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1

International, Journal of Medical Science and Innovative Research (IJMSIR). "A Prospective Study of Management of 100 Cases of Acute Epididymo-Orchitis At A Tertiary Center." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 2 (2024): 125–29. https://doi.org/10.5281/zenodo.15372113.

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<strong>Abstract</strong> <strong>Purpose:</strong> Not many Indian data exists on the incidence and prevalence of epididymo-orchitis.Our aim was to study the outcome of different stages of acute epididymoorchitis, the distribution among different age groups and occupation and the different modalities of management for different etiologies and different stages. Methods- This prospective study was conducted on 100 patients of Epididymitis /Epdididymo-orchitis. <strong>Results: </strong>In our study, the majority of the subjects belonged to the age group of 46 to 60 years (31.0%). The next commo
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Klouman, Elise, Elisante J. Masenga, Noel E. Sam, and Knut-Inge Klepp. "Chlamydial infection in males and conseqences for their female sexual partners, an example from rural Kilimanjaro, Tanzania." International Journal of STD & AIDS 13, no. 4 (2002): 234–37. http://dx.doi.org/10.1258/0956462021925027.

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The aim of this paper is to examine the reproductive health status for the wives of chlamydia-infected, but largely asymptomatic men. In a cross-sectional study in rural Tanzania 447 men and 393 women, aged 15–44 years, were screened for chlamydial infection. The prevalence was 9.6% and 6.9%, respectively. Among 43 chlamydia-positive men, 17 were married. Data from both spouses, independently examined, could be matched for 12 couples. None of the 12 husbands had discharge, one had dysuria and 3 had pyuria. Three wives tested positive for chlamydial infection, two others had pelvic inflammatory
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Clad. "Chlamydia and other sexually transmitted bacterial diseases." Therapeutische Umschau 59, no. 9 (2002): 459–63. http://dx.doi.org/10.1024/0040-5930.59.9.459.

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Genitale Chlamydieninfektionen stellen weltweit die häufigste bakterielle sexuell übertragene Infektion dar. Während die Prävalenz der Gonorrhoe in Westeuropa seit den 70er Jahren um über 95% zurückgegangen und der «Tripper» – wie die Syphilis – heute auf Hochrisikogruppen beschränkt ist, sind genitale Infektionen mit Chlamydia trachomatis weiterhin in allen Bevölkerungsgruppen verbreitet, wobei diese Infektion aber in vielen westeuropäischen Ländern unter der Bevölkerung fast unbekannt ist. Die klinische Symptomatik ist bei genitaler Chlamydieninfektion ähnlich wie bei der Gonorrhoe (Dysurie,
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Horner, P. J., P. E. May, B. J. Thomas, A. M. Benton, and D. Taylor-Robinson. "The Role of Chlamydia Trachomatis in Urethritis and Urethral Symptoms in Women." International Journal of STD & AIDS 6, no. 1 (1995): 31–34. http://dx.doi.org/10.1177/095646249500600107.

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One hundred and fifty women who attended a genitourinary medicine clinic and who required a speculum examination were investigated to determine the association between Chlamydia trachomatis and urethral symptoms and signs. Those who had taken antibiotics with anti-chlamydial activity within 3 months or those who were menstruating, pregnant or using an intrauterine contraceptive device were excluded. C. trachomatis infection of the urethra, or infection of the urethra and cervix together, combined with each separately, were strongly associated with &gt; = 5 polymorphonuclear (PMN) leucocytes pe
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Wilbanks, Morgan, James Galbraith, and William Geisler. "Dysuria in the Emergency Department: Missed Diagnosis of Chlamydia trachomatis." Western Journal of Emergency Medicine 15, no. 2 (2014): 227–30. http://dx.doi.org/10.5811/westjem.2013.12.18989.

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Haberbergerr, Richard L., Souad Mokhtar, Hala Badawy, and Remon Abu-Elyazeed. "Chlamydia trachomatis associated with chronic dysuria among patients with Schistosoma haematobium." Transactions of the Royal Society of Tropical Medicine and Hygiene 87, no. 6 (1993): 671–73. http://dx.doi.org/10.1016/0035-9203(93)90284-w.

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Miedinger. "Dysurie und Sekretion aus der Harnröhre nach Auslandaufenthalt." Praxis 95, no. 15 (2006): 587–88. http://dx.doi.org/10.1024/0369-8394.95.15.587.

