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Tiberghien P, Lecam S, Huet J, Malard L, Tavenard T, Pillonel J, Sauvage C, Bocquet T, Bliem C, Morel P, Richard P, Laperche S. Evolving deferral criteria for blood donation in France: Plasma donation by men who have sex with men. Vox Sang 2023; 118:440-446. [PMID: 37183555 DOI: 10.1111/vox.13435] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 04/18/2023] [Accepted: 04/21/2023] [Indexed: 05/16/2023]
Abstract
BACKGROUND AND OBJECTIVES Since the advent of AIDS, men who have sex with men (MSM) have often been deferred from blood donation. In France, quarantine plasma donation by MSM donors with the same deferral rules as for other donors was introduced in July 2016 and continued up to March 2022. At this time, MSM-specific deferral criteria were lifted for all blood or plasma donation. The donor deferral, as well as rate of infectious markers in plasma donors who would have been otherwise deferred for MSM activity, was evaluated and compared with those of the other donors during the same time period from June 2016 to March 2022. RESULTS A total of 8843 MSM donors made 12,250 plasma donation applications. The overall deferral rate was very high (75.2%), mainly due to the absence of apheresis capacity at the donation site. The deferral criteria for sexual risk were present in 12.1% of MSM donors compared with 1.0% in other plasma and blood donors (p < 0.001). Overall, 994 MSM donors made 2880 plasma donations. Of these, one donation was HIV positive (34.7 vs. 0.6/105 donations by other donors, relative risk [RR]: 61.0 [95% confidence interval [CI]: 8.5-437.7]), one was HBV positive (34.7 vs. 4.5/105 , RR: 7.7 [95% CI: 1.1-54.6]) and none were HCV positive (0 vs. 2.4/105 ). Additionally, 21 donations were syphilis positive (729.2 vs. 10.7/105 , RR: 67.9 [95% CI: 44.2-104.4]). A post hoc analysis of eligible MSM donors who were unable to donate plasma due to logistic constraints yielded similar findings. CONCLUSION Plasma donation by donors who would have been otherwise deferred for MSM activity was associated with both an increased deferral rate for sexual risk and an increased rate of infectious markers, notably syphilis.
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Affiliation(s)
- Pierre Tiberghien
- Etablissement Français du Sang, La Plaine Saint-Denis, France
- UMR RIGHT 1098 Inserm, Université de Franche-Comté, Etablissement Français du Sang, Besançon, France
| | - Sophie Lecam
- Etablissement Français du Sang, La Plaine Saint-Denis, France
| | - Julie Huet
- Etablissement Français du Sang, La Plaine Saint-Denis, France
| | - Lucile Malard
- Etablissement Français du Sang, La Plaine Saint-Denis, France
| | | | | | | | - Thibaut Bocquet
- Etablissement Français du Sang, La Plaine Saint-Denis, France
| | - Cathy Bliem
- Etablissement Français du Sang, La Plaine Saint-Denis, France
| | - Pascal Morel
- Etablissement Français du Sang, La Plaine Saint-Denis, France
- UMR RIGHT 1098 Inserm, Université de Franche-Comté, Etablissement Français du Sang, Besançon, France
| | - Pascale Richard
- Etablissement Français du Sang, La Plaine Saint-Denis, France
| | - Syria Laperche
- Etablissement Français du Sang, La Plaine Saint-Denis, France
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Girard G, Marsicano E, Beaubatie E, Eched Y, Le Bris M, Porée L, Raz M, Virole L. Investigating health services for sexual and gender minorities in France: a qualitative study protocol. BMJ Open 2023; 13:e068716. [PMID: 37076149 PMCID: PMC10124240 DOI: 10.1136/bmjopen-2022-068716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/21/2023] Open
Abstract
INTRODUCTION Discrimination and structural violence experienced by sexual and gender minorities are the source of social inequalities in health. The last decade has been marked by major developments in the provision of sexual health services for these minorities in France. This paper presents the research protocol of the Services for Minorities-Lesbian Gays Bisexuals Transgender Intersex+ (SeSAM-LGBTI+) study, which aims to document the health, social and professional challenges in the organisation of current health services for sexual and gender minorities in France. METHODS AND ANALYSIS The SeSAM-LGBTI+ study relies on a multidisciplinary qualitative study. It has two objectives: (1) to analyse the history of the development of LGBTI+ health services in France, through interviews with key informants and rights activists and through a study of archives and (2) to study the functioning and challenges of a sample of health services currently offered to LGBTI+ people in France, through a multiple case study, using a multilevel and multisited ethnography. The study will rely on approximately 100 interviews. The analysis will be based on an inductive and iterative approach, combining sociohistorical data and the cross-sectional analysis of the case studies. ETHICS AND DISSEMINATION The study protocol has undergone a peer review by the Institut de Recherche En santé Publique's scientific committee and has been approved by the research ethical committee of Aix-Marseille University (registration number: 2022-05-12-010). The project has received funding from December 2021 to November 2024. The results of the research will be disseminated from 2023 onwards to researchers, health professionals and community health organisations.
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Affiliation(s)
- Gabriel Girard
- SESSTIM, Aix-Marseille Univ, Inserm, IRD, ISSPAM, Marseille, France
| | | | | | - Yael Eched
- IRIS, Ecole des Hautes Etudes en Sciences Sociales, Paris, France
| | | | | | - Michal Raz
- SAGE, Université de Strasbourg, Strasbourg, France
| | - Louise Virole
- SESSTIM, Aix-Marseille Univ, Inserm, IRD, ISSPAM, Marseille, France
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Social and behavioural determinants of syphilis: Modelling based on repeated cross-sectional surveys from 2010 and 2017 among 278,256 men who have sex with men in 31 European countries. Lancet Reg Health Eur 2022; 22:100483. [PMID: 35990256 PMCID: PMC9382326 DOI: 10.1016/j.lanepe.2022.100483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background Syphilis case notifications among men-who-have-sex-with-men (MSM) have increased markedly over the past two decades in Europe. We tested several potential factors for this resurgence. Methods Self-reported data from two cross-sectional waves of the European MSM Internet Survey (EMIS-2010 and EMIS-2017, N = 278,256 participants living in 31 European countries) were used to fit multivariable hierarchical logistic regression models designed to evaluate potential social, behavioural, and interventional determinants of syphilis diagnosis. Additional multivariable hierarchical negative binomial models investigated determinants of the number of non-steady male condomless anal intercourse (CAI) partners. We tested the hypothesis that more CAI and syphilis-screening are associated with syphilis resurgence, both linked to use of pre-exposure prophylaxis (PrEP). Findings Between 2010 and 2017, incidence of syphilis diagnosis in the previous 12 months rose from 2.33% (95%CI: 2.26–2.40) of respondents reporting a syphilis diagnosis in 2010 compared with 4.54% (95%CI: 4.42–4.66) in 2017. Major factors contributing to syphilis diagnosis were living with diagnosed HIV (adjusted odds ratio (aOR) 2.67, 95%CI: 2.32–3.07), each additional non-steady male CAI partner (aOR 1.01, 95%CI: 1.01–1.01), recency of STI-screening (previous month vs no screening, aOR 25.76, 95%CI: 18.23–36.41), selling sex (aOR 1.45, 95%CI: 1.27–1.65), and PrEP use (aOR 3.02, 95%CI: 2.30–3.96). Living with diagnosed HIV (adjusted incidence rate ratio (aIRR) 3.91, 95%CI: 3.77–4.05), selling sex (aIRR 4.39, 95%CI: 4.19–4.59), and PrEP use (aIRR 5.82, 95%CI: 5.29–6.41) were associated with a higher number of non-steady male CAI partners. The association between PrEP use and increased chance of syphilis diagnosis was mediated by STI-screening recency and number of non-steady male CAI partners, both substantially higher in 2017 compared to 2010. Interpretation Syphilis cases are concentrated in three MSM population groups: HIV-diagnosed, PrEP users, and sex workers. Behavioural and interventional changes, particularly more non-steady male CAI partners and recency of STI-screening, are major contributing factors for increasing syphilis diagnoses among MSM in Europe. Funding European Centre for Disease Prevention and Control.
