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Trends in the Prevalence of Pathogens Causing Urethritis in Asturias, Spain, 1989–2000

VARELA, JOSÉ A. MD*; OTERO, LUIS MD, PhD; GARCÍA, MARÍA JOSÉ MD; PALACIO, VIRGILIO MD§; CARREÑO, FRANCISCO; CUESTA, MAR§; SÁNCHEZ, CARMEN*; VÁZQUEZ, FERNANDO MD, PhD‡∥

Sexually Transmitted Diseases: April 2003 - Volume 30 - Issue 4 - p 280-283
Articles

Background There are few studies of recent trends in the etiology and epidemiologic characteristics of specific microorganisms causing urethritis in men.

Goal The objective of the current study was to show the clinical experience in our country and to evaluate the trends in the prevalence of the pathogens in male urethritis, as well as the epidemiologic patterns in a series of 2101 patients.

Study Design This was a descriptive study of the etiological agents causing urethritis in our sexually transmitted disease clinics in a period of 12 years (1989–2000), with a comparison of two periods of time.

Results There were 97 cases of gonococcal urethritis (4.6%), 2004 of nongonococcal urethritis (95.4%), and 82 of mixed urethritis (3.9%). An association was found between gonococcal urethritis and heterosexual men; between chlamydial urethritis and homosexual/bisexual men;Ureaplasma urealyticum urethritis and heterosexual men and patients younger than 30 years of age; and between trichomonal urethritis and patients more than 30 years of age and the presence of HIV antibodies.

Conclusion During the period of research there was a significant decrease in cases of Neisseria gonorrhoeae and Chlamydia trachomatis urethritis and an increase in those of U urealyticum urethritis. In conclusion, this report describes changes in the etiology and epidemiologic patterns of urethritis in our country in recent years.

A 12-year comparative study of urethritis in two STD clinics in Asturias, Spain, showed significant changes in etiology and epidemiologic patterns in recent years.

*Servicio de Dermatología y ETS, Ambulatorio de Pumarín, Gijón; Servicio de Microbiología, Hospital de Cabueñes, Gijón; Servicio de Microbiología and §Servicio de Dermatología y ETS, Hospital Monte Naranco, Oviedo; and Departamento de Biología Funcional, Area de Microbiología, Facultad de Medicina, Oviedo, Spain

The authors thank Mr. Nicholas Airey, BSc, for English-language corrections.

Dr. Virgilio Palacio is deceased.

Reprint requests: Fernando Vázquez, Departamento de Biología Funcional, Area de Microbiología, Facultad de Medicina s/n, 33006 Oviedo, Spain. E-mail: fvazquez@correo.uniovi.es or fvazquez@hmn.es

Received July 9, 2002,

revised September 9, 2002, and accepted September 26, 2002.

© Copyright 2003 American Sexually Transmitted Diseases Association