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Wir berichten über einen jungen bisher gesunden Patienten, der sich anlässlich einer Check-up-Untersuchung nach einem Auslandaufenthalt in Bangladesch in der Sprechstunde vorstellte. Nach genauerem Nachfragen berichtet der Patient über ein Brennen beim Urinieren, welches etwa eine Woche nach einem ungeschützten Geschlechtsverkehr mit einer Prostituierten erstmals aufgetreten sei. Differentialdiagnostische Überlegungen der Leitsymptome Dysurie und Urethralfluor werden diskutiert. Weitere Abklärungsschritte werden besprochen. Die Urin-PCR-Untersuchungen waren für Neisseria gonorrhoe sowie Chlamy
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Dwari, Binayak Chandra, Mamata Bhatt, Minati Mishra, Nalinikanta Tripathy, and P. K. Sathpathy. "Male urethritis with or without discharge: a clinico aetiological study in Hi-tech Medical College and Hospital Bhubaneswar, Odisha." International Journal of Research in Dermatology 4, no. 4 (2018): 484. http://dx.doi.org/10.18203/issn.2455-4529.intjresdermatol20183377.

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&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Urethritis or inflammation of the urethra is a multifactorial condition. Urethritis is called gonococcal urethritis (GU) when Neisseria gonorrhoeae is detected in urethral smear of the patient and nongonococcal urethritis (NGU) when this organism cannot be visualized.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; Urethritis cases were identified from the dermatology OPD record. A retrospective analysis of data of patients diagnosed as GU and NGU for a period of 5 years (from August 2012-July 2017) was
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Ciocârlan, Maria Alexandra, and Gheorghe Peltecu. "RELATIONSHIP BETWEEN CHLAMYDIA INFECTION AND FEMALE INFERTILITY." Romanian Archives of Microbiology and Immunology 82, no. 2 (2023): 115–23. http://dx.doi.org/10.54044/rami.2023.02.05.

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Female infertility is a significant current health problem that affects women worldwide, causing a high burden on the public health system. Many factors may lead to infertility and Chlamydia trachomatis infection has been stated as one of them. C. trachomatis is the most common sexually transmitted infection, with 1 in 20 sexually active young women aged 14-24 suffering from it. Clinical symptoms may include vaginal discharge, spontaneous bleeding, dysuria, dyspareunia, or pelvic pain, but in most cases, this bacterial infection is asymptomatic. Undiagnosed or repeated infections in women may
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Wilbanks, M., J. Galbraith, and W. M. Geisler. "339 Dysuria in the Emergency Department: A Missed Diagnostic Opportunity for Chlamydia Trachomatis?" Annals of Emergency Medicine 60, no. 4 (2012): S120—S121. http://dx.doi.org/10.1016/j.annemergmed.2012.06.317.

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Wiggins, Rebecca C., Christopher H. Holmes, Monique Andersson, Fowzia Ibrahim, Nicola Low, and Patrick J. Horner. "Quantifying leukocytes in first catch urine provides new insights into our understanding of symptomatic and asymptomatic urethritis." International Journal of STD & AIDS 17, no. 5 (2006): 289–95. http://dx.doi.org/10.1258/095646206776790268.

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We quantitatively investigated inflammatory cells in the male urethra. Leukocytes in the first catch urine (FCU) from 87 men with and without urethritis were quantitated using haemocytometer counts and stained with an anti-CD45 pan-leukocyte antibody. An increased number of leukocytes in FCU specimens was associated with urethritis ( P &gt; 0.002), the presence of discharge and/or dysuria ( P &lt; 0.001), and detection of Chlamydia trachomatis ( P &lt; 0.001) and Neisseria gonorrhoeae ( P &lt; 0.001). In men with urethritis, higher leukocyte counts were also observed in the above groups ( P =
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Islam, Mohammad Kamrul. "Evaluation of Epididymo-Orchtis-A Study of 100 Cases." Annals of International Medical and Dental Research 8, no. 1 (2022): 235–42. http://dx.doi.org/10.53339/aimdr.2022.8.1.32.

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Background: Acute epididymo-orchitis is a common clinical problem in urological practice. It is not an uncommon disease in our country to cause work loss particularly in active group of people. Aim of the study: The aim of this study was to see the predisposing factors involved, aetiopathology and progression of disease process.Methods:This prospective study was conducted in department of surgery, Kumudini Women’s Medical College Hospital, Tangail from April 2008 to March 2009. Hundred patients of inflammation of epididymis and testis were included in this study.Results:Out of 100 patients, ma
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Pallivalappil, Bhargavan, Anuja Jacob, Sadab Raza Khan, Sherin Khader, and Babitha Mekkayil. "A rare case of reactive arthritis with intermittent hematuria in a young male." International Journal of Advances in Medicine 10, no. 10 (2023): 731–33. http://dx.doi.org/10.18203/2349-3933.ijam20232921.