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Prazuck T, Lanotte P, Le Moal G, Hocqueloux L, Sunder S, Catroux M, Garcia M, Perfezou P, Gras G, Plouzeau C, Lévêque N, Beby-Defaux A. Pooling Rectal, Pharyngeal, and Urine Samples to Detect Neisseria gonorrhoeae, Chlamydia trachomatis, and Mycoplasma genitalium Using Multiplex Polymerase Chain Reaction Is as Effective as Single-Site Testing for Men Who Have Sex With Men. Open Forum Infect Dis 2022; 9:ofac496. [PMID: 36324326 PMCID: PMC9620425 DOI: 10.1093/ofid/ofac496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Indexed: 11/06/2022] Open
Abstract
Background Screening for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) at pharyngeal, urogenital, and anorectal sites is recommended for men who have sex with men (MSM). Pooling samples is a promising technique, but no data are available when pooled screening also includes Mycoplasma genitalium (MG). The main objective of this study was to examine the sensitivity of pooled samples for detecting CT, NG, and MG in MSM using nucleic acid amplification versus single-site testing. Methods In this multicenter study, MSM with a positive result for CT, NG, or MG were recalled to the clinic for treatment and were asked to participate in this study. Separate samples were sent to a central virological department that proceeded to form the pooled samples. Testing was performed using the multiplex real-time polymerase chain reaction Allplex STI Essential Assay (Seegene, Seoul, Korea), which can simultaneously detect 7 pathogens. Results A total of 130 MSM with at least 1 positive test for CT, NG, or MG were included. A total of 25.4% had a coinfection. The sensitivities of pooled-sample testing were 94.8% for CT, 97.0% for NG, and 92.3% for MG. Pooling failed to detect 8 infections, but pooled-sample analysis missed detecting only samples with a low bacterial load (cycle threshold >35). Conclusions Pooling samples from MSM to detect CT, NG, and MG is as sensitive as individual-site testing for these 3 pathogens using the Allplex assay. Missed infections with a very low bacterial load could have a low impact on further transmission. Clinical Trials Registration. NCT03568695.
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Affiliation(s)
- Thierry Prazuck
- Service des maladies infectieuses et tropicales, CHR Orléans, Orleans, France
| | - Philippe Lanotte
- Service de bacteriologie-virologie, Centre Hospitalier Universitaire Tours, Tours, France
| | - Gwénaël Le Moal
- Service des maladies infectieuses, Centre Hospitalier Universitaire Poitiers, Poitiers, France
| | - Laurent Hocqueloux
- Service des maladies infectieuses et tropicales, CHR Orléans, Orleans, France
| | - Simon Sunder
- Service des maladies infectieuses, CH Niort, Niort, France
| | - Mélanie Catroux
- Service des maladies infectieuses, Centre Hospitalier Universitaire Poitiers, Poitiers, France
| | - Magali Garcia
- Laboratoire inflammation tissus épitheliaux et cytokines EA 4331, Université de Poitiers, Poitiers, France
| | | | - Guillaume Gras
- Service des maladies infectieuses, Centre Hospitalier Universitaire Tours, Tours, France
| | - Chloé Plouzeau
- Laboratoire de bactériologie, Centre Hospitalier Universitaire Poitiers, Poitiers, France
| | - Nicolas Lévêque
- Laboratoire inflammation tissus épitheliaux et cytokines EA 4331, Université de Poitiers, Poitiers, France
| | - Agnès Beby-Defaux
- Laboratoire de virologie et mycobactériologie, Centre Hospitalier Universitaire Poitiers, Poitiers, France
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Viriot D, Lucas E, de Barbeyrac B, Bébéar C, Fouéré S, Dupin N, Bertolotti A, Berçot B, Cazanave C, Delmas G, Pillonel J, Lot F, Ngangro NN. Use of healthcare reimbursement data to monitor bacterial sexually transmitted infection testing in France, 2006 to 2020. Euro Surveill 2022; 27:2100618. [PMID: 36177869 PMCID: PMC9524053 DOI: 10.2807/1560-7917.es.2022.27.39.2100618] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
BackgroundDiagnoses of bacterial sexually transmitted infections (STIs) have increased in France since the 2000s. The main strategy to control STI transmission is recommending/facilitating access to condom use, testing, and antibiotic treatments.AimThis study analyses the evolution of STI testing in the private sector in France from 2006 to 2020.MethodsNational health insurance reimbursement data were used to determine numbers and rates of individuals aged ≥ 15 years tested for diagnoses of chlamydia, gonorrhoea and syphilis in the private sector in France and to describe their evolution from 2006 to 2020.ResultsUpward tendencies in testing were observed from 2006 to 2019 for all three STIs. The highest testing rates were identified in people aged 25‒29-years old. The observed testing-increase from 2017 to 2019 was twice as high in young people (< 25 years old) as in older people. In 2019, chlamydia, gonorrhoea and syphilis testing rates were respectively 45.4 (+ 21% since 2017), 41.3 (+ 60%), and 47.2 (+ 22%) per 1,000 inhabitants. For all STIs combined, the number of tested individuals decreased by 37% between March and April 2020 during the first COVID-19 epidemic wave and lockdown in France.ConclusionImprovements found in STI testing rates may have resulted from better awareness, especially among young people and health professionals, of the importance of testing, following prevention campaigns. Nevertheless, testing levels remain insufficient considering increasing diagnoses. In 2020, the COVID-19 pandemic had a considerable impact on STI testing. Partner notification and offering diverse testing opportunities including self-sampling are essential to control STI epidemics particularly in exposed populations.
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Affiliation(s)
- Delphine Viriot
- Santé publique France (the French National Public Health Agency), Saint-Maurice, France
| | - Etienne Lucas
- Santé publique France (the French National Public Health Agency), Saint-Maurice, France
| | - Bertille de Barbeyrac
- French National Reference Centre for bacterial STI (Chlamydia, Mycoplasma), Bordeaux University Hospital, Bordeaux, France
| | - Cécile Bébéar
- French National Reference Centre for bacterial STI (Chlamydia, Mycoplasma), Bordeaux University Hospital, Bordeaux, France
| | | | - Nicolas Dupin
- French National Reference Centre for bacterial STI (Syphilis), APHP, Cochin University Hospital, Paris, France
| | - Antoine Bertolotti
- Inserm-CIC1410, La Reunion University Hospital, Saint Pierre, Reunion Island, France
| | - Béatrice Berçot
- French National Reference Centre for bacterial STI (Gonorrhea), APHP, Saint-Louis University Hospital, Paris, France
| | - Charles Cazanave
- French National Reference Centre for bacterial STI (Chlamydia, Mycoplasma), Bordeaux University Hospital, Bordeaux, France,Bordeaux University Hospital, Bordeaux, France
| | - Gilles Delmas
- Santé publique France (the French National Public Health Agency), Saint-Maurice, France
| | - Josiane Pillonel
- Santé publique France (the French National Public Health Agency), Saint-Maurice, France
| | - Florence Lot
- Santé publique France (the French National Public Health Agency), Saint-Maurice, France
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Gonococcal arthritis: case series of 58 hospital cases. Clin Rheumatol 2022; 41:2855-2862. [PMID: 35590115 DOI: 10.1007/s10067-022-06208-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 04/19/2022] [Accepted: 05/09/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES Extra-genital manifestations of gonococcal infection are rare (0.5-3%). Among them, gonococcal arthritis (GA) is the most frequent, accounting for 30-90% of disseminated infections. Our study aimed to describe all hospital cases of GA in Reunion Island, a French overseas territory. METHODS We conducted a retrospective, multicentric, observational study of all cases of certain, probable or possible GA from 2008 to 2020. RESULTS We identified 58 cases of GA, mostly certain cases (n = 48). Sex ratio was balanced, but men were older than women (51 vs 27 years, p < 0.001). A total of 41% had travelled abroad during the previous 3 months, mostly in Madagascar or South-East Asia. The most frequently infected joint was the knee, followed by ankle, wrist and fingers or carpal joints. Only 16% of cases had genital symptoms, but 50% had another extra-genital manifestation, mainly skin lesions (40%). Positivity rate of joint puncture was 91%, with a purulent liquid. Only 58% had a positive culture, and 33% had only a positive PCR. There was no 3GC-resistant strain. In comparison with gonococcal infection without arthritis, patients were older and had fewer genital but more extra-genital symptoms. On discharge 60% had persistent articular symptoms. GA represented 18% of all hospitalised septic arthritis cases with microbial identification in 2019. CONCLUSIONS GA is rare but it is important to make an early diagnosis and treat promptly, as joint destruction may be important, leading to persistent symptoms after discharge. PCR use in joint puncture is useful in cases with negative culture.
