TY - JOUR
T1 - Etiology of urethritis in thai men
AU - Kuvanont, Krit
AU - Chitwarakorn, Anupong
AU - Rochananond, Chatchawan
AU - Kreaurat, Manu
AU - Ariyarit, Charas
AU - Singharaj, Preecha
AU - Panikabutra, Kanchana
AU - Taylor, David N.
PY - 1989/1/1
Y1 - 1989/1/1
N2 - The etiology of urethritis was determined for 303 Thai men with urethral discharge containing 5 or more polymorphonu clear cells (PMN)/high power field (hpf) and 132 men with a discharge containing less than 5 PMN/hpf. Neisseria gonor- rhoeae was isolated significantly more often from men with ≥5 PMN/hpf than from men with <5 PMN/hpf (42% vs 1%, P <.0001). Chlamydia trachomatis was also isolated more often from patients with ≥5 PMN/hpf than from men with <5 PMN/hpf (16% vs 8%, P <.03). Ureaplasma urealyticum was isolated with nearly equal frequency from both groups of pa tients (45% vs 37%).Among men with a urethral exudate containing ≥5 PMN/ hpf, N. gonorrhoeae was isolated as the only pathogen from 19% and in combination with C. trachomatis or U. urealyticum in 23% of these men. C. trachomatis or U. urealyticum, but not N. gonorrhoeae, was isolated from 30%, and no pathogen was isolated from 28% of these men. Among men with urethral exudate containing less than 5 PMN/hpf, N. gonorrhoeae was isolated from only 1%, C. trachomatis or U. urealyticum from 41%, and no pathogen from 58%. These findings suggest that all Thai men with urethral discharge containing ≥5 PMN/hpf should be treated for non-gonococcal urethritis and for gono coccal urethritis if gram-negative diplococci are demonstrated on gram stain of the urethral discharge. Men with urethritis with less than 5 PMN/hpf should be treated for only non gonococcal urethritis.
AB - The etiology of urethritis was determined for 303 Thai men with urethral discharge containing 5 or more polymorphonu clear cells (PMN)/high power field (hpf) and 132 men with a discharge containing less than 5 PMN/hpf. Neisseria gonor- rhoeae was isolated significantly more often from men with ≥5 PMN/hpf than from men with <5 PMN/hpf (42% vs 1%, P <.0001). Chlamydia trachomatis was also isolated more often from patients with ≥5 PMN/hpf than from men with <5 PMN/hpf (16% vs 8%, P <.03). Ureaplasma urealyticum was isolated with nearly equal frequency from both groups of pa tients (45% vs 37%).Among men with a urethral exudate containing ≥5 PMN/ hpf, N. gonorrhoeae was isolated as the only pathogen from 19% and in combination with C. trachomatis or U. urealyticum in 23% of these men. C. trachomatis or U. urealyticum, but not N. gonorrhoeae, was isolated from 30%, and no pathogen was isolated from 28% of these men. Among men with urethral exudate containing less than 5 PMN/hpf, N. gonorrhoeae was isolated from only 1%, C. trachomatis or U. urealyticum from 41%, and no pathogen from 58%. These findings suggest that all Thai men with urethral discharge containing ≥5 PMN/hpf should be treated for non-gonococcal urethritis and for gono coccal urethritis if gram-negative diplococci are demonstrated on gram stain of the urethral discharge. Men with urethritis with less than 5 PMN/hpf should be treated for only non gonococcal urethritis.
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U2 - 10.1097/00007435-198907000-00004
DO - 10.1097/00007435-198907000-00004
M3 - Article
C2 - 2510327
AN - SCOPUS:0024326101
VL - 16
SP - 137
EP - 140
JO - Sexually Transmitted Diseases
JF - Sexually Transmitted Diseases
SN - 0148-5717
IS - 3
ER -