Gonorrhea in women prostitutes: clinical data and auxotypes, serovars, plasmid contents of PPNG, and susceptibility profiles.
Eighty-nine women prostitutes who underwent clinical and microbiologic examination were found to have gonococcal infection. The median age was 22; 92.1% were from urban areas. Nearly all the women prostitutes refrained from barrier methods (92.1%) and had contact with several partners (91.0%). The most frequent clinical findings were leukorrhea (50.6%), cervicitis (20.2%), and pelvic inflammatory disease (PID) (18.0%). Eighty-one women prostitutes (93.1%) had experienced a previous STD, with Chlamydia trachomatis (34.8%), Trichomonas vaginalis (30.3%), Neisseria gonorrhoeae (29.2%), and Ureaplasma urealyticum (23.6%) as the most frequent microorganisms isolated. Microorganisms associated with N. gonorrhoeae were isolated, mainly T. vaginalis (40.4%), C. trachomatis (31.5%), and Mycoplasma hominis (21.3%). For N. gonorrhoeae, the most frequent auxotypes were prototrophic (67.4%) and Proline (Pro)-dependent (14.6%); 2.2% of the strains were non-auxotypable. Beta-lactamase production was detected in three strains (3.4%) belonging to the auxotype/serovar: Lys/IA, Prototrophic/IB, and Pro/IB. The two former produced the 3.2-MDa "African" plasmid; the latter produced two plasmids (the 4.5-MDa "Asian" and the 24.5-MDa transfer plasmid.
Vázquez
F
F
Laboratorio de Salud Pública, Consejería de Sanidad, Oviedo, Spain.
Palacio
V
V
Vázquez
J A
JA
Berrón
S
S
González
A
A
Llaneza
J J
JJ
D000328:Adult; D000818:Animals; D015373:Bacterial Typing Techniques; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D003268:Contraception Behavior; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology* / Q000382:microbiology; D006801:Humans; D007973:Leukorrhea / Q000453:epidemiology / Q000382:microbiology; D009344:Neisseria gonorrhoeae / Q000145:classification* / Q000302:isolation & purification; D000292:Pelvic Inflammatory Disease / Q000453:epidemiology / Q000382:microbiology; D012703:Serotyping; D011477:Sex Work; D012747:Sexual Partners; D013030:Spain / Q000453:epidemiology; D014246:Trichomonas vaginalis / Q000302:isolation & purification; D014505:Urban Population; D014509:Ureaplasma / Q000302:isolation & purification; D002575:Uterine Cervicitis / Q000453:epidemiology / Q000382:microbiology