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Rahib D, Bercot B, Delagreverie H, Gabassi A, Delaugerre C, Salord H, Icard V, Le Thi TT, Leveau B, Khiri H, Digne J, Didelot MN, Pisoni A, Tuaillon E, Lydié N, Vandentorren S. Online self-sampling kits for human immunodeficiency virus and other sexually transmitted infections: Feasibility, positivity rates, and factors associated with infections in France. Int J STD AIDS 2022; 33:355-362. [PMID: 35144493 DOI: 10.1177/09564624211066447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Men who have sex with men are increasingly diagnosed with sexually transmitted infections (STI) in France. To address this situation, quarterly screening for HIV combined with hepatitis B (HBV) and hepatitis C (HCV), as well as annual screening for C.trachomatis (CT) and N.gonorrhoeae (NG) are recommended. The MemoDepistages program offered an at-home screening solution for these infections. This study describes the feasibility of this screening process, the rate of positive test results, and the factors associated with positivity. METHODS Participants were recruited online. Laboratories verified the quantity and quality of the samples. Logistic regression was used to determine the associated factors for infection. RESULTS Overall, 1556 out of 1908 (81.6%) blood samples were tested for at least HIV. A total of eight participants (0.5%) were newly diagnosed with HIV and four with HCV (0.3%). No new infection was confirmed for HBV. Overall positivity was 9.3% for CT and 9.6% for NG. The highest positivity was reported in rectal swabs for CT (7.3%) and in pharyngeal swabs for NG (7.2%). Factors associated with extragenital CT/NG were age under 30 years (for pharyngeal and rectal infections) and having at least 10 partners in the past 6 months (p<0.001) (for pharyngeal infections only). CONCLUSIONS The self-sampling kit for multiple STIs can perform comprehensive tests and identify new infections in young people, especially in extragenital sites.
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Affiliation(s)
- Delphine Rahib
- 472516Santé Publique France, Saint Maurice, France.,Inserm, 243485Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP UMRS 1136), Université de Paris, Paris, France
| | - Béatrice Bercot
- Service de Bactériologie, 55663Hôpital St Louis, APHP, Inserm UMR1137, IAME, Université de Paris, Paris, France
| | - Héloïse Delagreverie
- Service de Virologie, 55663Hôpital St Louis, APHP, Inserm U944, Université de Paris, Paris, France
| | - Audrey Gabassi
- Service de Virologie, 55663Hôpital St Louis, APHP, Inserm U944, Université de Paris, Paris, France
| | - Constance Delaugerre
- Service de Virologie, 55663Hôpital St Louis, APHP, Inserm U944, Université de Paris, Paris, France
| | - Hélène Salord
- Hôpital de La Croix-Rousse, Centre de Ressources Biologiques Nord, 26900Hospices Civils de Lyon, Lyon, France
| | - Vinca Icard
- Hôpital de La Croix-Rousse, Centre de Ressources Biologiques Nord, 26900Hospices Civils de Lyon, Lyon, France
| | - Than-Thuy Le Thi
- Hôpital de La Croix-Rousse, Centre de Ressources Biologiques Nord, 26900Hospices Civils de Lyon, Lyon, France
| | - Benjamin Leveau
- Hôpital de La Croix-Rousse, Centre de Ressources Biologiques Nord, 26900Hospices Civils de Lyon, Lyon, France
| | | | | | - Marie-Noëlle Didelot
- Département de Bactériologie-Virologie, 26905CHU de Montpellier, UMR Inserm 1058, Université de Montpellier, Montpellier, France
| | - Amandine Pisoni
- Département de Bactériologie-Virologie, 26905CHU de Montpellier, UMR Inserm 1058, Université de Montpellier, Montpellier, France
| | - Edouard Tuaillon
- Département de Bactériologie-Virologie, 26905CHU de Montpellier, UMR Inserm 1058, Université de Montpellier, Montpellier, France
| | | | - Stéphanie Vandentorren
- 472516Santé Publique France, Saint Maurice, France.,Inserm, 243485Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP UMRS 1136), Université de Paris, Paris, France
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Saïb A, Bouscaren N, Berçot B, Duchateau A, Miltgen G, Rodet R, Wartel G, Andry F, Iacobelli S, Bertolotti A. Prevalence and risk factors for gonococcal infection in Reunion Island. Infect Dis Now 2021; 52:149-153. [PMID: 34920179 DOI: 10.1016/j.idnow.2021.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 12/08/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To determine the prevalence and risk factors for gonococcal infection, and the resistance profile of Neisseria gonorrhoeae (NG) in Reunion Island. PATIENTS AND METHODS All patients who visited the four sexually transmitted infection (STI) clinics of Reunion Island between January 2017 and December 2018 were screened by multiplex polymerase chain reaction. Data on patient characteristics were collected using a self-administered questionnaire (reason for screening, marital status, risk-taking behaviors, place of birth, employment status, type of health care coverage, sexual orientation, number of sexual partners, occurrence of extra-marital relationships, history of STIs, and symptomatology. Precarity was defined as being unemployed and/or receiving universal health insurance). RESULTS The prevalence of NG (n=4289) in the screened population was 2.8% (95% CI [2.3-3.3]). Minors were especially at-risk (4.4% (95% CI [2.6-7])) and especially girls (5.6% (95% CI [3.2-8.9])). The prevalence observed in the homosexual population was 4.0% [2.6-5.9]. Gonococcal infection was asymptomatic in 56 (69%) patients. For all infection sites, the main risk factors were male minors (P=0.019), individuals living in conditions of precarity (P=0.023), individuals co-infected with chlamydia (P<0.001) or syphilis (P<0.001), and individuals of foreign origin (P=0.006). No NG strain was resistant to ceftriaxone. Strains were resistant to penicillin G, ciprofloxacin, and azithromycin in 22% (20/91), 38% (35/91), and 1% (1/91) of cases, respectively. CONCLUSION The prevalence of NG in patients visiting STI clinics in Reunion Island is particularly high among minors. Prevention programs targeting this population should be reinforced and screening should be facilitated in school settings.
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Affiliation(s)
- A Saïb
- CHU Réunion, service des maladies infectieuses - dermatologie, Saint-Pierre, Reunion
| | - N Bouscaren
- Inserm CIC1410, CHU Réunion, Saint-Pierre, Reunion
| | - B Berçot
- Département des agents infectieux, unité fonctionnelle de bactériologie, hôpital Saint-Louis, Assistance publique-Hôpitaux de Paris, Paris, France; Université Paris Diderot, UMR 1137, IAME, Sorbonne-Paris Cité, Paris, France
| | - A Duchateau
- CHU Réunion, service de gynécologie, Saint-Pierre, Reunion
| | - G Miltgen
- CHU Réunion, service de microbiologie, Saint-Denis, Reunion
| | - R Rodet
- CHU Réunion, service des maladies infectieuses, Saint-Denis, Reunion
| | - G Wartel
- CHU Réunion, service des maladies infectieuses, Saint-Denis, Reunion
| | - F Andry
- CHU Réunion, service des maladies infectieuses - dermatologie, Saint-Pierre, Reunion
| | - S Iacobelli
- CHU Réunion, service de néonatalogie, Saint-Pierre, Reunion
| | - A Bertolotti
- CHU Réunion, service des maladies infectieuses - dermatologie, Saint-Pierre, Reunion; Inserm CIC1410, CHU Réunion, Saint-Pierre, Reunion.
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Prevalence of leukocyturia in a cohort of French asymptomatic aircrews. Clin Microbiol Infect 2021; 28:141.e1-141.e4. [PMID: 34607000 DOI: 10.1016/j.cmi.2021.09.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 09/01/2021] [Accepted: 09/23/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVES Sexually transmitted infections (STIs) can cause leukocyturia. We aimed to estimate the prevalence of leukocyturia in asymptomatic aircrews and the proportion of STIs in those presenting leukocyturia. METHODS The LEUCO survey was a prospective cohort study conducted among aircrews between 14th October 2019 and 13th March 2020 at the Toulon aeromedical centre in France. All participants performed a dipstick urinalysis. Those positive for leukocyturia were offered STI screening by nucleic acid amplification test (NAAT) for Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium and Trichomonas vaginalis. RESULTS Among the 2236 included asymptomatic participants (1912 men and 324 women), 127 (36 men and 91 women) were positive for leukocyturia. The prevalence of leukocyturia was 1.9% (1.3-2.6) in men and 28.1% (23.3-33.3) in women (p < 0.001). In men positive for leukocyturia, the NAAT positivity rate for C. trachomatis, N. gonorrhoeae, M. genitalium and T. vaginalis was 28.6% (3.7-71.0) in the age group 18-24, 20.0% (0.5-71.6) in the age group 25-34, and zero in the older age group (p 0.65). In women positive for leukocyturia it was 16.7% (4.7-37.4) in the age group 18-24, 18.2% (2.3-51.8) in the age group 25-34, and zero in the older age group (p 0.16). CONCLUSIONS In asymptomatic individuals, leukocyturia is rare in men and more common in women. In asymptomatic adults under 35 years of age with leukocyturia, multiplex NAAT shows a high proportion of STIs and might be useful in improving STI detection.
