PDF(Pubmed)
Abstract：
Background: Sexually transmitted infections (STIs) are a significant public health concern worldwide, yet data on their prevalence and epidemiology, particularly in Central and Eastern Europe, remain scarce. This study aimed to assess the prevalence, anatomical localization, symptomatic/asymptomatic course, and co-infection patterns of STIs among men. Methods: This retrospective study analyzed data collected between May 2021 and July 2023, including sociodemographic, sexual behavior, and clinical data from 139 male participants. Molecular polymerase chain reaction (PCR) tests were conducted for Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), Mycoplasma genitalium, and Trichomonas vaginalis. Results: Of the participants, 36% tested positive for at least one STI, with the urethra being the most common site of infection. NG and CT were the most prevalent infections. The majority of infections were asymptomatic, highlighting the importance of comprehensive screening, especially in high-risk populations like men who have sex with men (MSM). Conclusions: This study emphasizes the need for targeted screening strategies, particularly for extragenital STIs, and underscores the role of MSM in STI epidemiology. The findings highlight the importance of routine screening, even for asymptomatic individuals, to effectively control STI spread. Future research should validate and expand upon these findings to enhance STI prevention and management efforts.
摘要：
背景：性传播感染（STIs）是全球范围内重大的公共卫生问题，然而，关于他们的患病率和流行病学的数据，尤其是在中欧和东欧，保持稀缺。这项研究旨在评估患病率，解剖定位,有症状/无症状病程，以及男性性传播感染的共同感染模式。方法：这项回顾性研究分析了2021年5月至2023年7月收集的数据，包括社会人口统计学，性行为,和139名男性参与者的临床数据。对淋病奈瑟菌（NG）进行了分子聚合酶链反应（PCR）测试，沙眼衣原体(CT),生殖支原体，和阴道毛滴虫.结果：在参与者中，36%的人至少有一次性传播感染呈阳性，尿道是最常见的感染部位。NG和CT是最常见的感染。大多数感染是无症状的，强调全面筛查的重要性，特别是在高危人群中，如男男性行为者（MSM）。结论：本研究强调需要有针对性的筛查策略，特别是对于性外性传播感染，强调了MSM在性传播感染流行病学中的作用。研究结果突出了常规筛查的重要性，即使是无症状的个体，有效控制STI传播。未来的研究应验证和扩展这些发现，以加强性传播感染的预防和管理工作。
