International Journal of STD & AIDS > Volume 19, Number 9 > Pp. 581-585

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Original research articles

How men with non-chlamydial, non-gonococcal urethritis are managed in Australasia

R Teague MBBS MPH ^* , C K Fairley PhD FRACP ^* , D Newton PhD , C Bradshaw MBBS PhD , B Donovan MD FRCPI  ^**, F Bowden MD FRACP , R Cummings RN MPH ^* and M Y Chen MRCP PhD ^* 

^* Melbourne Sexual Health Centre, 580 Swanston Street, Carlton 3053, Victoria, Australia; School of Population Health, University of Melbourne, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia; National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia; ^** Sydney Sexual Health Centre, Sydney Hospital, Sydney, Australia; Canberra Sexual Health Centre, The Canberra Hospital, Canberra, Australia

Correspondence to: Dr MY Chen Email: mchen{at}mshc.org.au

The aim of this study was to ascertain how sexual health physicians in Australia and New Zealand manage men with chlamydia-negative non-gonococcal urethritis (NGU), particularly in relation to the notification of their female sexual partners. In July 2006, a cross-section survey was sent out to all the members of the Australasian Chapter of Sexual Health Medicine. Seventy-three percent of sexual health physicians believed that female partners of men who present with chlamydia-negative NGU were at risk of adverse reproductive health outcomes. At least 62% usually initiated some form of partner notification of female partners of men with chlamydia-negative NGU. However, only 19% (21/111) of sexual health physicians routinely tested for, and only 65% sometimes tested for, pathogens other than Neisseria gonorrhoeae and Chlamydia trachomatis in men presenting with NGU. These included Mycoplasma genitalium, herpes simplex virus, ureaplasma species, Trichomonas vaginalis and adenoviruses.

Key Words: non-gonococcal urethritis • partner notification • survey

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