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Folio M, Bouscaren N, De Barbeyrac B, Boukerrou MC, Ricaud C, Hoang S, Levin C, Poubeau P, Gerardin P, Bertolotti A. Minors are the most affected by Chlamydia trachomatis in Reunion Island: A cross-sectional study, 2017-2018. Ann Dermatol Venereol 2021; 148:238-240. [PMID: 34176640 DOI: 10.1016/j.annder.2021.02.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 10/14/2020] [Accepted: 02/12/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVES To determine the prevalence of Chlamydia trachomatis (CT) in the population screened at sexually transmitted infection (STI) clinics on Reunion Island and to identify risk factors for CT infection. PATIENTS AND METHODS This cross-sectional multicenter study was conducted in 2017-2018. Data were obtained from self-administered questionnaires and multiplex PCR tests. RESULTS The overall prevalence of CT in the screened population was 8.6% (95% CI 7.7-9.5%). The prevalence of urogenital CT was highest in women under 18 (13.2%, 95% CI 9.3-18.1%) and in men who have sex with men under 18 (13.3%, 95% CI 1.6-48.2%). Risk factors associated with CT infection in multivariate analysis were: female gender, being born in Reunion Island, having had a large number of sexual partners in the past year, and being co-infected with another STI. CONCLUSIONS The prevalence of CT in the screened population is higher in Reunion Island than in mainland France, especially in minors. Prevention campaigns targeting minors should be strengthened.
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Affiliation(s)
- M Folio
- Service des urgences, CHU Réunion, 97400 Saint-Denis, Reunion
| | - N Bouscaren
- Inserm CIC1410, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - B De Barbeyrac
- USC infections humaines à mycoplasmes et Chlamydiae, Centre national de référence des infections à chlamydiae, university Bordeaux, 33076 Bordeaux cedex, France; Inra, USC infections humaines à mycoplasmes et Chlamydiae, 33076 Bordeaux cedex, France
| | - M C Boukerrou
- Service de gynécologie obstétrique, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - C Ricaud
- Service des maladies infectieuses, CHU Réunion, 97400 Saint-Denis, Reunion
| | - S Hoang
- Service des maladies infectieuses, CHU Réunion, 97400 Saint-Denis, Reunion
| | - C Levin
- Service des maladies infectieuses - dermatologie, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - P Poubeau
- Service des maladies infectieuses - dermatologie, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - P Gerardin
- Inserm CIC1410, CHU Réunion, 97400 Saint-Pierre, Reunion
| | - A Bertolotti
- Inserm CIC1410, CHU Réunion, 97400 Saint-Pierre, Reunion; Service des maladies infectieuses - dermatologie, CHU Réunion, 97400 Saint-Pierre, Reunion.
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11
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Farfour E, Dimi S, Chassany O, Fouéré S, Valin N, Timsit J, Ghosn J, Duvivier C, Duracinsky M, Zucman D. Trends in asymptomatic STI among HIV-positive MSM and lessons for systematic screening. PLoS One 2021; 16:e0250557. [PMID: 34166379 PMCID: PMC8224955 DOI: 10.1371/journal.pone.0250557] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Accepted: 04/11/2021] [Indexed: 11/18/2022] Open
Abstract
The burden of STIs is particularly high in HIV-infected MSM patients. A recent increase in STIs prevalence has been noticed in the US and western European countries. We aim to assess trends in asymptomatic STIs following the publication of recommendations for STIs screening, i.e. Chlamydia (CT) and gonorrhea (NG). Seventeen centers located in the Paris area participated in the study. All asymptomatic HIV-infected MSM patients attending a follow up consultation were proposed to participated in the study. Asymptomatic patients were included over 2 periods: period 1 from April to December 2015 and period 2 from September to December 2017. Etiologic diagnosis of STIs including hepatitis B, C, syphilis, was performed using a serological test, including a non-treponemal titer with a confirmatory treponemal assay for syphilis. CT and NG were screened using a nucleic acid amplification test (NAATs) on 3 anatomical sites, i.e. urine, rectal and pharyngeal. Overall, 781 patients were included: 490 and 291 in periods 1 and 2 respectively. Asymptomatic CT, NG, and syphilis were diagnosed in 7.5%, 4.8% and, 4.2% respectively. The rate of patients having a multisite asymptomatic infection was 10.2% and 21.1% for CT and NG respectively. The most frequently involved anatomical sites for CT and NG asymptomatic infections were anorectal (66.1% and 55.2% respectively) and pharyngeal (47.4% and 60.5% respectively). CT and NG asymptomatic infection increased by 1.3- and 2-fold respectively between the two periods while syphilis decreased by 3 folds. Our results encourage to reconsider multisite screening for CT and NG in asymptomatic HIV positive MSM as the yield of screening urinary samples only might be low. Despite the more systematic STI screening of asymptomatic HIV positive MSM the prevalence of STI is increasing in MSM in France. Therefore, this strategy has not led to alter CT and NG transmission. The decrease of syphilis might involve self-medication by doxycycline, and the intensification of syphilis screening.
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Affiliation(s)
- Eric Farfour
- Service de Biologie Clinique, Hôpital Foch, Suresnes, France
| | - Svetlane Dimi
- Centre de Vaccinations Internationales et Médecine de Voyage, Creil, France
| | - Olivier Chassany
- Patient-Reported Outcomes Research, Sorbonne Paris Cité, Université Paris-Diderot, Paris, France.,Unité de Recherche Clinique en Economie de la Santé, Hôpital Hôtel-Dieu, Assistance Publique Hôpital de Paris, Paris, France
| | - Sébastien Fouéré
- Centre for Genital and Sexually Transmitted Diseases, Dermatology Department, APHP Hospital Saint-Louis, Paris, France
| | - Nadia Valin
- Hôpital Saint Antoine, Service des Maladies Infectieuses, Paris, France
| | - Julie Timsit
- Centre for Genital and Sexually Transmitted Diseases, Dermatology Department, APHP Hospital Saint-Louis, Paris, France
| | - Jade Ghosn
- Assistance Publique-Hôpitaux de Paris, Service des Maladies Infectieuses et Tropicales, Groupe Hospitalier Paris Nord Val de Seine, Site Bichat-Claude Bernard, Paris, France.,INSERM UMR 1137 IAME, PRES Sorbonne Paris Cité, Université Paris Diderot, Paris, France
| | - Claudine Duvivier
- APHP-Hôpital Necker-Enfants Malades, Service de Maladies Infectieuses et Tropicales, Centre d'Infectiologie Necker-Pasteur, Paris, France.,IHU Imagine, Paris, France.,Institut Cochin, CNRS 8104, INSERM U1016, RIL Team: Retrovirus, Infection and Latency, Université de Paris, Paris, France.,Institut Pasteur, Centre Médical de l'Institut Pasteur, Paris, France
| | - Martin Duracinsky
- Patient-Reported Outcomes Research, Sorbonne Paris Cité, Université Paris-Diderot, Paris, France.,Unité de Recherche Clinique en Economie de la Santé, Hôpital Hôtel-Dieu, Assistance Publique Hôpital de Paris, Paris, France.,Médecine Interne et Immunologie Clinique, Hôpital Bicêtre, Assistance Publique Hôpital de Paris, Paris, France
| | - David Zucman
- Réseau Ville-Hôpital, Service de Médecine Interne, Hôpital Foch, Suresnes, France
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12
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Fouéré S, Cazanave C, Hélary M, Dupin N, Tattevin P, Bébéar C, Beylot-Barry M, Molina JM, Chosidow O, Riche A, Berçot B. Update on French recommendations for the treatment of uncomplicated Neisseria gonorrhoeae infections. Int J STD AIDS 2021; 32:1081-1083. [PMID: 34125636 DOI: 10.1177/09564624211023025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Sébastien Fouéré
- SFD/GRIDIST and Centre for Genital and Sexually Transmitted Diseases, 55663APHP-Hospital Saint-Louis, Paris, France
| | - Charles Cazanave
- SPILF and Infectious Diseases, 36836Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.,INRAE, IHMC, USC EA 3671,3671 University of Bordeaux, Bordeaux, France
| | - Marion Hélary
- Bacteriology and National Reference Centre for Bacterial Sexually Transmitted Infections,36836 Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France
| | - Nicolas Dupin
- SFD/GRIDIST and Dermatology and Sexually Transmitted Infections - National Reference Centre for Bacterial Sexually Transmitted Infections, APHP-Cochin Hospital, Paris, France
| | - Pierre Tattevin
- SPILF and Infectious Diseases and ICU, Pontchaillou University Hospital, Rennes, France
| | - Cécile Bébéar
- INRAE, IHMC, USC EA 3671,3671 University of Bordeaux, Bordeaux, France
| | - Marie Beylot-Barry
- SFD and Dermatology and Venereology, Centre Hospitalier Universitaire de Bordeaux, Bordeau, France
| | - Jean-Michel Molina
- SPILF and Infectious and Tropical Diseases, APHP-Hospital Saint-Louis, Paris, France
| | - Olivier Chosidow
- SFD/GRIDIST and Dermatology, APHP-Hospital Henri Mondor, Créteil, France
| | - Agnès Riche
