High incidence of sexually transmitted infections in men who have sex with men and visit proctology clinics

Tyulenev, Y.A.; Titov, I.S.; Guschin, Alexander

doi:10.17116/klinderma2018173109

Cited by 8 publications

(2 citation statements)

References 25 publications

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“…13 This discrimination can take the form of refusals to provide emergency or planned medical assistance, insults uttered by medical personnel, failure to hospitalize patients, and refusal to allow individuals to become blood donors. In our previous study, 14 we also showed that the burden of rectal CT in MSM with rectal disorders in Moscow, Russia, was high (16.1%).…”

Section: Introductionmentioning

confidence: 52%

“…3,[5][6][7][8]27,28 Findings such as a high prevalence of HIV and STI co-infections might be a consequence of condomless sexual intercourse with multiple partners, especially in LGV-positive MSM, who reported having significantly more sexual partners per 6 months compared to MSM having non-LGV CT in our study. 14,23 Furthermore, the LGV spread in the city among MSM might be accelerated due to socio-economic reasons: more welldeveloped economy and higher level of tolerance to Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) in Moscow compared to most other places of the country attract MSM from other regions. The high concentration of gay people in the capital combined with sexual behaviors and with the absence of an appropriate STI-testing for MSM likely substantially contribute both to the ongoing endemic LGV outbreak as well as outbreaks of other STIs in Moscow.…”

Section: Discussionmentioning

confidence: 99%

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First reported lymphogranuloma venereum cases in Russia discovered in men who have sex with men attending proctologists

et al. 2022

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Background Several lymphogranuloma venereum (LGV) outbreaks among men who have sex with men (MSM) have been reported throughout the world since 2003. Nevertheless, no LGV cases have been internationally reported from Russia. We evaluated the prevalence of LGV among MSM attending proctologists in Moscow, Russia, and compared the LGV and non-LGV rectal Chlamydia trachomatis (CT) infections. Methods MSM ( n = 534) attending for proctologic care were included. Rectal specimens were sampled for CT and Neisseria gonorrhoeae (NG) by nucleic acid amplification tests (NAATs). All CT-positive patients were tested with an LGV-specific NAAT. Results In total, 37.3% (95% CI 33.3–41.5; 199/534) of MSM were CT positive. Of these, 68.8% (95% CI 62.1–74.9; 137/199) had LGV and 31.2% (95% CI 25.1–37.9; 62/199) a non-LGV rectal CT infection. Older age (34 years vs. 31 years, p = 0.035) and group-sex practices (67.2% (92/137) vs. 33.9% (21/62), p < 0.0001) were associated with LGV. The LGV-positive MSM were also more likely to be HIV-positive (67.2% (92/137) vs. 41.9% (26/62), p = 0.001). Proctoscopy revealed ulcerative proctitis/proctocolitis in 99.3% (136/137) of LGV-positive MSM. No ulcerative or erosive proctitis was found in the MSM with non-LGV CT infection, but 58.1% (36/62) of them had anorectal disorders. Finally, mild catarrhal or hemorrhagic proctitis was diagnosed in only 21.6% (8/37) of MSM with non-LGV CT infection lacking concomitant NG or syphilis ( p < 0.0001). Conclusions LGV is widely spread among MSM attending proctologists in Moscow. Clinically, acute LGV proctitis/proctocolitis can be difficult to distinguish from inflammatory bowel disease that leads to mismanaged LGV infections. LGV diagnostic laboratory testing is essential, however, currently mainly lacking for MSM in Russia. All MSM with CT-positive rectal specimens should be subsequently tested for LGV.

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Section: Introductionmentioning

confidence: 52%