Genital Chlamydia trachomatis infection in a subgroup of young men in the UK

McKay, Louise; Clery, Hilary; Carrick-Anderson, Katy; Hollis, Sarah; Scott, G R

doi:10.1016/s0140-6736(03)13398-3

Cited by 33 publications

(18 citation statements)

References 4 publications

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“…The first relates to the belief that chlamydia can be easily treated. Given that the majority of cases are thought to be asymptomatic (Foo, Browne, & Boag, 2004;Land, Van Bergen, Morre, & Postma, 2010;McKay, Clery, Carrick-Anderson, Hollis, & Scott, 2003), it is unlikely that testing will be sought and consequently treatment administered, unless visible signs of infection are present.…”

Section: Discussionmentioning

confidence: 99%

How do young adults perceive the risk of chlamydia infection? A qualitative study

Newby

Wallace

French

2011

British J Health Psychol

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Objectives. This study aimed to improve understanding of how young UK genito‐urinary medicine (GUM) patients perceive the risk of chlamydia, and identify implications for health education.Design. A qualitative methodology was chosen.Methods. Semi‐structured interviews with 27 respondents aged 16–22 years old were conducted. Data were subjected to thematic analysis.Results. Respondents made assessments of the perceived seriousness of, and their personal susceptibility to, chlamydia infection. Judgements about seriousness were related to beliefs about the controllability of symptoms and the long‐term health consequences of infection. Susceptibility estimates were related to beliefs about the extent to which personal exposure put them in contact with chlamydia, and about the prevalence of infection amongst their peer group. This is consistent with the content of illness risk representations proposed by Cameron (2003). Respondents demonstrated some beliefs, which appeared to influence perceptions of seriousness and susceptibility in unhelpful ways.Conclusions. Young people may be underestimating their risk of chlamydia infection due to the presence of unhelpful beliefs. Dialogue between health professionals and patients within GUM clinics, or through consultations as part of the National Chlamydia Screening Programme (NCSP), could provide vehicles to deliver health education to target these. Suggested health education includes highlighting false reassurance provided by treatment beliefs and exposing the fallibility of using overt characteristics to judge the likelihood that a potential sexual partner poses a risk of infection.

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Section: Discussionmentioning

confidence: 99%

How do young adults perceive the risk of chlamydia infection? A qualitative study

Newby

Wallace

French

2011

British J Health Psychol

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“…Ninguno de los adolescentes con uretritis diagnosticada por examen del sedimento urinario tenía disuria o exudado uretral; la uretritis asintomática, tal como se describe en la literatura, ocurre hasta en el 80 % de los casos (26). Cabe anotar que para el diagnóstico de uretritis masculina se recomienda utilizar, a partir de muestras no invasivas, técnicas moleculares que identifiquen el espectro de agentes asociados al sín-drome de secreción uretral.…”

Section: Discussionunclassified

Prevalencia de infecciones de transmisión sexual y factores de riesgo para la salud sexual de adolescentes escolarizados, Medellín, Colombia, 2013

Castaño

Tamayo-Acevedo

2015

iatreia

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RESUMENObjetivo: determinar la prevalencia de ITS en adolescentes y conocer los factores de riesgo más frecuentes para adquirirlas.Materiales y métodos: estudio de corte, entre 2010-2013, en 569 estudiantes de Medellín. Se hicieron una encuesta y tamización para VHB, sífilis, VIH, VPH, infección gonocócica, Chlamydia trachomatis, vaginosis bacteriana, candidiasis y uretritis masculina no gonocócica.Resultados: las frecuencias en mujeres fueron las siguientes: VPH 28,1 %; C. trachomatis 11,4 %; vaginosis bacteriana 42,7 % y candidiasis 14,1 %. En 6,2 % de los hombres se halló uretritis no gonocócica. Ni en hombres ni en mujeres se hallaron VHB, sífilis, VIH o infección gonocócica. Los siguientes fueron los factores de riesgo más frecuentes: comenzar las relaciones sexuales antes de los 15 años (59,9 %), no utilizar condón (58,2 %) o no haberlo utilizado en la última relación sexual (41,7 %), no tener conocimientos adecuados sobre salud sexual (39,1 %), tener historia de 3 o más parejas sexuales (30,6 %), tener parejas sexuales diez o más años mayores que ellos (20,4 %), tener relaciones sexuales con personas diferentes a la pareja formal (18,8 %).Conclusiones: la alta prevalencia de ITS en adolescentes que apenas inician su vida sexual debe ser un llamado de atención para poner en práctica programas de salud sexual de alto impacto. Objective: To determine the prevalence of sexually transmitted infections in a group of adolescents in Medellín, Colombia, and the most frequent risk factors for acquiring them. PALABRAS CLAVE Materials and methods:Cross-sectional study, between 2010 and 2013, in 569 students who had started sexual intercourse. A questionnaire was applied, and screening was done for the following infections: hepatitis B, syphilis, HIV, HPV, gonorrhea, Chlamydia trachomatis, bacterial vaginosis, candidiasis, and nongonococcal urethritis in men.Results: Women had the following frequencies of infections: HPV 28.1 %; Chlamydia trachomatis 11.4 %; bacterial vaginosis 42.7 %; candidiasis 14.1 %. Nongonococcal urethritis was found in 6.2 % of men. Hepatitis B, syphilis, HIV, and gonococcal infections were not found. The most frequent risk factors were as follows: to have started sexual relations before the age of 15 (59.9 %); not to use condom (58.2 %); not to have utilized condom in the last sexual intercourse (41.7 %); to lack adequate knowledge on sexual health (39.1 %); to have had three or more sexual partners (30.6 %); to have had sexual partners 10 or more years older than themselves (20.4 %), and to have sexual relations with persons different from the formal partner (18.8 %). Conclusions:The high prevalence of STIs in teenagers that are just starting sexual life must be an alert to implement high impact sexual health programs.

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“…Estimated prevalence rates in patients groups vary from 1.2% of male students 10 to 9.3% of British male military recruits. 11 We need to be aware that many patients in general medicine may be infected with C. trachomatis. Most (50-88%) patients 11,12 have no symptoms, in contrast to our patient who suffered prolonged systemic symptoms with generalized lymphadenopathy and faced explorative surgery for a scrotal mass.…”

Section: Discussionmentioning

confidence: 99%

“…11 We need to be aware that many patients in general medicine may be infected with C. trachomatis. Most (50-88%) patients 11,12 have no symptoms, in contrast to our patient who suffered prolonged systemic symptoms with generalized lymphadenopathy and faced explorative surgery for a scrotal mass. As urinary Chlamydia LCR or PCR assays are easy, non-invasive tests to perform, we suggest that they be included in the investigation of sexually active patients with a scrotal mass, pyrexia or lymphadenopathy of unknown origin.…”

Section: Discussionmentioning

confidence: 99%

Scrotal mass with fever and generalized lymphadenopathy in a young man secondary to Chlamydia trachomatis infection

Jenkins

Radcliffe

Beadsworth

et al. 2005

Journal of Infection

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Genital Chlamydia trachomatis infection in a subgroup of young men in the UK

Cited by 33 publications

References 4 publications

How do young adults perceive the risk of chlamydia infection? A qualitative study

How do young adults perceive the risk of chlamydia infection? A qualitative study

Prevalencia de infecciones de transmisión sexual y factores de riesgo para la salud sexual de adolescentes escolarizados, Medellín, Colombia, 2013

Scrotal mass with fever and generalized lymphadenopathy in a young man secondary to Chlamydia trachomatis infection

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