Abstract
The purpose of this study was to investigate the infection rate of asymptomatic men whose female sexual partners were diagnosed as having genital chlamydial infection and discuss the management for them. The subjects were asymptomatic men whose female sexual partners were diagnosed with genital chlamydial infection at other obstetric and gynecological clinics. Microscopic findings of urinary sediment and the results of a nucleic acid amplification test of the first-voided urine specimen were retrospectively examined in those men who visited our clinics. A total of 267 men were included and analyzed. The infection rate for urinary Chlamydia trachomatis in asymptomatic men was 36.3% (97 of 267). In the analysis of urinary sediment, 35 of the 267 (13.1%) had pyuria and 82.9% (29 of 35) in the men with pyuria were positive for urinary C. trachomatis in. Even in men without pyuria, the urinary C. trachomatis-positive rate was 29.3% (68 of 232). When such men have pyuria in the clinic, prompt treatment is the appropriate approach. If the men are without pyuria, testing for urinary C. trachomatis should be performed. Prompt treatment before doing any clinical evaluation can be an option in couples with trouble.
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Takahashi S, Takeyama K, Kunishima Y, Shimizu T, Nishiyama N, Hotta H, Matsukawa M, Minowa M, Tanihata T, Kumamoto Y, Tsukamoto T. Incidence of sexually transmitted diseases in Hokkaido, Japan, 1998 to 2001. J Infect Chemother. 2004;10:163–7.
Centers for Disease Control and Prevention. Chlamydia screening among sexually active young female enrollees of health plans—United States, 1999–2001. MMWR. 2004;53:983–5.
U.S. Preventive Services Task Force. Screening for chlamydial infection: U.S. preventive services task force recommendation statement. Ann Intern Med. 2007;147:128–34.
Takahashi S, Takeyama K, Miyamoto S, Ichihara K, Maeda T, Kunishima Y, Matsukawa M, Tsukamoto T. Incidence of sexually transmitted infections in asymptomatic healthy young Japanese men. J Infect Chemother. 2005;11:270–3.
Takahashi S, Takeyama K, Kunishima Y, Takeda K, Suzuki N, Nishimura M, Furuya R, Tsukamoto T. Analysis of clinical manifestations of male patients with urethritis. J Infect Chemother. 2006;12:283–6.
Imai H, Shinohara H, Nakao H, Tsukino H, Hamasuna R, Katoh T. Prevalence and risk factors of asymptomatic chlamydial infection among students in Japan. Int J STD AIDS. 2004;15:408–14.
Quinn T, Gaydos C, Shepherd M, Bobo L, Hook EW III, Viscidi R, Rompalo A. Epidemiologic and microbiologic correlates of Chlamydia trachomatis infection in sexual partnerships. JAMA. 1996;276:1737–42.
Manavi K, McMillan A, Young H. Genital infection in male partners of women with chlamydial infection. Int J STD AIDS. 2006;17:34–6.
Minami K, Ebina N, Maeda N, Nishimura M, Kumamoto Y. Usefulness of chlamydia test in partners of pregnant women. Jpn J Sex Transm Dis. 2002;13:93–5.
Van de Laar MJW, Termorshuizen F, Van den Hoek A. Partner referral by patients with gonorrhea and chlamydial infection, case-finding observations. Sex Transm Dis. 1997;24:334–42.
Centers for Disease Control and Prevention. Recommendations for partner services programs for HIV infection, syphilis, gonorrhea, and chlamydial infection. MMWR. 2008;57:RR-9, 1–97.
Kojima M, Hirayama K, Okada K, Kanemitsu N, Mitsuya H, Hayase Y. Screening of Chlamydia trachomatis in male partners of chlamydia-positive female. Jpn J Sex Transm Dis. 2003;14:82–4.
Sellors JW, Mahony JB, Pickard L, Jang D, Groves D, Luinstra KE, Chernesky MA. Screening urine with a leukocyte esterase strip and subsequent chlamydial testing of asymptomatic men attending primary care practitioners. Sex Transm Dis. 1993;20:152–7.
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Takahashi, S., Kurimura, Y., Hashimoto, J. et al. Management for males whose female partners are diagnosed with genital chlamydial infection. J Infect Chemother 17, 76–79 (2011). https://doi.org/10.1007/s10156-010-0083-3
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DOI: https://doi.org/10.1007/s10156-010-0083-3