title: Trichomonas vaginalis infection: How significant is it in men presenting with recurrent or persistent symptoms of urethritis?
abstract: Persistent or recurrent non-gonococcal urethritis has been reported to affect up to 10-20% of men attending sexual health clinics. An audit was undertaken to review the management of persistent or recurrent non-gonococcal urethritis in men presenting at Whittall Street Clinic, Birmingham, UK. Detection of Trichomonas vaginalis infection was with the newly-introduced nucleic acid amplification test. A total of 43 (8%) of 533 men treated for urethritis re-attended within three months with persistent or recurrent symptoms. Chlamydia trachomatis infection was identified in 13/40 (33%), T. vaginalis in 1/27 (4%) and Mycoplasma genitalium in 6/12 (50%). These findings suggest that the prevalence of T. vaginalis infection remains low in our clinic population and may not contribute significantly to persistent or recurrent non-gonococcal urethritis.
authors: University Hospitals Birmingham NHS Foundation Trust, Whittall Street Clinic, Birmingham, UK andrea.ng@uhb.nhs.uk.
authors: Andrea
authors: A
authors: Ng
authors: University Hospitals Birmingham NHS Foundation Trust, Whittall Street Clinic, Birmingham, UK.
authors: Jonathan D C
authors: JD
authors: Ross
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D002690:Chlamydia Infections / Q000453:epidemiology; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D006801:Humans; D008297:Male; D009175:Mycoplasma Infections / Q000453:epidemiology; D045704:Mycoplasma genitalium / Q000235:genetics / Q000302:isolation & purification; D009344:Neisseria gonorrhoeae; D021141:Nucleic Acid Amplification Techniques; D015995:Prevalence; D012008:Recurrence; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000382:microbiology; D014245:Trichomonas Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000469:parasitology; D014246:Trichomonas vaginalis / Q000235:genetics / Q000302:isolation & purification*; D014526:Urethritis / Q000453:epidemiology* / Q000469:parasitology
keywords: Sexually transmitted infections; Trichomonas vaginalis; audit; men; non-gonococcal urethritis; persistent; recurrent