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Reactive arthritis (ReA) is an inflammatory arthritis that manifests days to weeks after a gastrointestinal or genitourinary infection. It is also described as a classic triad of arthritis, urethritis, and conjunctivitis. Here we discuss the clinical presentation of ReA in a 20-year-old male who presented with typical triad of symptoms. But there was presence of hematuria which couldn't be explained by this single diagnosis. So further investigations where necessary to find the cause of his haematuria. A 20-year-old male student with history of childhood onset renal stone disease presented wit
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Golušin, Zoran, Olivera Levakov, and Biljana Jeremić. "Urethritis and antimicrobial resistance." Serbian Journal of Dermatology and Venerology 5, no. 1 (2013): 5–12. http://dx.doi.org/10.2478/sjdv-2013-0001.

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Abstract Urethritis is a clinical syndrome which is characterized by mucopurulent or purulent urethral discharge with or without dysuria, due to an increased number of polymorphonuclear leukocytes in the anterior urethra. Antimicrobial therapy and preventive measures are essential in the management of bacterial urethritis. However, these drugs may cause antimicrobial resistance, resulting in unsuccessful treatment and complications of urethritis. Resistance of Neisseria gonorrhoeae to antibiotics is well known for decades, and in recent years there are more cases of resistance of Chlamydia tra
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Korenromp, Eline L., Mondastri K. Sudaryo, Sake J. de Vlas, et al. "What proportion of episodes of gonorrhoea and chlamydia becomes symptomatic?" International Journal of STD & AIDS 13, no. 2 (2002): 91–101. http://dx.doi.org/10.1258/0956462021924712.

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The effectiveness of syndromic treatment as an STD control strategy depends on the proportion of episodes which become symptomatic; few studies have measured this directly. We estimated these proportions for gonorrhoea (NG) and chlamydia (CT), synthesizing data on the point prevalence of self-reported discharge and dysuria among infected cases in rural Uganda, the durations of symptoms, incubation period and asymptomatic episodes, and the effect of treatment on symptom duration. Estimated proportions of episodes that become symptomatic were 45% for males with NG, 11% for males with CT, 14% for
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Masatu, Emmanuel S., Alphaxard Kajura, Fridolin Mujuni, et al. "High prevalence of sexually transmitted infections among asymptomatic women opting for the intrauterine contraceptive device use in Mwanza, Tanzania: An urgent call for control interventions." SAGE Open Medicine 10 (January 2022): 205031212210975. http://dx.doi.org/10.1177/20503121221097536.

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Objective: Placement of intrauterine contraceptive device (IUCD) in asymptomatic woman infected with sexually transmitted infection (STIs) can lead to pelvic inflammatory diseases (PID) and infertility if not well treated. The current study investigated the magnitude of sexually transmitted infections among women opting for IUCD use in the city of Mwanza, Tanzania. Methods: A cross-sectional study involving 150 asymptomatic women was conducted from August to December 2017. Detection of Chlamydia trachomatis antigen from endocervical swabs was done using immunochromatographic rapid tests while
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Nepal, Anand, Kapil Subedi, Jitendra Shah, and Manoj Koirala. "Clinical and Bacteriological Profile of Male Patients with Urethral Discharge at Western Regional Hospital, Nepal." Medical Journal of Pokhara Academy of Health Sciences 2, no. 2 (2019): 178–82. http://dx.doi.org/10.3126/mjpahs.v2i2.28088.

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Background: Urethral discharge is a symptom of urethritis. Common organisms causing urethral discharge are Neisseria gonorrhea and Chlamydia trachomatis. Cephalosporines, Macrolides and Tetracycline groups of drugs are commonly used for the treatment.&#x0D; Materials and Methods: This was a prospective, cross sectional, observational study. The patients were enrolled from the Sexually Transmitted Infections clinic and also from the hospital laboratory in between the period of one year. All the male cases with urethral discharge at STI clinic in between this period were included for clinical ex
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Harcar, Crystle. "Mycoplasma Genitalium." Advanced Emergency Nursing Journal 45, no. 3 (2023): 222–29. http://dx.doi.org/10.1097/tme.0000000000000472.