- SPILF and Infectious Diseases and Internal Medicine, 37080Hospital Centre Angoulème, Angoulème, France
| | - Béatrice Berçot
- Bacteriology and National Reference Centre for Bacterial Sexually Transmitted Infections, APHP-Hospital Saint Louis, Paris, France.,INSERM, IAME, UMR 1137, University of Paris, Paris, France
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13
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Ndeikoundam Ngangro N, Pioche C, Vaux S, Viriot D, Durand J, Berat B, Hamdaoui M, Lot F. Automated surveillance for the French STI clinics: the SurCeGGID system based on routine clinical records (Preprint). JMIR Form Res 2021; 6:e31136. [DOI: 10.2196/31136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 05/05/2022] [Accepted: 05/23/2022] [Indexed: 11/13/2022] Open
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Alfaiate D, Giaché S, Pradat P, Cotte L, Chidiac C. Sexually transmitted infections knowledge in different populations attending a French University Hospital - A prospective observational study. Epidemiol Infect 2021; 149:1-18. [PMID: 33880990 PMCID: PMC8193766 DOI: 10.1017/s0950268821000881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 04/08/2021] [Accepted: 04/12/2021] [Indexed: 12/03/2022] Open
Abstract
We conducted a prospective study about sexually transmitted infections (STIs) knowledge in different populations attending Lyon's University Hospitals in order to estimate awareness on STIs. Pre-exposure prophylaxis (PrEP)-users (PrEP group), persons living with HIV (PLWH group) and persons undergoing free STI screening (screening group) filled an anonymous questionnaire evaluating STI knowledge. A composite STI knowledge score was calculated and was correlated with patients’ characteristics. A total of 756 patients were enrolled in three groups: screening (n = 509), PrEP (n = 103) and PLWH (n = 144). STI transmission knowledge was better for HIV than for other STIs. The median STI knowledge score was significantly higher in PrEP-users than in the screening and PLWH groups. PrEP use and a previous STI diagnosis were independently associated with a higher score. PrEP-users have better STI knowledge than PLWH and persons undergoing free STI screening. Sexual health promotion interventions routinely reserved to PrEP-users in France seem to be effective in raising the awareness of this group for STIs. Continuous efforts are justified for PLWH and the younger layers of the population.
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Affiliation(s)
- Dulce Alfaiate
- Service des Maladies Infectieuses et Tropicales, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France
| | - Susanna Giaché
- Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Régional Orléans La Source, Orléans, France
| | - Pierre Pradat
- Centre de Recherche Clinique, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France
| | - Laurent Cotte
- Service des Maladies Infectieuses et Tropicales, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France
| | - Christian Chidiac
- Service des Maladies Infectieuses et Tropicales, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France
- Université Claude Bernard Lyon 1, Lyon, France
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15
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Duval C, Anthony N, Thore-Dupont E, Jaubert J, Camuset G, Von Theobald P, Franco JM, Poubeau P, Bruneau L, Bertolotti A. [Prevalence and Risk Factors of Chlamydia Trachomatis Infection Among Women Consulting at the Sexually Transmitted Infection Centre in la Reunion: A Cross-Sectional Study]. MEDECINE TROPICALE ET SANTE INTERNATIONALE 2021; 1:mtsibulletin.n1.2021.69. [PMID: 35586641 PMCID: PMC9022755 DOI: 10.48327/mtsibulletin.n1.2021.69] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 02/28/2021] [Indexed: 11/24/2022]
Abstract
Introduction Chlamydia trachomatis (CT) infection is the commonest bacterial sexually transmitted infection (STI) in the world. Often asymptomatic, it can lead to significant complications in women. In France, since 2003, systematic screening for CT in STI center has been recommended for women aged less than 25 year. The main objective of this study was to determine CT prevalence in patients attending STI centers in Reunion Island. The second objective was to explore the determinants of this infection. Method A cross-sectional survey using an anonymous questionnaire was conducted among women attending STI center in two hospitals in western and southern Reunion Island during one year. All women who had performed a CT PCR, based on vaginal self-swabs, were included. Results Among the 620 patients tested, the prevalence of infection was 6.6% (95% CI [4.7-8.6]). By age group, the highest prevalence was between 12 and 17 years with 14.3% positive tests compared to 7.5% and 3.9% respectively in 18-24 and 25-67 year age group (p = 0.003). The risk factors for CT were a young age (p = 0.02), a first sexual intercourse between 11 and 14 years old (p = 0.01), lack of previous STI screening history (p = 0.02), and the following motives for seeking screening: "partner unfaithfulness" (p = 0.01) and "infected partner" (p = 0.02). Conclusion This study highlights the high prevalence of CT among Reunionese minors. A more systematic screening and a reinforcement of STI awareness among young people in Reunion Island seem to be essential.
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Affiliation(s)
- C. Duval
- CHU Réunion, Service des maladies infectieuses - dermatologie, Saint Pierre, La Réunion, France
| | - N. Anthony
- Inserm CIC1410, CHU Réunion, Saint Pierre, La Réunion, France
| | - E. Thore-Dupont
- CHU Réunion, Centre gratuit d'information de dépistage et diagnostic des IST, Saint Paul, La Réunion, France
| | - J. Jaubert
- CHU Réunion, Laboratoire de microbiologie, Saint Pierre, La Réunion, France
| | - G. Camuset
- CHU Réunion, Service des maladies infectieuses - dermatologie, Saint Pierre, La Réunion, France
| | - P. Von Theobald
- CHU Réunion, Service de gynécologie - obstétrique, Saint Denis, La Réunion, France
| | - J.-M. Franco
- Département de médecine générale universitaire, La Réunion, France
| | - P. Poubeau
- CHU Réunion, Service des maladies infectieuses - dermatologie, Saint Pierre, La Réunion, France
| | - L. Bruneau
- Inserm CIC1410, CHU Réunion, Saint Pierre, La Réunion, France
| | - A. Bertolotti
- CHU Réunion, Service des maladies infectieuses - dermatologie, Saint Pierre, La Réunion, France,Inserm CIC1410, CHU Réunion, Saint Pierre, La Réunion, France,*
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16
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Loncle A, Piau C, Ndeikoundam Ngangro N, Gousseff M, Cattoir V, Allory E, Lorléac A, Dupont M, Goubard A, Tattevin P. Current profile and management of gonococcal infections: A population-based study in Western France. Infect Dis Now 2021. [DOI: 10.1016/j.idnow.2020.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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17
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Yuguero O, Fernández-Armenteros JM, Vilela Á, Aramburu J, Laín R, Godoy P. Preliminary Results of a Screening Programme for Chlamydia in an Asymptomatic Young Population in Spain. Front Public Health 2021; 9:615110. [PMID: 33692981 PMCID: PMC7937636 DOI: 10.3389/fpubh.2021.615110] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 01/22/2021] [Indexed: 12/03/2022] Open
Abstract
Introduction:Chlamydia trachomatis (CT) infection has increased in recent years, reaching 127 million cases in 2016. Possible complications, especially among women, require intervention for early detection of the infection. The objective of our study was to determine the prevalence of CT infection in a young, sexually active, asymptomatic population. Methods: A cross-sectional study was conducted between December 2017 and 31 December 2018 among young patients aged 18-25 years attending the emergency room for any reason. The presence of CT and other STIs in urine was determined by the Allplex Nucleic Acid Amplification Test (NAAT) with a urine sample. All patients testing positive were followed by the STD unit and tests on all sexual partners/contacts were offered. Moreover, we obtained data about sexual habits and risk factors via a self-reporting questionnaire. Results: One thousand three hundred eight patients were eligible for inclusion of whom 298 consented to participate. Of these, 22/298 (7.4%) were diagnosed with CT. Young people with two or more sexual partners in the last month and those suffering from infection by ureaplasma were at greater risk of infection by CT. Up to 50% of participants do not use barrier methods. Conclusion: The prevalence of infection by CT in the asymptomatic young population is higher than expected according to the recent literature in Spain. The scarce use of barrier methods among this population may be one of the causes of this increase and one of the targets to work on in order to reduce the prevalence of the infection.
