Abstract：
Enteric pathogens are often associated with exposure to food, water, animals, and feces from infected individuals. However, in sexual networks of men who have sex with men (MSM), transmission of enteric pathogens may occur during direct or indirect oral-anal contact.
We performed a scoping review of the literature for studies prior to July 2019 with key terms for gastrointestinal syndromes (\"proctitis,\" \"enteritis,\" \"proctocolitis\"), enteric pathogens or sexually transmitted infections (STIs), and outbreaks using multiple electronic databases.
We identified 5861 records through database searches, bibliography reviews, and keyword searches, of which 117 references were included in the pathogen-specific reviews.
The strength of observational data describing enteric pathogens in MSM and possible sexual transmission of enteric pathogens varies by pathogen; however, a robust body of literature describes the sexual transmission of Campylobacter, Giardia lamblia, and Shigella (particularly antimicrobial-resistant strains) in sexual networks of MSM. Providers are encouraged to consider enteritis or proctocolitis in MSM as possibly having been sexually transmitted and encourage targeted STI testing. Risk/harm reduction and prevention messages should also be incorporated, though there is an acknowledged paucity of evidence with regards to effective strategies. Further research is needed to understand the transmission and prevention of enteric pathogens in MSM.
We performed a scoping review of the literature for studies prior to July 2019 with key terms for gastrointestinal syndromes (\"proctitis,\" \"enteritis,\" \"proctocolitis\"), enteric pathogens or sexually transmitted infections (STIs), and outbreaks using multiple electronic databases.
We identified 5861 records through database searches, bibliography reviews, and keyword searches, of which 117 references were included in the pathogen-specific reviews.
The strength of observational data describing enteric pathogens in MSM and possible sexual transmission of enteric pathogens varies by pathogen; however, a robust body of literature describes the sexual transmission of Campylobacter, Giardia lamblia, and Shigella (particularly antimicrobial-resistant strains) in sexual networks of MSM. Providers are encouraged to consider enteritis or proctocolitis in MSM as possibly having been sexually transmitted and encourage targeted STI testing. Risk/harm reduction and prevention messages should also be incorporated, though there is an acknowledged paucity of evidence with regards to effective strategies. Further research is needed to understand the transmission and prevention of enteric pathogens in MSM.
摘要：
肠道病原体通常与接触食物有关，水,动物,和感染者的粪便。然而,在男男性行为者（MSM）的性网络中，肠道病原体的传播可能发生在直接或间接的口-肛门接触过程中。
我们对2019年7月之前的研究文献进行了范围审查，其中包括胃肠道综合征的关键术语（“直肠炎，\"\"肠炎,\"\"直肠结肠炎\")，肠道病原体或性传播感染（STIs），并使用多个电子数据库爆发。
我们通过数据库搜索确定了5861条记录，参考书目评论，和关键字搜索，其中117篇参考文献被纳入病原体特异性综述。
描述MSM中肠道病原体和肠道病原体可能的性传播的观察数据的强度因病原体而异；但是，大量的文献描述了弯曲杆菌的性传播，贾第虫Lamblia,和MSM性网络中的志贺氏菌(特别是抗微生物药物耐药菌株)。鼓励提供者考虑MSM中的肠炎或直肠结肠炎可能是性传播的，并鼓励进行针对性的性传播感染测试。还应纳入减少风险/损害和预防信息，尽管关于有效策略的证据很少。需要进一步的研究来了解MSM中肠道病原体的传播和预防。
我们对2019年7月之前的研究文献进行了范围审查，其中包括胃肠道综合征的关键术语（“直肠炎，\"\"肠炎,\"\"直肠结肠炎\")，肠道病原体或性传播感染（STIs），并使用多个电子数据库爆发。
我们通过数据库搜索确定了5861条记录，参考书目评论，和关键字搜索，其中117篇参考文献被纳入病原体特异性综述。
描述MSM中肠道病原体和肠道病原体可能的性传播的观察数据的强度因病原体而异；但是，大量的文献描述了弯曲杆菌的性传播，贾第虫Lamblia,和MSM性网络中的志贺氏菌(特别是抗微生物药物耐药菌株)。鼓励提供者考虑MSM中的肠炎或直肠结肠炎可能是性传播的，并鼓励进行针对性的性传播感染测试。还应纳入减少风险/损害和预防信息，尽管关于有效策略的证据很少。需要进一步的研究来了解MSM中肠道病原体的传播和预防。
