Refine your search
Collections
Co-Authors
Year
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Vandana, W.V
- A Study of the Prevalence of Gonorrhea among High Risk Population in Hyderabad, A.P
Abstract Views :544 |
PDF Views:0
Authors
W.V Vandana
1,
N.K. Saxena
2
Affiliations
1 Dept of Microbiology, Vydehi institute of Medical Sciences, Bangalore, IN
2 Dept of Microbiology, Gandhi Medical College, Hyderabad, IN
1 Dept of Microbiology, Vydehi institute of Medical Sciences, Bangalore, IN
2 Dept of Microbiology, Gandhi Medical College, Hyderabad, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 1 (2013), Pagination: 216-220Abstract
Background: Gonorrhea is now mainly seen in homosexual men and sexually active individuals, who are more vulnerable to STIs and HIV. High prevalence among them is due to presence of large reservoirs of asymptomatic carriers. Early detection and treatment of STIs has been advocated as HIV prevention strategy. This study was carried out to detect the prevalence of gonorrhea among the risk groups.
Methods: MSM and FSW attending sentinel STI clinics for regular checkups or symptoms were screened for study eligibility. Heterosexual men attending STD OP at Gandhi Hospital with urethritis were also included. A behavioral questionnaire was administered, clinical examination performed and laboratory samples were collected. We also determined the proportion of asymptomatic infections among sexual workers. Culture and NAAT was performed on all specimens.
Results: During a period of 1 year, 183 MSM were tested for pharyngeal and rectal gonorrhea and positive percentages were 1.09 % and 11% respectively. Among 125 FSW, 18.4% were positive and among 50 heterosexual males, 40% were positive for urethral gonorrhea. Younger age, number of sexual partners in past month, irregular condom usage and rectal, urethral symptoms were associated significantly with the infection. Sensitivity, specificity, PPV and NPV of culture compared to NAAT were 31%, 99.6%, 95% and 86% respectively.
Conclusion: Prevalence of infection, sexual behavior and the asymptomatic nature among sexual workers are alarming, serving them as reservoirs for gonorrhea. So screening them at anatomical sites based on exposure history should be considered.
Keywords
Men having Sex with Men (MSM), Female Sex Workers (FSW), Heterosexual Men
References
- C.S.Mgone, M.E.Passey, J.Anang et al. Human immunodeficiency virus and other sexually transmitted infections among female sex workers in two major cities in Papua New Guinea. Sexually Transmitted Diseases,vol.29,no.5,pp.265–270,2002.
- L.Morison, H.A.Weiss, A.Buv´e et al. Commercial sex and the spread of HIV in four cities in subsaharan Africa.AIDS,vol.15,supplement 4,pp. S61–S69,2001.
- X.S.Chen,Y.P.Yin, G.J.Liang et al. Sexually transmitted infections among female sex workers in Yunnan, China. AIDS Patient Care and STDs, vol.19,no.12, pp.853–860,2005.
- A.Shakarishvili, L.K.Dubovskaya, L.S.Zohrabyan et al. Sex work, drug use, HIV infection, and spread of sexually transmitted infections in Moscow, Russian federation. The Lancet, vol.366, no.9479, pp.57–60,2005.
- Ghys PD, Diallo MO, Ettiegne-Traore V et al. Effect of interventions to control sexually transmitted disease on the incidence of HIV infection in female sex workers. AIDS 15,1421–1431,2001.
- William Yeka, GeraldineMaibani, Dimitri Prybylski et al. Application of Respondent Driven Sampling to Collect Baseline Data on FSWs and MSM for HIV Risk Reduction Interventions in Two Urban Centres in Papua New Guinea. Journal of Urban Health: Bulletin of the New York Academy of Medicine,Vol.83,No.7 doi:10.1007/s11524-006- 9103-0
- Chris Beyrer. Hidden yet happening; the epidemics of STI and HIV among Men having sex with men in developing countries. Sexually Transmitted infections, vol 84,issue 6.2008;84:410-41.
- M.Laga, A.Manoka, M.Kivuvu et al. Nonulcerative sexually transmitted diseases as risk factors for HIV-1 transmission in women: results from a cohort study.AIDS,vol.7,no.1,pp.95– 102,1993.
- E.E.Freeman, K.K.Orroth, R.G. White et al. Proportion of new HIV infections attributable to herpes simplex 2 increases over time: simulations of the changing role of sexually transmitted infections in sub-saharan African HIV epidemics. Sexually Transmitted Infections,vol.83,supplement 1,pp.i17–i24,2007.
- Phillip AE, Boily MC, Lowndes CM et al. Sexual identity and its contribution to MSM risk behavior in Bagaluri (Bangalore), India: the results of a twostage cluster sampling survey. J LGBT Health Res.2008;4:11–126.
- Hernandez A, Lindan CP, Mathur M, et al. Sexual behavior among men who have sex with women, men and hijras in Mumbai, India-multiple sexual risks. AIDS Behav.2006;10(Suppl 4):S5–S16.
- Verma RK, Collumbien M.Homosexual activity among rural Indian men: Implications for HIV interventions. AIDS Educ Prev.2004;18:1834–7.
- Dandona L, Dandona R, Gutierrez JP et al. ASCI EPP Study. Sex behavior of men who have sex with men and risk of HIV in Andhra Pradesh,India.AIDS.2005;19:611–9.
- Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2006.MMWR Recomm Rep 2006;55(RR- 11):1–94.
- Centers for Disease Control and Prevention. HIV prevention through early detection and treatment of sexually transmitted diseases. MMWR Recomm Rep 1998; 47(RR-12):1–24.