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Affiliation(s)
- Oriol Yuguero
- Institut de Recerca Biomédica de Lleida Fundació Dr. Pifarré (IRBLleida), Lleida, Spain
- Facultat de Medicina, Universitat de Lleida, Lleida, Spain
| | | | - Álvaro Vilela
- Institut de Recerca Biomédica de Lleida Fundació Dr. Pifarré (IRBLleida), Lleida, Spain
- Cap Onze de Setembre, Institut Català de la Salut, Lleida, Spain
| | - Jesús Aramburu
- Facultat de Medicina, Universitat de Lleida, Lleida, Spain
- Secció Microbiologia, Laboratori Clínic, Hospital Universitari Arnau de VIlanova (HUAV), Lleida, Spain
| | - Raquel Laín
- Institut de Recerca Biomédica de Lleida Fundació Dr. Pifarré (IRBLleida), Lleida, Spain
| | - Pere Godoy
- Institut de Recerca Biomédica de Lleida Fundació Dr. Pifarré (IRBLleida), Lleida, Spain
- Facultat de Medicina, Universitat de Lleida, Lleida, Spain
- Agència de Salut Pública de Catalunya, Lleida, Spain
- Centro Investigación Biomédica en Red (CIBER) de Epidemiología y Salud Pública, Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), Madrid, Spain
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Ly TDA, Hoang VT, Louni M, Dao TL, Badiaga S, Tissot-Dupont H, Brouqui P, Colson P, Gautret P. Epidemiological serosurvey and molecular characterization of sexually transmitted infections among 1890 sheltered homeless people in Marseille: Cross-sectional one day-surveys (2000-2015). J Infect 2020; 82:60-66. [PMID: 33279534 DOI: 10.1016/j.jinf.2020.11.026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 11/15/2020] [Accepted: 11/21/2020] [Indexed: 01/04/2023]
Abstract
OBJECTIVES We observed the prevalence and distribution of potential risk factors for sexually transmitted infections (STIs) among Marseille homeless population. METHODS Over the 2000-2015 period, we enrolled 1890 sheltered homeless adults and collected serum samples. Markers of hepatitis B and C viruses (HBV, HCV) and Treponema pallidum were searched using the CMIA testing. Positive HBsAg or anti-HCV samples underwent sequencing; positive anti-T. pallidum sera were subjected to the RPR test. RESULTS The overall prevalence of HBsAg, anti-HBs, anti-HBc, anti-HCV and anti-T. pallidum (by CMIA and RPR) was 4.1%, 22.9%, 35.5%, 5.3% and (6.8%, 1.0%), respectively. We found a significantly higher prevalence of HBsAg and anti-T. pallidum among individuals born in sub-Saharan Africa (or Asia) compared to those born in Europe. Being older (>42 years), toxicomania status, cannabis use and underweight status (compared to normal status) were independent factors associated with HCV seropositivity. Using sequencing, we obtained a substantial diversity of HBV and HCV genotypes. One HCV sequence harbouring a L31M substitution in the NS5a protein may be associated with reduced drug sensitivity. CONCLUSIONS The positive relationship between toxicomania and HCV suggests the need for effective prevention programmes including health education activities and addiction treatment.
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Affiliation(s)
- Tran Duc Anh Ly
- IRD, AP-HM, SSA, VITROME, Aix Marseille Univ, Marseille, France; IHU-Méditerranée Infection, Marseille, France
| | - Van Thuan Hoang
- IRD, AP-HM, SSA, VITROME, Aix Marseille Univ, Marseille, France; IHU-Méditerranée Infection, Marseille, France; Family Medicine Department, Thai Binh University of Medicine and Pharmacy, Viet Nam
| | - Meriem Louni
- IRD, AP-HM, SSA, VITROME, Aix Marseille Univ, Marseille, France; IHU-Méditerranée Infection, Marseille, France
| | - Thi Loi Dao
- IRD, AP-HM, SSA, VITROME, Aix Marseille Univ, Marseille, France; IHU-Méditerranée Infection, Marseille, France; Pneumology Department, Thai Binh University of Medicine and Pharmacy, Viet Nam
| | - Sekene Badiaga
- IHU-Méditerranée Infection, Marseille, France; Service des urgences CHU Hôpital Nord, Aix Marseille Univ, Viet Nam
| | - Herve Tissot-Dupont
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, MEPHI, Marseille, France
| | - Philippe Brouqui
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, MEPHI, Marseille, France
| | - Philippe Colson
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, MEPHI, Marseille, France
| | - Philippe Gautret
- IRD, AP-HM, SSA, VITROME, Aix Marseille Univ, Marseille, France; IHU-Méditerranée Infection, Marseille, France.
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19
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Itodo OA, Viriot D, Velter A, Leon L, Dupin N, Bercot B, Goubard A, Lassau F, Fouere S, Martinet P, Tosini W, Florence S, Lot F, Ndeikoundam Ngangro N. Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005-2014. BMC Public Health 2020; 20:1620. [PMID: 33115464 PMCID: PMC7594409 DOI: 10.1186/s12889-020-09703-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 10/14/2020] [Indexed: 11/29/2022] Open
Abstract
Background Gonorrhoea is increasing in France since its resurgence in the late 1990’s. Understanding trends of condomless sex is a requirement to tailor prevention toward most exposed individuals. This study aims to analyse trends and determinants of condomless penetrative sex (PS) in MSM and heterosexuals diagnosed with gonorrhoea in France. Methods A standardized self-administered questionnaire filled by 3453 patients was used to monitor condomless sex through the sentinel surveillance network ResIST between 2005 and 2014. Trends were used to describe consistent condom use for penetrative sex (PS). A logistic regression model analysed patients’ characteristics associated with condomless PS. Results Between 2005 and 2014, condomless PS increased regardless of sexual orientation. Condomless PS was particularly common among HIV positive men who have sex with men (MSM (65%)). People living in metropolitan regions outside Paris area (adjusted odds-ratio (AOR) [95% CI] =1.33[1.12–1.58]) were more likely to engage in condomless PS. Conversely, MSM (AOR [95% CI] =0.21 [0.16–0.29]), HIV seronegative patients (AOR [95% CI] =0.68 [0.51–0.89]), patients diagnosed in hospital (AOR [95% CI] = 0.66 [0.45–0.97]) and multi-partners (≥ 10 partners, AOR [95% CI] = 0.54 [0.40–0.74]) were more likely to use condoms. Conclusions These findings highlight a decreasing use of condom in MSM and heterosexuals diagnosed with gonorrhoea. Prevention strategies should take in account drivers of condomless sex in a context of uncontrolled STI epidemics.
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Affiliation(s)
- Oche Adam Itodo
- Santé Publique France (The French National Public Health Agency), Saint Maurice, France
| | - Delphine Viriot
- Santé Publique France (The French National Public Health Agency), Saint Maurice, France
| | - Annie Velter
- Santé Publique France (The French National Public Health Agency), Saint Maurice, France
| | - Lucie Leon
- Santé Publique France (The French National Public Health Agency), Saint Maurice, France
| | - Nicolas Dupin
- French National Reference Centre for Bacterial STI (Syphilis), APHP, Cochin University Hospital, Paris, France
| | - Beatrice Bercot
- French National Reference Centre for Bacterial STI (Gonorhoae), APHP, Saint Louis University Hospital, Paris, France
| | | | - François Lassau
- Dermatology Department, AP-HP, Saint-Louis Hospital, Paris, France.,Departmental Committee of Seine Saint Denis, Bobigny, France
| | - Sébastien Fouere
- Dermatology Department, AP-HP, Saint-Louis Hospital, Paris, France
| | | | - William Tosini
- STI Clinic (CeGIDD), Alfred Fournier Institute, Paris, France
| | | | | | - Florence Lot
- Santé Publique France (The French National Public Health Agency), Saint Maurice, France
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20
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Pépin C, Souala F, By E, Bérar M, Arvieux C, Fily F. Awareness of Chlamydia trachomatis infection by people attending a sexual transmitted infection (STI) clinic and missed opportunities for screening in a primary health care setting. Infect Dis Now 2020; 51:205-208. [PMID: 33075404 DOI: 10.1016/j.medmal.2020.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 10/08/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To characterize awareness of Chlamydia trachomatis infection among persons consulting in a screening center in Ille-et-Vilaine, France, as well as the missed opportunities for screening in a primary health care setting during the 6 months preceding a diagnosis. PATIENTS AND METHOD Cross-sectional study including persons over 15 years of age consulting in the centers of Rennes and Saint-Malo between 4 April 2019 and 1 July 2019 with data collection by self-administered questionnaire and telephone interview. RESULTS We included 723 persons with a median age of 22 years. A third of them (34%) had never heard of Chlamydia, while 36% thought that testing sexually active youth was recommended. Among the 37 infected persons we were able to contact and interview, 9 (24.3%) had missed at least one opportunity for screening. CONCLUSION People's lack of awareness and failure to appropriate recent recommendations by professionals could constitute an obstacle to large-scale screening.