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Mycoplasma genitalium (MG) is a bacterium that can be spread through sexual contact with another person who is infected. If misdiagnosed and left untreated, this newer, emerging sexually transmitted infection (STI) can cause complications such as urethritis and pelvic inflammatory disease (PID) in both men and women. In males, MG can be asymptomatic and undetectable. In females, MG may present with nonspecific symptoms, such as dysuria, vaginal discharge, and/or pelvic pain. In addition to chlamydia and gonorrhea, MG may result in PID. Due to the complications of MG, health care providers in t
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Guimarães, Hanna, Rita Castro, Luís Távora Tavira, and Filomena da L. Exposto. "Assessing therapeutic management of vaginal and urethral symptoms in an anonymous HIV testing centre in Luanda, Angola." Journal of Infection in Developing Countries 7, no. 10 (2013): 720–25. http://dx.doi.org/10.3855/jidc.2752.

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Introduction: This study aimed to estimate the prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infections and to assess the therapeutic management of vaginal/urethral discharge and dysuria in patients with human immunodeficiency virus in Luanda, Angola, taking into account World Health Organization recommendations for sexually transmitted infection syndromic management. Methodology: Socio-demographic and medical data were obtained from 436 individuals, and clinical examinations were performed in 104 women and 8 men. Vaginal/cervical and urethral specimens were collected from 112
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Hart, Gavin. "Factors Associated with Trichomoniasis, Candidiasis and Bacterial Vaginosis." International Journal of STD & AIDS 4, no. 1 (1993): 21–25. http://dx.doi.org/10.1177/095646249300400105.

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Of 6125 women attending an STD clinic from 1988 to 1991, 5365 (88%) were tested for vaginitis of whom 97 (1.8%) had trichomoniasis, 945 (17.6%) had candidiasis, 734 (13.7%) had bacterial vaginosis and 3628 (67.6%) were free of vaginal infection. Dual infections occurred in 49 (0.9%) patients. Independent predictors for trichomoniasis by multivariate analysis were being pregnant (odds ratio (OR)=2.4), having vaginal discharge or dysuria (OR=4.7), being Aboriginal (OR=4.3), being Asian (OR=5.0), being unemployed (OR=2.1) or tattoed (OR=1.9). Many factors, including use of oral contraception (OR=
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Maruf, Gadoev, and Bakhromuddin Saidzoda. "CLINICAL AND IMMUNOLOGICAL CHANGES OF NON-GONOCOCCAL URETHRITIS." Avicenna Bulletin 22, no. 1 (2020): 40–44. http://dx.doi.org/10.25005/2074-0581-2020-22-1-40-44.

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Objective: To study the clinical features and the state of general immunological reactivity in non-gonococcal urethritis (NGU) in men. Methods: Examined 100 men between the ages of 20 and 48 years: 75 patients of NGU (main group) and 25 healthy (control group). The average age of the patients was 26.7±1.7 years, and the male of control group was 27.9±1.7 years. Clinical, microscopic, immunological research methods were used, including direct immunofluorescence (DIF), polymerase chain reaction (PCR). Results: Ureaplasma urealyticum was found in 37 (49.3%) patients, 33 (44%) had Chlamydia tracho
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Calinescu, Gina, Roxana Elena Bohiltea, Andra Magdalena Balan, et al. "Modern investigation of cervico-vaginal infections (from microbiome disorders to pelvic inflammatory disease)." Romanian Medical Journal 68, S6 (2021): 99–103. http://dx.doi.org/10.37897/rmj.2021.s6.15.

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Vaginitis is the general term for disorders of the vagina caused by infection, inflammation, or changes in the normal vaginal flora, while cervicitis refers to inflammation of the uterine cervix. Symptoms of vaginitis include vaginal discharge, pruritus, odor, and/or discomfort. Women with cervicitis may have presenting symptoms such as purulent or mucopurulent (yellow) vaginal discharge, intermenstrual or postcoital bleeding, dysuria, vulvovaginal irritation and dyspareunia. The initial evaluation typically consists of a medical history, physical examination, microscopy examination of vaginal
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Emans, S. Jean. "Vulvovaginitis in the Child and Adolescent." Pediatrics In Review 8, no. 1 (1986): 12–19. http://dx.doi.org/10.1542/pir.8.1.12.

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Vulvovaginitis is one of the commonest gynecologic complaints seen in pediatric practice. The young child is particularly susceptible to nonspecific infections secondary to poor hygiene but can also have specific infections from respiratory or enteric pathogens or sexually acquired organisms. The adolescent with vaginal discharge usually has a specific vaginal or endocervical infection, often sexually transmitted. In addition, symptoms of dysuria or urinary frequency suggestive of a urinary tract infection in the adolescent may frequently result from vaginitis or Chlamydia trachomatis genital
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Seacombe, Sarah, Nicola Lomax, and Darren Cousins. "P160 To see or not to see." Sexually Transmitted Infections 93, Suppl 1 (2017): A69.2—A69. http://dx.doi.org/10.1136/sextrans-2017-053232.204.

