Asymptomatic gonorrhoea and chlamydial infection in rural Tanzanian men.
OBJECTIVE
To measure the prevalence of urethritis due to Neisseria gonorrhoeae and Chlamydial infection trachomatis in rural Tanzanian men


METHODS
About 500 men aged 15-54 years were selected from each of 12 rural communities by random cluster sampling; interviewed concerning past or present symptoms of sexually transmitted diseases; and asked to provide a first catch urine specimen, which was tested for pyuria with a leucocyte esterase dipstick test. Subjects with symptoms or with a positive result on testing were examined, and urethral swabs were taken for detection of N gonorrhoeae by gram stain and of C trachomatis by antigen detection immunoassay.


METHODS
Mwanza region, north western Tanzania.


METHODS
5876 men aged 15-54 years.


METHODS
Prevalence of urethral symptoms, observed urethral discharge, pyuria, urethritis ( > 4 pus cells per high power field on urethral smear), N gonorrhoeae infection (intracellular gram negative diplococci), and C trachomatis infection (IDEIA antigen detection assay).


RESULTS
1618 (28%) subjects reported ever having a urethral discharge. Current discharge was reported by 149 (2.5%) and observed on examination in 207 (3.5%). Gonorrhoea was found in 128 subjects (2.2%) and chlamydial infection in 39 (0.7%). Only 24 of 158 infected subjects complained of urethral discharge at the time of interview (15%).


CONCLUSIONS
Infection with N gonorrhoeae and C trachomatis is commonly asymptomatic among men in this rural African population. This has important implications for the design of control programmes for sexually transmitted disease.
Grosskurth
H
H
National Institute for Medical Research, Mwanza, Tanzania.
Mayaud
P
P
Mosha
F
F
Todd
J
J
Senkoro
K
K
Newell
J
J
Gabone
R
R
Changalucha
J
J
West
B
B
Hayes
R
R
D000293:Adolescent; D000328:Adult; D002690:Chlamydia Infections / Q000453:epidemiology* / Q000382:microbiology; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D006069:Gonorrhea / Q000453:epidemiology* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D015995:Prevalence; D012423:Rural Health; D013636:Tanzania / Q000453:epidemiology; D014522:Urethral Diseases / Q000453:epidemiology / Q000382:microbiology; D014526:Urethritis / Q000453:epidemiology / Q000382:microbiology