Sexually Transmitted Enteric Infections in Men Who Have Sex With Men Living With HIV Over 8 Years of Follow-up

Raccagni, Angelo Roberto; Bruzzesi, Elena; Alberton, Francesca; Ceccarelli, Daniele; Lolatto, Riccardo; Canetti, Diana; Castagna, Antonella; Nozza, Silvia

doi:10.1097/olq.0000000000001704

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…Although the risk of S. stercoralis in MSM living with HIV may be biological (HIV‐associated immunosuppression), there is little evidence to support this. We suggest that this association is behavioural, that is HIV status is a surrogate for sexual behaviours including (reduced) condom use, numbers of sexual partners, serosorting and being part of dense sexual networks, which readily facilitate transmission 28–31 . The transmission dynamics of S. stercoralis and the specific sexual behaviours and sexual practices of MSM may provide opportunities for S. stercoralis to readily circulate within specific sexual networks of MSM.…”

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 98%

“…MSM living with HIV experience a large burden of STIs, including sexually transmitted enteric infections, and this review suggests that S. stercoralis could be associated with HIV serostatus in MSM. 28 Although the risk of S. stercoralis in MSM living with HIV may be biological (HIV-associated immunosuppression), there is little evidence to support this. We suggest that this association is behavioural, that is HIV status is a surrogate for sexual behaviours including (reduced) condom use, numbers of sexual partners, serosorting and being part of dense sexual networks, which readily facilitate transmission.…”

Section: Discussionmentioning

confidence: 99%

“…We suggest that this association is behavioural, that is HIV status is a surrogate for sexual behaviours including (reduced) condom use, numbers of sexual partners, serosorting and being part of dense sexual networks, which readily facilitate transmission. [28][29][30][31] The transmission dynamics of S. stercoralis and the specific sexual behaviours and sexual practices of MSM may provide opportunities for S. stercoralis to readily circulate within specific sexual networks of MSM. This phenomenon has also been shown to a greater extent in other enteric pathogens (Shigella sonnei, Shigella flexneri, Shiga toxin-producing E. coli, G. duodenalis and E. histolytica).…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with the sexual transmission of Strongyloides stercoralis in men who have sex with men: A systematic review

Chessell,

Rabuszko,

Richardson

et al. 2023

Acad Dermatol Venereol

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Strongyloides stercoralis is a parasitic worm with a complex life cycle and can cause significant morbidity, including a proctocolitis and life‐threatening hyperinfection syndrome. Limited reports from non‐endemic areas, including in men who have sex with men (MSM), suggest sexual transmission of S. stercoralis. In this systematic review of the published literature, we aimed to explore the associated factors of S. stercoralis in MSM. We systematically searched three bibliographical databases (MEDLINE, CINAHL and EMBASE) up to November 2022. We used a two‐stage process to assess eligibility: the primary author conducted an initial screen of abstracts, and then three authors conducted independent full manuscripts to determine the final eligible manuscripts. We only included manuscripts written in English that contained data on specific factors associated with sexual transmission in MSM. We used the STROBE checklist to assess the risk of bias and synthesized the narrative data using the SWiM method. Seven manuscripts were eligible for this review (four case reports, one case series, one cross‐sectional study and one experimental study), which included 22 individuals from Europe and the Americas. From these studies, S. stercoralis in MSM was associated with living with HIV (including having a low CD4 count and not using antiretrovirals), having a concomitant sexually transmitted infection (Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum and hepatitis C) and a concomitant (sexually transmitted) protozoal infection (Entamoeba histolytica, Giardia lamblia), travel to the S. stercoralis endemic area, multiple sexual partners from endemic areas, oro–anal sexual contact and chemsex. Although limited by the number of cases in the literature, we have highlighted some possible biological and behavioural risk factors associated with the sexual transmission of S. stercoralis in MSM that could be used to both target future research and S. stercoralis public health control interventions.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Factors associated with the sexual transmission of Strongyloides stercoralis in men who have sex with men: A systematic review

Chessell,

Rabuszko,

Richardson

et al. 2023

Acad Dermatol Venereol

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“…Comprehensive STI testing should be performed including for C. trachomatis, N gonorrhoeae, T. pallidum , HIV and viral hepatitis. 13,17–20 In cases where hepatitis A is suspected, hepatitis A IgM testing should be performed (as per BASHH guidelines). Clostridium difficile testing may be necessary in patient presenting with diarrhoea who have recently used antimicrobials.…”

Section: General Management Of Sexually Transmitted Enteric Infectionsmentioning

confidence: 99%

British Association of Sexual Health and HIV (BASHH) United Kingdom national guideline for the management of sexually transmitted enteric infections 2023

Richardson,

Pakianathan,

Ewens

et al. 2023

Int J STD AIDS

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This is the first British Association of Sexual Health and HIV (BASHH) national guideline for the management of sexually transmitted enteric infections (STEI). This guideline is primarily aimed for level 3 sexual health clinics; however, it may also be applicable to other settings such as primary care or other hospital departments where individuals with STEI may present. This guideline makes recommendations on testing, management, partner notification and public health control of STEI.

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Campylobacter spp. in men who have sex with men: A systematic review

Wahab,

Dubey,

Sivachandran

et al. 2024

Int J STD AIDS

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Objectives Campylobacter spp. has been reported to be a sexually transmissible enteric infection in men who have sex with men (MSM) since the 1980s causing an acute severe diarrhoeal illness and rarely an acute demyelinating polyneuropathy (Guillain-Barré syndrome). The aim of this review was to explore the factors seen in MSM with Campylobacter spp. Methods We conducted a systematic review following PRISMA guidelines by searching 7 bibliographical databases in August 2024 for manuscripts in English. Initial screening was conducted by a primary author and then two authors conducted independent full-text reviews to determine the final eligible manuscripts. We only included manuscripts which explored factors seen in MSM with Campylobacter spp.. Two authors independently used the Joanna Briggs Institute critical appraisal tools to assess risk for bias. This review was registered with PROSPERO (CRD42023464803). Results 25 manuscripts met the inclusion criteria that included 265 MSM with Campylobacter spp.. This review has highlighted demographic factors (living with HIV, living in urban MSM districts, HIV negative MSM using HIV-PrEP), biological factors (antimicrobial resistant Campylobacter spp., having a concurrent or previous sexually transmitted infection [ Neisseria gonorrhoeae, Chlamydia trachomatis, Herpes simplex virus, Hepatitis C, Mpox] current/previous enteric infection including non-pathogenic parasites [ Shigella spp. , Giardia duodenalis, Cryptosporidium, Entamoeba histolytica, Salmonella spp. , Entamoeba hartmanii, Entamoeba coli, Endolimax nana, Iodamoeba butchlii]) and behavioural factors (condomless receptive anal sex, oral-anal sex, oral genital sex, multiple/new sexual partners, using sex on premises venues and the internet to meet sexual partners) seen in MSM with Campylobacter spp. Conclusion This review has highlighted some important demographic, biological and behavioural risk factors seen in MSM with Campylobacter spp.. These data can be used to inform future public health interventions and clinical guidelines.

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Sexually Transmitted Enteric Infections in Men Who Have Sex With Men Living With HIV Over 8 Years of Follow-up

Cited by 3 publications

References 7 publications

Factors associated with the sexual transmission of Strongyloides stercoralis in men who have sex with men: A systematic review

Factors associated with the sexual transmission of Strongyloides stercoralis in men who have sex with men: A systematic review

British Association of Sexual Health and HIV (BASHH) United Kingdom national guideline for the management of sexually transmitted enteric infections 2023

Campylobacter spp. in men who have sex with men: A systematic review

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