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IntroductionDetermining which patients need to be seen on the day they attend. Sexual Health Services are challenging given the increasing demand for services and limited capacity. A new questionnaire based triage system was implemented in a busy, urban, Level 3 Sexual Health Service. We have reviewed the outcomes of implementing this triage process to assess how many triaged patients were seen the same day and the symptoms they reported, how many received future appointments and of those, how many returned. We also assessed the safety of a questionnaire based process for triage.MethodsPatient
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DE, Bitet. "Neisseria Gonorrheae: A Cause of Male Infertility." Open Access Journal of Microbiology & Biotechnology 6, no. 1 (2021): 1–7. http://dx.doi.org/10.23880/oajmb-16000183.

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Background: Gonorrhoea is a sexually transmitted infection that is commonly related to male infertility. The infection affects sperm transport through the urinary tract and subsequent damage of the testicular tubes. The infection also impair sperm production as the infection is rarely asymptomatic and can be difficult to diagnose, it is possible that its contribution to male infertility is underestimated. Infection of the genitals results in a purulent (pus-like) discharge from the genitals which may be foul smelling, inflammation, redness, swelling, dysuria, and a burning sensation during uri
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Bruce, Eunice, Ludwina Bauai, Andrew Masta, et al. "A cross-sectional study of reported symptoms for sexually transmissible infections among female sex workers in Papua New Guinea." Sexual Health 7, no. 1 (2010): 71. http://dx.doi.org/10.1071/sh09093.

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Background: Sexually transmissible infections (STIs) are common in female sex workers (FSWs), most of which are asymptomatic and therefore under-reported. Our aim was to determine the sensitivity and specificity of reported symptoms obtained via questionnaire augmented with leukocyte esterase (LE) urine dipstick test for the detection of Chlamydia trachomatis (Ct), Neisseria gonorrhea (Ng) and Trichomonas vaginalis (Tv) detected using polymerase chain reaction (PCR). Methods: In November 2003, a cohort of FSWs was screened for STIs and completed a questionnaire. Results: We enrolled 129 FSWs (
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Ranjan, Raushan Kumar, and Akash Chandra. "Apalutamide: a better option for the treatment of non-metastatic castration resistant prostatic carcinoma." International Journal of Basic & Clinical Pharmacology 7, no. 9 (2018): 1853. http://dx.doi.org/10.18203/2319-2003.ijbcp20183502.

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Prostate cancer is cancer of the prostate, a gland in the male reproductive system. Most prostate cancers are slow growing; however, some grow relatively quickly. The cancer cells may spread from the prostate to other area of the body, particularly the bones and lymph nodes. Factors that increase the risk of prostate cancer include older age, a family history of the disease, and race. About 99% of cases occur in males over the age of 50. Clinical features include hematuria, dysuria (painful urination),nocturia(urination at night). Lower blood levels of vitami D may increase the risk of develop
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Vives, Alvaro, Marco Cosentino, Lluis Bassas, Carles Alonso, and Felix Millan. "Epidemiological, clinical and laboratory differences between male urethral infections due to Haemophilus spp. and those due to Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium and Ureaplasma urealyticum: A descriptive study." Archivio Italiano di Urologia e Andrologia 93, no. 4 (2021): 468–74. http://dx.doi.org/10.4081/aiua.2021.4.468.

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Objective: To describe the epidemiological, clinical and laboratory characteristics of male patients diagnosed with Haemophilus spp. urethral infection and to compare them with the characteristics of male patients diagnosed with N. gonorrhoeae, C. trachomatis, M. genitalium and U. urealyticum urethral infection. Over the past 2 years, an increase in urethral infections due to Haemophilus spp. was observed. Materials and methods: All male patients who attended our Department of Sexually Transmitted Infections between January 2018 and February 2019 were retrospectively studied; they underwent co
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Thomas, Pierre P. M., Jay Yadav, Rajiv Kant, et al. "Sexually Transmitted Infections and Behavioral Determinants of Sexual and Reproductive Health in the Allahabad District (India) Based on Data from the ChlamIndia Study." Microorganisms 7, no. 11 (2019): 557. http://dx.doi.org/10.3390/microorganisms7110557.

