Features of Urethritis in a Cohort of Male Soldiers

Of 400 cases of urethritis in male soldiers enrolled in a behavioral intervention project, the etiology of 69% was defined at study enrollment, as well as the etiology of 72% of 25 repeated episodes involving 21 men during the first 78 days of active follow-up (5% of the cohort). Chlamydia trachomat...

Full description

Saved in:
Bibliographic Details
Published in:Clinical infectious diseases 2000-04, Vol.30 (4), p.736-741
Main Authors: McKee, Kelly T., Jenkins, Pamela R., Garner, Robin, Jenkins, Richard A., Nannis, Ellen D., Hoffman, Irving F., Schmitz, John L., Cohen, Myron S.
Format: Article
Language:English
Subjects:
Adult
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Chlamydia trachomatis
Cohort Studies
Epidemiology
Etiology
Forts
Gonorrhea
Human bacterial diseases
Humans
Infections
Infectious diseases
Male
Medical sciences
Military Personnel
Neisseria gonorrhoeae
Pathogens
Recurrence
Risk Factors
Sexual Behavior
Sexually transmitted diseases
Sexually Transmitted Diseases in the Military
Soldiers
Ureaplasma urealyticum
Urethritis
Urethritis - epidemiology
Urethritis - ethnology
Urethritis - etiology
Urethritis - microbiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Of 400 cases of urethritis in male soldiers enrolled in a behavioral intervention project, the etiology of 69% was defined at study enrollment, as well as the etiology of 72% of 25 repeated episodes involving 21 men during the first 78 days of active follow-up (5% of the cohort). Chlamydia trachomatis (36%), Neisseria gonorrhoeae (34%), and Ureaplasma urealyticum (19%) were the most common causes of infection identified at enrollment and during subsequent visits (44%, 28%, and 12%, respectively). By univariate analysis, patients with repeated infection ("repeaters") were significantly more likely to report a history of sexually transmitted disease (STD; relative risk [RR], 3) and sex with sex workers (RR, 4) than were nonrepeaters. By multivariate analysis, only STD history was significant (RR, 2.8). Characteristics of repeaters in this cohort suggest that specific patterns may be used to establish screening "profiles" of potential repeaters, by which such individuals might be targeted for aggressive intervention at the time of the initial diagnosis.
ISSN:1058-4838
1537-6591
DOI:10.1086/313745