- Sheldon R.Morris, Jeffrey D.Klausner, Susan P.Buchbinder et al. Prevalence and Incidence of Pharyngeal Gonorrhea in a Longitudinal Sample of Men Who Have Sex with Men. Clin Inf Diseases 2006;43:1284–9.
- R.Steen and G.Dallabetta, Sexually transmitted infection control with sex workers: regular screening and presumptive treatment augment efforts to reduce risk and vulnerability. Reproductive Health Matters,vol.11,no.22,pp.74– 90,2003.
- P D Benn, G Rooney, C Carder et al. Chlamydia trachomatis and Neisseria gonorrhoeae infection and the sexual behaviour of men who have sex with men. Sex Transm Infect 2007;83:106–112
- F Jin, G P Prestage, L Mao et al. Incidence and risk factors for urethral and anal gonorrhea and chlamydia in a cohort of HIV-negative homosexual men: the Health in Men Study. Sex Transm Infect 2007;83:113–11916.
- Nandi J, Kamat H, Bhavalkar V, Banerjee K.Detection of Human Immunodeficiency Virus antibody among homosexual men from Bombay. Sex Transm Dis.1994;21:235–6.
- Taru Garg, Ram Chander, Arpita Jain and Meenu Barara .Sexually transmitted diseases among men who have sex with men: A retrospective analysis from Suraksha clinic in a tertiary care hospital.Indian J Sex Transm Dis.2012 Jan-Jun; 33(1): 16–19.
- Lenka Vodstrcil, Christopher K Fairley, Glenda Fehler et al. Trends in chlamydia and gonorrhea positivity among heterosexual men and men who have sex with men attending a large urban sexual health service in Australia,2002-2009.
- Gurung A, Prabhakar P, Narayanan P et al. Vienna, Austria: 2010.Prevalence of asymptomatic gonorrhea and chlamydia among men having sex with men (MSM) in India and associated risk factors. Paper presented at: 18th International AIDS conference.
- Beena Thomas, Matthew J.Mimiaga, Senthil Kumar et al. HIV in Indian MSM: Reasons for a concentrated epidemic & strategies for prevention. Indian J Med Res 134,December 2011,pp 920-929
- Mimiaga MJ, Helms DJ, Reisner SL et al.Gonococcal, Chlamydia and syphilis infection positivity among MSM attending a large primary care clinic. Sex Transm Dis.2009;36:507–11.
- Joesoef MR, Gultom M, Irana ID et al. High rates of sexually transmitted diseases among male transvestites in Jakarta, Indonesia. Int J STD AIDS.2003;14:609–13.
- Truong HM, Kellogg T, Klausner JD et al. Increases in sexually transmitted infections and sexual risk behavior without a concurrent increase in HIV incidence among men who have sex with men in San Francisco: A suggestion of HIV serosorting. Sex Transm Infect.2006;82:461–6.
- A.Das, P.Prabhakar, P.Narayanan et al. Prevalence and Assessment of ClinicalManagement of Sexually Transmitted Infections among Female SexWorkers in Two Cities of India. Infectious Diseases in Obstetrics and Gynecology Volume 2011,Article ID 494769,8 p
- V.K.Desai, J.K.Kosambiya, H.G.Thakor et al. Prevalence of sexually transmitted infections and performance of STI syndromes against aetiological diagnosis,in female sex workers of red light area in Surat, India. Sexually Transmitted Infections,vol.79,no.2,pp.111–115,2003.
- M.Shahmanesh, F.Cowan, S.Wayal et al. The burden and determinants of HIV and sexually transmitted infections in a population-based sample of female sex workers in Goa, India. Sexually Transmitted Infections,vol.85,no.1,pp.50– 59,2009.
- Robert a.gunn, Catherine j.O’brien, Marjorie et al. Gonorrhea screening among men who have sex with men. Sexually transmitted diseases 2008;35:845–848
- W.Rojanapithayakorn,.The 100 per cent condom use programme: a success story. Journal of Health Management,vol.5,no.2,pp.225–235,2003.
- M.Laga, M.Alary, N.Nzila et al. Condom promotion, sexually transmitted diseases treatment and declining incidence of HIV-1 infection in female zairlan sex workers. The Lancet,vol.344,no.8917,pp.246–248,
- C Shilpee, VG Ramachandran, S Das and SN Bhattacharya. Antimicrobial susceptibility profile of Neisseria gonorrhoeae at STI clinic. Indian J Med Microbiology 2008;26:62-64
- Gupta CM, Sanghi S,Sayal SK et al. Clinical and bacteriological study of urethral discharge. Indian J Dermatol Venereol Leprol 2001;67:185-7
- GS Bhatambare and RP Karyakarte. Penicillin resistant Gonorrheae at Aurangabad. Indian J Med Microbiology 2001;19(3):155-156
- Becker M, Stephen J, Moses S et al. Etiology and determinants of sexually transmitted infections in Karnataka state, south India. Sexually transmitted diseases 2010;37(3):159-64
- Page-Shafer K, Graves A, Kent CK, Balls J, Zapitz V, Klausner J.Increased sensitivity of DNA amplification testing for detection of pharyngeal gonorrhea in men who have sex with men. Clin Infect Dis 2002; 34:173–6.
- Julius schachter, Jeanne moncada, Sally liska, Clara shayevich. Nucleic Acid Amplification Tests in the Diagnosis of Chlamydial and Gonococcal Infections of the Oropharynx and Rectum in Men Who Have Sex With Men. Sexually Transmitted Diseases ,July 2008,Vol.35,No.7,p.637– 642.