International Journal of STD & AIDS > Volume 16, Number 5 > Pp. 357-361

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Original Research Articles

Concurrent gonococcal and chlamydial infections among men attending a sexually transmitted diseases clinic

A McMillan, K Manavi and H Young

Department of Genitourinary Medicine, Edinburgh Royal Infirmary, Lothian University Hospitals NHS Trust, Lauriston Building, 39 Lauriston Place, Edinburgh EH3 9HA; Department of Genitourinary Medicine, Edinburgh Royal Infirmary, Lothian University Hospitals NHS Trust, Lauriston Building, 39 Lauriston Place, Edinburgh EH3 9HA; Scottish Neisseria gonorrhoeae Reference Laboratory, Directorate of Laboratory Medicine (Microbiology), Edinburgh Royal Infirmary, Edinburgh, UK

The aim of this retrospective study was to determine the prevalence of Chlamydia trachomatis co-infection in men with gonorrhoea attending a sexually transmitted diseases clinic in Edinburgh, Scotland. During the study period, there were 660 cases of culture-proven gonorrhoea. Chlamydial DNA was detected in the urethra in 79 (31%; 95% confidence interval [CI], 25–37%) heterosexual men who have sex with women (MSW); the median age was significantly lower than those with gonorrhoea alone (24.0 versus 30.0; P < 0.0005). The prevalence of urethral chlamydial infection among MSW was significantly higher than among men who have sex with men (MSM) (32 [12%; 95% CI, 8–16%] of 268 MSM) (² = 27.21; P < 0.001). Sixteen (24%; 95% CI, 14–34%) of 68 MSM with rectal gonorrhoea had concurrent rectal chlamydial infection. The high prevalence of concurrent gonorrhoea and chlamydiae therefore warrants empirical treatment and/or testing for chlamydia in all men with urethral gonorrhoea.

Key Words: GONORRHOEA • CHLAMYDIAL INFECTION • MSM

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