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Background: Sexually transmitted infections (STIs), like Chlamydia trachomatis and Neisseria gonorrhoeae (CT and NG, respectively) are linked to an important sexual and reproductive health (SRH) burden worldwide. Behavior is an important predictor for SRH, as it dictates the risk for STIs. Assessing the behavior of a population helps to assess its risk profile. Methods: Study participants were recruited at a gynecology outpatient department (OPD) in the Allahabad district in Uttar Pradesh India, and a questionnaire was used to assess demographics, SRH, and obstetric history. Patients provided
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SHAIKH, SHAHIDA, SALEEM AKHTER SHAIKH, and INAYAT MAGSI. "VAGINAL DISCHARGE." Professional Medical Journal 18, no. 04 (2011): 598–603. http://dx.doi.org/10.29309/tpmj/2011.18.04.2644.

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Objective: To observe the results of syndromic management in women living in IDPs camps complaining of chronic vaginal discharge. Design: Descriptive study. Setting: Medical Camps at Larkana set by Chandka Medical College Hospital for Internally Displaced Persons (IDPs) due to floods. Period: 1st September 2010 to 31st December 2010. Material and Methods: Total 200 symptomatic patients aged from 20 to 50 years suffering from chronic vaginal discharge having history of more than 6 months duration were included in the study. Asymptomatic as well as pregnant women and patients with abnormal cervi
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Mensforth, Sarah, Oluseyi Cyril Ayinde, and Jonathan Ross. "Spontaneous clearance of genital and extragenital Neisseria gonorrhoeae: data from GToG." Sexually Transmitted Infections 96, no. 8 (2020): 556–61. http://dx.doi.org/10.1136/sextrans-2020-054500.

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ObjectivesNeisseria gonorrhoeae (NG) infection can resolve without antibiotic treatment, however the literature describing the frequency of clearance at individual sites, how rapidly it occurs and potential predictive factors is limited. In this analysis of a subpopulation identified from a large multicentre UK cohort, we describe the overall rate of spontaneous clearance of infection and explore factors associated with this.MethodsData from the Gentamicin compared with Ceftriaxone for the Treatment of Gonorrhoea randomised controlled trial consisting of 720 patients with NG were analysed. A s
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Horner, P. J., B. Thomas, C. B. Gilroy, M. Egger, and D. Taylor-Robinson. "Do all men attending departments of genitourinary medicine need to be screened for non-gonococcal urethritis?" International Journal of STD & AIDS 13, no. 10 (2002): 667–73. http://dx.doi.org/10.1258/095646202760326408.

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We investigated the influence of symptoms and signs on the detection of Chlamydia trachomatis, Mycoplasma genitalium and Ureaplasma urealyticum organisms (ureaplasmas) in men with non-gonococcal urethritis (NGU). Two hundred and forty-two men attending the Jefferiss Wing at St Mary's Hospital for a sexual health assessment were evaluated, of whom 169 had NGU. Urethral inflammation was diagnosed if there were either ≥5 polymorphonuclear leucocytes (PMNLs) per high-power field (HPF) in five or more microscope fields of a Gram-stained urethral smear, or ≥10 PMNLs per HPF in five or more fields of
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Chandeying, Verapol, Steven Skov, Sepehr N. Tabrizi, Marisa Kemapunmanus, and Suzanne Garland. "Can a two-glass urine test or leucocyte esterase test of first-void urine improve syndromic management of male urethritis in southern Thailand?" International Journal of STD & AIDS 11, no. 4 (2000): 235–40. http://dx.doi.org/10.1258/0956462001915769.

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The goal of this study was to determine whether a urine two-glass test or a leucocyte esterase (LE) test of first-void urine (FVU) improve the sensitivity or specificity of the World Health Organization (WHO) algorithm for the syndromic management of men with urethritis in southern Thailand. A secondary aim was to determine whether infection with Trichomonas vaginalis was sufficiently common to include treatment for it in a syndromic management protocol. One hundred and twenty-nine men with symptoms of urethritis seen at 2 STD clinics in Songkla Province, Thailand were enrolled. Symptoms and s
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Giantoro, Marvin, and I. Gusti Ayu Elis Indira. "Profil gonore dan non-gonore di Poliklinik Kulit dan Kelamin RSUP Prof. dr. I G. N. G. Ngoerah periode januari 2018 - desember 2020." Intisari Sains Medis 14, no. 3 (2023): 993–96. http://dx.doi.org/10.15562/ism.v14i3.1700.