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Affiliation(s)
- C Pépin
- CeGIDD, centre hospitalier Broussais, 1, rue de la Marne, 35400 Saint-Malo, France
| | - F Souala
- CeGIDD, CHU de Rennes, 2, rue Henri-le-Guilloux, 35000 Rennes, France; Service des maladies infectieuses et tropicales/infectious and tropical disease unit, CHU de Rennes, 2, rue Henri-le-Guilloux, 35000 Rennes, France
| | - E By
- CeGIDD, centre hospitalier Broussais, 1, rue de la Marne, 35400 Saint-Malo, France
| | - M Bérar
- CeGIDD, centre hospitalier Broussais, 1, rue de la Marne, 35400 Saint-Malo, France
| | - C Arvieux
- Service des maladies infectieuses et tropicales/infectious and tropical disease unit, CHU de Rennes, 2, rue Henri-le-Guilloux, 35000 Rennes, France; COREVIH Bretagne, CHU de Rennes, 2, rue Henri-le-Guilloux, 35000 Rennes, France
| | - F Fily
- CeGIDD, centre hospitalier Broussais, 1, rue de la Marne, 35400 Saint-Malo, France; Unité des maladies infectieuses/infectious disease unit, centre hospitalier Broussais, 1, rue de la Marne, 35400 Saint-Malo, France.
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Nicolay N, Le Bourhis-Zaimi M, Lesourd A, Martel M, Roque-Afonso AM, Erouart S, Etienne M, Ndeikoundam Ngangro N. A description of a hepatitis A outbreak in men who have sex with men and public health measures implemented in Seine-Maritime department, Normandy, France, 2017. BMC Public Health 2020; 20:1441. [PMID: 32962667 PMCID: PMC7510153 DOI: 10.1186/s12889-020-09499-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 09/03/2020] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND In 2016-2017, a European-wide circulation of genotype IA hepatitis A virus was responsible for hepatitis A outbreaks in men who have sex with men (MSM). This study aimed to describe the outbreak investigation in Seine-Maritime department (France) and the control measures implemented accordingly. METHODS Outbreak description used data from mandatory reporting and enhanced surveillance of male cases. Confirmed case was genotype IA isolated, possible cases had no reported genotype information. Targeted control measures included communication on sexual practices at risk of hepatitis A transmission and two vaccination campaigns in April 2017 and January 2018. Characteristics of cases and vaccinees were described. We reported the best communication channel for relaying outbreak information and control measures based on the monitoring of social network activities and feedback from vaccinees. RESULTS During the outbreak period (December 2016 to December 2017), a total of 48 confirmed outbreak cases and 30 possible outbreak cases were notified. Among them, 69 were male (88%). Two epidemic waves were observed. Cases encountered their partners through gay-dating apps (54%) and in one specific sauna (62%). In response to the outbreak, two vaccination campaigns were deployed. A total of 156 MSM were vaccinated, of whom 56 in a truck parked beside the sauna. Most of the vaccinees had been informed about the campaign through dating apps (44%). Community-based organizations involved in sexual health promotion and other gay social media were very proactive in sharing information about the outbreak and promoting the vaccination campaign through their social media account and also on site (gay venues). Vaccinees reported the same sexual practices at risk of hepatitis A transmission as cases. CONCLUSIONS In response to this massive hepatitis A outbreak that affected mostly MSM in Seine-Maritime department, vaccination campaign remained the cornerstone of prevention. Prevention officers from the community-based organization played a key role in vaccination promotion. Gay-dating apps and outdoor sessions of vaccination allowed to effectively reach MSM. Cost-effectiveness studies might analyze the interest of a continuous sexual health promotion including vaccination against hepatitis A in MSM through dating apps and social networks.
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Affiliation(s)
- Nathalie Nicolay
- Santé publique France, French national public health agency, Normandy regional office, 76100, Rouen, France. .,European Centre for Disease Prevention and Control (ECDC), Gustav III:s boulevard 40, 16973, Solna, Sweden.
| | - Maggie Le Bourhis-Zaimi
- Santé publique France, French national public health agency, Normandy regional office, 76100, Rouen, France
| | - Anais Lesourd
- Infectious and Tropical Diseases Department, Rouen University Hospital, 76000, Rouen, France
| | - Mélanie Martel
- Santé publique France, French national public health agency, Normandy regional office, 76100, Rouen, France
| | | | | | - Manuel Etienne
- Infectious and Tropical Diseases Department, Rouen University Hospital, 76000, Rouen, France.,Normandie Univ, UNIROUEN, UNICAEN, GRAM 2.0, 76000, Rouen, France
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Touati A, Laurier-Nadalié C, Bébéar C, Peuchant O, de Barbeyrac B. Evaluation of four commercial real-time PCR assays for the detection of lymphogranuloma venereum in Chlamydia trachomatis-positive anorectal samples. Clin Microbiol Infect 2020; 27:909.e1-909.e5. [PMID: 32771642 DOI: 10.1016/j.cmi.2020.07.040] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 07/20/2020] [Accepted: 07/25/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVES Lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) caused by Chlamydia trachomatis (CT) genovars L. The identification of LGV is of therapeutic interest because treatment requires 3 weeks of doxycycline compared with 1 week for infection with a non-L strain. The aim of this study was to evaluate the performance of four commercial real-time PCR kits in comparison with the reference methods used for LGV diagnosis by the French National Reference Centre (NRC) for bacterial STIs. METHODS A total of 215 French CT-positive anorectal specimens collected consecutively in 2017 were used (66 LGV and 149 non-LGV). Among these, 92 were collected from symptomatic men who have sex with men (MSM) and 123 from asymptomatic MSM using pre-exposure prophylaxis. Four commercial assays were evaluated; a single-plex assay RealCycler CHSL kit (Progenie Molecular), tested on all the specimens, and three multiplex kits, the RealCycler Universal ULCGEN (Progenie Molecular), the Allplex Genital Ulcer Assay (Seegene) and the VIASURE Haemophilus ducreyi + CT LGV Real Time PCR Detection kit (CerTest Biotec), tested on the 92 samples from symptomatic MSM. Clinical performance was determined in comparison to the in-house real time PCR targeting the pmpH and the ompA gene sequencing. RESULTS Overall agreement ranged between 91.3% and 100% (95% CI 83.7-100%) with very good Kappa index values (>0.8). The clinical sensitivities and specificities varied between 91% and 100% (95% CI 80.8-100%), and 97% and 100% (95% CI 87.1-100%), respectively, with some kits performing better than others. DISCUSSION The four assays showed very good performance for the detection of LGV on anorectal specimens.
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Affiliation(s)
- Arabella Touati
- National Reference Centre for Bacterial Sexually Transmitted Infections, Department of Bacteriology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
| | - Cécile Laurier-Nadalié
- National Reference Centre for Bacterial Sexually Transmitted Infections, Department of Bacteriology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France
| | - Cécile Bébéar
- National Reference Centre for Bacterial Sexually Transmitted Infections, Department of Bacteriology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France; USC EA 3671, Univ. Bordeaux, Bordeaux, France
| | - Olivia Peuchant
- National Reference Centre for Bacterial Sexually Transmitted Infections, Department of Bacteriology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France; USC EA 3671, Univ. Bordeaux, Bordeaux, France
| | - Bertille de Barbeyrac
- National Reference Centre for Bacterial Sexually Transmitted Infections, Department of Bacteriology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France; USC EA 3671, Univ. Bordeaux, Bordeaux, France
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Caumes E. Letter to the editor: Prevention of bacterial sexually transmitted infections (STI) in France: why not recommend using condoms and safer sex? ACTA ACUST UNITED AC 2020; 24. [PMID: 30914079 PMCID: PMC6440582 DOI: 10.2807/1560-7917.es.2019.24.12.1900171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Eric Caumes
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Paris, France.,Sorbonne Université, AP-HP, Hôpitaux Universitaires Pitié-Salpêtrière Charles Foix, Service de Maladies infectieuses et Tropicales, Paris, France
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Ngangro NN, Velter A, Lydie N, Lot F. Authors' response: Prevention of bacterial sexually transmitted infections (STI) in France: a comprehensive approach. ACTA ACUST UNITED AC 2020; 24. [PMID: 30914074 PMCID: PMC6440583 DOI: 10.2807/1560-7917.es.2019.24.12.1900187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Challenges to a Rights-Based Approach in Sexual Health Policy: A Comparative Study of Turkey and England. SOCIETIES 2020. [DOI: 10.3390/soc10020033] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Politics around sexual health have been polarised in recent years, but the policy implications of this polarisation have not yet been examined in depth. Therefore, this article explores political challenges to a rights-based approach in sexual health policies in Turkey and England. Its focus is on two domains: The prevention and treatment of sexually transmitted infections (STI), and sexual health education. Drawing on an interpretive documentary analysis, this article reveals that although social attitudes to sexuality and the levels of overall alignment with a rights-based framework within the selected countries do differ, both face significant political challenges in putting a rights-based approach to sexual health into practice. While common political challenges include heightened domestic controversy regarding sexual health, the specific challenges take the forms of a broader conservative turn that undermines the autonomy of sexual health policy in Turkey (similar to the cases of Hungary and Poland), and neoliberal policy preferences coupled with local discretion and service fragmentation that create access inequities in England (similar to the case of Germany). This study concludes that implementing a rights-based approach is a complex political task requiring a nuanced approach that incorporates the political dimension.
