Prevalence and predictors of chlamydia co-infection among patients infected with gonorrhoea at a sexual health clinic in Sydney
David J. Templeton A B C E , Niveditha Manokaran A and Catherine C. O’Connor A C DA RPA Sexual Health, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia.
B The Kirby Institute, The University of New South Wales, Sydney, NSW 2010, Australia.
C Central Clinical School, Faculty of Medicine, University of Sydney, Sydney, NSW 2006, Australia.
D South Western Clinical School, The University of New South Wales, Sydney, NSW 2170, Australia.
E Corresponding author. Email: david.templeton@email.cs.nsw.gov.au
Sexual Health 9(4) 392-394 https://doi.org/10.1071/SH11146
Submitted: 19 October 2011 Accepted: 6 November 2011 Published: 30 March 2012
Abstract
Anogenital gonorrhoea (Neisseria gonorrhoeae) is commonly diagnosed at sexual health clinics by on-site microscopy. Whether to add anti-chlamydial therapy in such situations is unclear.
The medical records of all patients diagnosed with gonorrhoea between May 2005 and April 2010 at RPA Sexual Health were reviewed. Of 165 patients with anogenital gonorrhoea, 27 (16.4%, 95% confidence interval (CI) 11.1–22.9%) were co-infected with chlamydia (Chlamydia trachomatis). Compared with those only infected with anogenital gonorrhoea, there was no correlation of anogenital gonorrhoea–chlamydia co-infection with any demographic, behavioural or clinical variables examined. Anti-chlamydial therapy should be considered for all patients with gram stain diagnosed anogenital gonorrhoea at the initial clinic visit.
Additional keywords: C. trachomatis, N. gonorrhoeae, risk factors.
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