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Introduction: The most common sexually transmitted disease is urethritis. Urethritis, or inflammation of the urethra, is a multifactorial disease, which is sexually acquired in the majority of cases. Symptoms of urethritis include discharge, dysuria and/or urethral discomfort but may be asymptomatic. Urethritis is classified under N. gonorrhoeae urethritis (GO urethritis) and nongonococcal urethritis (non-GO urethritis). Non-gonococcal urethritis in about 20-50% of cases is caused by infection with Chlamydia trachomatis and 10-30% of Mycoplasma genitalium. Other causes are Ureaplasma urealytic
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Wall, Kristin M., Julien Nyombayire, Rachel Parker, et al. "Etiologies of genital inflammation and ulceration in symptomatic Rwandan men and women responding to radio promotions of free screening and treatment services." PLOS ONE 16, no. 4 (2021): e0250044. http://dx.doi.org/10.1371/journal.pone.0250044.

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Introduction The longstanding inadequacies of syndromic management for genital ulceration and inflammation are well-described. The Rwanda National Guidelines for sexually transmitted infection (STI) syndromic management are not yet informed by the local prevalence and correlates of STI etiologies, a component World Health Organization guidelines stress as critical to optimize locally relevant algorithms. Methods Radio announcements and pharmacists recruited symptomatic patients to seek free STI services in Kigali. Clients who sought services were asked to refer sexual partners and symptomatic
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Lao, S. M., and J. Patel. "AB0648 REACTIVE ARTHRITIS IN SYPHILIS MIMICKING RHEUMATOID ARTHRITIS: A CASE REPORT." Annals of the Rheumatic Diseases 80, Suppl 1 (2021): 1357.1–1357. http://dx.doi.org/10.1136/annrheumdis-2021-eular.1687.

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Background:Reactive arthritis is a form of spondyloarthritis with aseptic joint involvement occurring after a gastrointestinal or urogenital infection. Most commonly associated with Chlamydia trachomatis, Salmonella, Shigella, Campylobacter, and Yersinia. Syphilis is an infection caused by the spirochete Treponema pallidum and is not usually associated with reactive arthritis. Syphilis is a great imitator of other diseases due to its broad presentation including painless chancre, constitutional symptoms, adenopathy, rash, synovitis, neurological and ocular findings.Objectives:To discuss a pati
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Smith, Alyssa, Nadin Abbas, and Marina Yacob. "C1 (Clinical Case) Case Presentation: Acute Genital Ulceration in a 15-Year-Old Girl." Paediatrics & Child Health 28, Supplement_1 (2023): e48-e49. http://dx.doi.org/10.1093/pch/pxad055.102.

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Abstract Introduction/Background Genital ulceration may occur in various conditions, and requires a systematic approach to its diagnosis. This should include consideration of both infectious and non-infectious etiologies. The most common causes of genital ulceration are herpes simplex virus (HSV) types 1 and 2 and syphilis (Treponema pallidum). Genital HSV may be asymptomatic or painful, and may present with inguinal lymphadenopathy, and fever. Primary syphilis may escape recognition as it presents with a single, painless, well-demarcated “chancre” that heals spontaneously in 3-6 weeks. Non-in
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Olson, Elizabeth, Kanupriya Gupta, Barbara Van Der Pol, James W. Galbraith, and William M. Geisler. "Mycoplasma genitalium infection in women reporting dysuria: A pilot study and review of the literature." International Journal of STD & AIDS, July 6, 2021, 095646242110300. http://dx.doi.org/10.1177/09564624211030040.

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Mycoplasma genitalium (MG) infection, a sexually transmitted infection (STI), causes cervicitis and may cause reproductive sequelae and adverse pregnancy outcomes. Some MG-infected women report dysuria, a symptom frequently attributed to urinary tract infection (UTI). Given potential MG-associated morbidity and the likelihood that UTI treatment would be ineffective in eradicating MG, an improved understanding of MG infection frequency and clinical significance in young women reporting dysuria is needed. We conducted MG testing on stored urogenital specimens collected in a pilot study on freque
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Ayinde, Oluseyi, and Jonathan D. C. Ross. "Time to resolution of genital symptoms for uncomplicated gonorrhoea: a prospective cohort study." Sexually Transmitted Infections, August 22, 2020, sextrans—2020–054626. http://dx.doi.org/10.1136/sextrans-2020-054626.