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Wang C, Tang W, Zhao P, Tucker J, Chen L, Smith MK, Wong NS, Dong W, Yang B, Zheng H. Rapid increase of gonorrhoea cases in Guangdong Province, China, 2014-2017: a review of surveillance data. BMJ Open 2019; 9:e031578. [PMID: 31712340 PMCID: PMC6858213 DOI: 10.1136/bmjopen-2019-031578] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
OBJECTIVES An increased trend in the number of reported gonorrhoea cases has been observed between 2014 and 2017 in China. This study aims to describe the reported epidemic of gonorrhoea and potential driving forces in Guangdong Province, China. DESIGN A review of surveillance data. PARTICIPANTS Three different sources of data from Guangdong Province were analysed: gonorrhoea cases reported to the Chinese sexually transmitted infections (STI) case report system (CRS); a clinic-based retrospective study conducted to collect information on annual gonorrhoea screening coverage and data from the Guangdong governmental sentinel surveillance network (SSN) to examine the gonorrhoea prevalence among males attending STI clinics. OUTCOME MEASURES Reported incidence of gonorrhoea, number of reported gonorrhoea cases, number of screening tests for gonorrhoea and gonorrhoea prevalence. RESULTS The STI CRS data showed that the reported incidence of gonorrhoea has increased rapidly from 15.7 cases per 100 000 population in 2014 to 27.3 cases per 100 000 in 2017 in Guangdong (p<0.001). Regions with a reported incidence of gonorrhoea cases of more than 10 cases per 100 000 expanded from 7 cities in 2014 to 13 cities in 2017. The SSN data showed that the gonorrhoea prevalence among males attending STI clinics increased from 2.7% in 2015 to 3.6% in 2017 (p=0.14). The retrospective study showed that the increased rate of screening for gonorrhoea between 2014 and 2017 was 35.0%, which was much lower than the increased rate of the number of reported gonorrhoea cases (123.3%). CONCLUSIONS The number of gonococcal infections is rapidly rising in Guangdong, China. Expanded screening coverage, use of more sensitive diagnostics and increase of gonorrhoea prevalence are three potential contributors to the epidemic. Additional targeted intervention strategies are necessary in the future to control the epidemic.
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Affiliation(s)
- Cheng Wang
- STD Control, Dermatology Hospital of Southern Medical University, Guangzhou, China
- STD Control, Guangdong Provincial Center for Skin Diseases and STIs control, Guangzhou, China
| | - Weiming Tang
- STD Control, Guangdong Provincial Center for Skin Diseases and STIs control, Guangzhou, China
- Project-China, University of North Carolina, Guangzhou, China
| | - Peizhen Zhao
- STD Control, Dermatology Hospital of Southern Medical University, Guangzhou, China
- STD Control, Guangdong Provincial Center for Skin Diseases and STIs control, Guangzhou, China
| | - Joseph Tucker
- Project-China, University of North Carolina, Guangzhou, China
| | - Lei Chen
- STD Control, Dermatology Hospital of Southern Medical University, Guangzhou, China
- STD Control, Guangdong Provincial Center for Skin Diseases and STIs control, Guangzhou, China
| | - M Kumi Smith
- School of Public Health, University of Minnesota Twin Cities, Minneapolis, Minnesota, USA
| | - Ngai Sze Wong
- Stanley Ho Center for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong, China
| | - Willa Dong
- University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USA
| | - Bin Yang
- STD Control, Dermatology Hospital of Southern Medical University, Guangzhou, China
- STD Control, Guangdong Provincial Center for Skin Diseases and STIs control, Guangzhou, China
| | - Heping Zheng
- STD Control, Dermatology Hospital of Southern Medical University, Guangzhou, China
- STD Control, Guangdong Provincial Center for Skin Diseases and STIs control, Guangzhou, China
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Rossignol L, Feuillepain L, Ndeikoundam Ngangro N, Souty C, Fournet N, Le Strat Y, Baroux N, Hanslik T, Lot F, Blanchon T. Estimate of male urethritis incidences in France between 2007 and 2017 with a specific focus on Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis infections. BMC Infect Dis 2019; 19:561. [PMID: 31248368 PMCID: PMC6598258 DOI: 10.1186/s12879-019-4202-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Accepted: 06/18/2019] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND In a context of increasing use of Nucleic Acid Amplification Test, diagnoses of Neisseria gonorrhoeae and Chlamydia trachomatis infections among men increased in Europe and USA since 2007. We aimed to describe trends in the incidence of male urethritis in France between 2007 and 2017. METHODS We analysed male urethritis clinical cases reported by the French GPs' Sentinelles network. RESULTS GPs reported 1944 cases of male urethritis during the study period. The estimated annual incidence rates in men aged 15 years and older remained stable between 226 cases per 100,000 seen in 2007 and 196 in 2017 (P value = 0.9). A third-generation cephalosporin with macrolide or tetracycline was prescribed in 17.5% of cases in 2009 (27/154) and 32.4% in 2017 (47/145) (P value = 0.0327). CONCLUSIONS The incidence rates for adult male urethritis diagnosed in primary care have remained stable since 2007 in France in contrast with the increasing trend of Neisseria gonorrhoeae and Chlamydia trachomatis infections based on microbiological surveillance. Using stable clinical definition for male urethritis seems essential to follow correctly epidemiological dynamic.
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Affiliation(s)
- Louise Rossignol
- Réseau Sentinelles, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), UMR S 1136 Inserm Sorbonne Université, Faculté de médecine Sorbonne Université - site Saint Antoine, 27 rue Chaligny, 75571, cedex 12 Paris, France
| | - Laurianne Feuillepain
- Réseau Sentinelles, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), UMR S 1136 Inserm Sorbonne Université, Faculté de médecine Sorbonne Université - site Saint Antoine, 27 rue Chaligny, 75571, cedex 12 Paris, France
| | | | - Cécile Souty
- Réseau Sentinelles, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), UMR S 1136 Inserm Sorbonne Université, Faculté de médecine Sorbonne Université - site Saint Antoine, 27 rue Chaligny, 75571, cedex 12 Paris, France
| | - Nelly Fournet
- Infectious Diseases Division, Santé publique France, F-954415 Saint-Maurice, France
| | - Yann Le Strat
- Data Science Division, Santé publique France, F-954415 Saint-Maurice, France
| | - Noémie Baroux
- Réseau Sentinelles, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), UMR S 1136 Inserm Sorbonne Université, Faculté de médecine Sorbonne Université - site Saint Antoine, 27 rue Chaligny, 75571, cedex 12 Paris, France
| | - Thomas Hanslik
- Réseau Sentinelles, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), UMR S 1136 Inserm Sorbonne Université, Faculté de médecine Sorbonne Université - site Saint Antoine, 27 rue Chaligny, 75571, cedex 12 Paris, France
- Université de Versailles Saint-Quentin-en-Yvelines, UVSQ, UFR de Médecine, FR-78000 Versailles, France
- Service de Médecine Interne, Hôpital Ambroise Paré, Assistance Publique - Hôpitaux de Paris, APHP, FR-92100, Boulogne Billancourt, France
| | - Florence Lot
- Infectious Diseases Division, Santé publique France, F-954415 Saint-Maurice, France
| | - Thierry Blanchon
- Réseau Sentinelles, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), UMR S 1136 Inserm Sorbonne Université, Faculté de médecine Sorbonne Université - site Saint Antoine, 27 rue Chaligny, 75571, cedex 12 Paris, France
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