Oral sex and transmission of non-viral STIs

Edwards, Sarah; Carne, C A

doi:10.1136/sti.74.2.95

Cited by 165 publications

(123 citation statements)

References 98 publications

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“…Protozoan infections of the oral cavity have been reported in patients with and without periodontal disease [1,5,68]. There is evidence for the transmission of non-viral STIs by oral sex [21].…”

Section: Discussionmentioning

confidence: 99%

Oral Chlamydia trachomatis in patients with established periodontitis

Reed

Lopatin

Foxman

et al. 2000

Clinical Oral Investigations

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Periodontitis is considered a consequence of a pathogenic microbial infection at the periodontal site and host susceptibility factors. Periodontal research supports the association of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, and Bacteroides forsythus, and periodontitis; however causality has not been demonstrated. In pursuit of the etiology of periodontitis, we hypothesized that the intracellular bacteria, Chlamydia trachomatis, may play a role. As a first step, a cross-sectional study of dental school clinic patients with established periodontitis were assessed for the presence of C. trachomatis in the oral cavity, and in particular from the lining epithelium of periodontal sites. C. trachomatis was detected using a direct fluorescent monoclonal antibody (DFA) in oral specimens from 7% (6/87) of the patients. Four patients tested positive in specimens from the lining epithelium of diseased periodontal sites, one patient tested positive in healthy periodontal sites, and one patient tested positive in the general mucosal specimen. In conclusion, this study provides preliminary evidence of C. trachomatis in the periodontal sites. Planned studies include the use of a more precise periodontal epithelial cell collection device, the newer nucleic acid amplification techniques to detect C. trachomatis, and additional populations to determine the association of C. trachomatis and periodontitis.

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Section: Discussionmentioning

confidence: 99%

Oral Chlamydia trachomatis in patients with established periodontitis

Reed

Lopatin

Foxman

et al. 2000

Clinical Oral Investigations

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“…5 Several studies suggest that the resurgence of bacterial STDs (syphilis, gonorrhea, and chlamydia) may be partially due to the practice of oral sex by MSM, often to substitute for, or avoid anal sex. 6 A separate survey conducted during 2007-2010 found that 33% of teenage girls and boys aged 15-17 years reported having had oral sex with a partner of the opposite sex. Studies have shown that the risk of getting HIV from having oral sex with an infected partner (either giving or getting oral sex) is much lower than the risk of getting HIV from anal with an infected partner.…”

Section: Discussionmentioning

confidence: 99%

Sexually transmitted infections among men who have sex with men: a retrospective study in a tertiary care hospital

et al. 2017

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Background: Men who have sex with Men (MSM) have a higher prevalence of HIV and other sexually transmitted infections (STI) than the heterosexual men. In India, NACP recommendations to reduce HIV prevalence among MSM include early detection of HIV and other STI by screening and treatment. We conducted a study of STIs among MSM attending our OPD. The aim of the study was to assess the prevalence of STIs in MSM attending our OPD.Methods: 1215 MSM among 9008 patients who attended our OPD between June 2015 and May 2016 were included in the study. Detailed history was taken and clinical examination carried out. Urethral discharge and urine samples were tested for Gonococcal infection. Smears from ulcers were tested for Syphilis, Chancroid, Herpes and Donovanosis. Serum samples were tested for HIV and other STIs like Syphilis and Herpes.Results: Among 1215 MSMs, 55 (4.5%) tested positive for VDRL and TPHA and 33 (2.7%) tested positive for HIV. 24 (2%) had urethritis (10 GU and 14 NGU), 15 (1.25%) had Balanophosthitis, 12 (1%) had genital herpes, 9 (0.75%) had genital scabies, 6 (0.5%) had Genital Wart and 2 (0.16%) had Molluscum contagiosum. Prevalence of these STIs were far higher in MSMs than in heterosexual men.Conclusions: This study highlights the higher prevalence of STIs among MSMs and the need for early intervention and treatment in this high-risk population.

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“…11 The oral mucosa is commonly affected as a consequence of orogenital contact. [12][13][14] Chancres contain many viable treponemes, and are thus highly infectious. In men, oral chancres tend to arise on the upper lip, while in women, the lower lip is more commonly affected.…”

Section: Discussionmentioning

confidence: 99%