NDLI: Male non-gonococcal urethritis: From microbiological etiologies to demographic and clinical features.

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Male non-gonococcal urethritis: From microbiological etiologies to demographic and clinical features.

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Male non-gonococcal urethritis: From microbiological etiologies to demographic and clinical features.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ito, Shin Hanaoka, Nozomu Shimuta, Ken Seike, Kensaku Tsuchiya, Tomohiro Yasuda, Mitsuru Yokoi, Shigeaki Nakano, Masahiro Ohnishi, Makoto Deguchi, Takashi
Description	Country affiliation: Japan Author Affiliation: Ito S ( iClinic, Sendai, Japan.); Hanaoka N ( Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan.); Shimuta K ( Department of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan.); Seike K ( Department of Urology, Graduate School of Medicine, Gifu University, Gifu, Japan.); Tsuchiya T ( Department of Urology, Graduate School of Medicine, Gifu University, Gifu, Japan.); Yasuda M ( Department of Urology, Graduate School of Medicine, Gifu University, Gifu, Japan.); Yokoi S ( Department of Urology, Graduate School of Medicine, Gifu University, Gifu, Japan.); Nakano M ( Department of Urology, Graduate School of Medicine, Gifu University, Gifu, Japan.); Ohnishi M ( Department of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan.); Deguchi T ( Department of Urology, Graduate School of Medicine, Gifu University, Gifu, Japan.)
Abstract	OBJECTIVES: To detect microorganisms responsible for male acute urethritis and to define the microbiology of non-gonococcal urethritis. METHODS: The present study comprised 424 men with symptoms and signs compatible with acute urethritis. Their urethral swabs and first-voided urine underwent detection of the microorganisms. Demographic characteristics and clinical features of Mycoplasma genitalium-, Ureaplasma urealyticum-, Haemophilus influenza-, adenovirus- or Herpes simplex virus-positive monomicrobial non-gonococcal urethritis, or all-examined microorganism-negative urethritis in heterosexual men were compared with urethritis positive only for Chlamydia trachomatis. RESULTS: Neisseria gonorrhoeae was detected in 127 men (30.0%). In 297 men with non-gonococcal urethritis, C. trachomatis was detected in 143 (48.1%). In 154 men with non-chlamydial non-gonococcal urethritis, M. genitalium (22.7%), M. hominis (5.8%), Ureaplasma parvum (9.1%), U. urealyticum (19.5%), H. influenzae (14.3%), Neisseria meningitidis (3.9%), Trichomonas vaginalis (1.3%), human adenovirus (16.2%), and Herpes simplex virus types 1 (7.1%) and 2 (2.6%) were detected. Although some features of monomicrobial non-chlamydial non-gonococcal urethritis or all-examined microorganism-negative urethritis were significantly different from those of monomicrobial chlamydial non-gonococcal urethritis, most features were superimposed. CONCLUSIONS: Predicting causative microorganisms in men with non-gonococcal urethritis based on demographic and clinical features is difficult. However, the present study provides useful information to better understand the microbiological diversity in non-gonococcal urethritis, and to manage patients with non-gonococcal urethritis appropriately.
File Format	HTM / HTML
ISSN	09198172
e-ISSN	14422042
Journal	International Journal of Urology
Issue Number	4
Volume Number	23
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2016-04-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Urology
Content Type	Text
Resource Type	Article
Subject	Urology

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