeae and C trachomatis is commonly asymptomatic among men in this rural African population. This has important implications for the design of control programmes for sexually transmitted disease | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Africa | |
| 650 | 4 | |a Africa South Of The Sahara | |
| 650 | 4 | |a Biology | |
| 650 | 4 | |a Chlamydia--men | |
| 650 | 4 | |a Demographic Factors | |
| 650 | 4 | |a Developing Countries | |
| 650 | 4 | |a Diseases | |
| 650 | 4 | |a Eastern Africa | |
| 650 | 4 | |a English Speaking Africa | |
| 650 | 4 | |a Examinations And Diagnoses | |
| 650 | 4 | |a Gonorrhea--men | |
| 650 | 4 | |a Infections | |
| 650 | 4 | |a Laboratory Examinations And Diagnoses | |
| 650 | 4 | |a Laboratory Procedures | |
| 650 | 4 | |a Measurement | |
| 650 | 4 | |a Physiology | |
| 650 | 4 | |a Population | |
| 650 | 4 | |a Population Characteristics | |
| 650 | 4 | |a Prevalence | |
| 650 | 4 | |a Reproductive Tract Infections | |
| 650 | 4 | |a Research Methodology | |
| 650 | 4 | |a Rural Population--men | |
| 650 | 4 | |a Sexually Transmitted Diseases | |
| 650 | 4 | |a Signs And Symptoms | |
| 650 | 4 | |a Tanzania | |
| 650 | 4 | |a Urogenital Effects | |
| 650 | 4 | |a Urogenital System | |
| 700 | 1 | |a Mayaud, P |e verfasserin |4 aut | |
| 700 | 1 | |a Mosha, F |e verfasserin |4 aut | |
| 700 | 1 | |a Todd, J |e verfasserin |4 aut | |
| 700 | 1 | |a Senkoro, K |e verfasserin |4 aut | |
| 700 | 1 | |a Newell, J |e verfasserin |4 aut | |
| 700 | 1 | |a Gabone, R |e verfasserin |4 aut | |
| 700 | 1 | |a Changalucha, J |e verfasserin |4 aut | |
| 700 | 1 | |a West, B |e verfasserin |4 aut | |
| 700 | 1 | |a Hayes, R |e verfasserin |4 aut | |
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