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ObjectivesTo determine the time to resolution of symptoms (TTR) following treatment of uncomplicated gonorrhoea and to identify factors associated with TTR in a cohort of sexual health clinic attendees.MethodsParticipants were recruited from 14 clinics across England into the ‘Gentamicin for the Treatment of Gonorrhoea (GToG)’ trial between October 2014 and November 2016. We analysed demographic, behavioural and clinical data in a subset of the GToG study cohort presenting with genital discharge and/or dysuria, who subsequently experienced microbiological clearance of Neisseria gonorrhoeae 2 w
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Al-Muharrmi, Zakariya, Richard Lau, Ahad Al-Balushi, et al. "Genitourinary Symptoms Associated with Chlamydia trachomatis and Neisseria gonorrhoeae Infections in a Tertiary Care Hospital in Oman." Sultan Qaboos University Medical Journal [SQUMJ], August 18, 2021. http://dx.doi.org/10.18295/squmj.8.2021.115.

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Objectives: To determine the pattern of clinical presentations associated with Chlamydia trachomatis and Neisseria gonorrhoeae infections. Methods: A retrospective cohort study between 2015 - 2020 of 408 women and 89 men who were tested for these infections by nucleic acid amplification attending Sultan Qaboos University Hospital, Muscat, Oman. Results: Eleven infections were identified in women (11/408, 2.7%) and fourteen in men (14/89, 15.7%). Chlamydia accounted for almost all infections in women (10/11, 91%), commonly presenting with lower abdominal pain or abnormal vaginal bleeding. In me
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Abolghasemi, Sara, Mohammad Alizadeh, Ali Hashemi, and Shabnam Tehrani. "Etiology and clinical features of epididymo-orchitis: A single-center study in Tehran, Iran." Infectious Disorders - Drug Targets 20 (February 18, 2020). http://dx.doi.org/10.2174/1871526520666200218115400.

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Introduction: Epididymo-orchitis is a common urological disease among men. Little is known about the clinical and epidemiological aspects of the disease in Iran. Thus, the present study was aimed to investigate the etiology, clinical sequelae and risk factors of patients with epididymo-orchitis in Tehran, Iran. Materials and Methods: Patients presenting with epididymo-orchitis were prospectively analyzed in order to study the etiology and pattern of the disease. Bacteriological, molecular and serological tests were undertaken to look for Chlamydia trachomatis, Neisseria gonorrhoeae, Brucella s
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Malone, Catherine Sophia, Angela Osuna, Erin Winkler, Ga O. Jung, Heather Yun, and Joseph Marcus. "P-1377. Rates of Screening of Sexually Transmitted Infections in Male Military Trainees who Present with Dysuria." Open Forum Infectious Diseases 12, Supplement_1 (2025). https://doi.org/10.1093/ofid/ofae631.1553.

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Abstract Background A high burden of sexually transmitted infections (STIs) exists among trainees entering United States Air Force Basic Military Training (BMT). While women entering training are universally screened for STIs, men, who account for the majority of trainees, are rarely tested. The rates of testing among symptomatic men who present with dysuria during BMT are unknown. Furthermore, rates of follow-up testing among male service members who present with dysuria during BMT are unknown. Demographics of 82 men diagnosed with dysuria or urinary tract infection during BMT, 2019-2023 Meth
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Yeoh, Chin Aun, Lee Chin Chan, Chin Chin Ch'ng, and Wooi Chiang Tan. "Prevalence and risk factors of genitourinary Chlamydia trachomatis infection among patients attending sexually transmitted disease clinics in northern Malaysia." December 23, 2019. https://doi.org/10.5281/zenodo.7312188.

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Introduction: Chlamydia trachomatis is one of the most common sexually transmitted diseases (STDs) globally. However, data on its prevalence and risk factors in Malaysia is still scarce. Objective: We aimed to identify the prevalence and risk factors of genitourinary C.trachomatis infection among patients attending STD clinics in northern Peninsular Malaysia. Methods: A hospital-based cross-sectional study was conducted in STD clinics of Hospital Pulau Pinang and Hospital Sultanah Bahiyah, Kedah from January to November 2014. Participants were individually interviewed using a structured data c
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Sambonu, Alson, Nurdjannah J. Niode, and Herry E. J. Pandeleke. "Profil uretritis gonokokus dan non-gonokokus di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari – Desember 2012." e-CliniC 4, no. 1 (2016). http://dx.doi.org/10.35790/ecl.4.1.2016.11879.

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Abstract: Gonococcal urethritis (GU) is a sexually transmitted infection (STI) which is caused by Neisseria Gonorrhoeae bacteria. In GU, there is an urethral inflammation caused by negative Gram diplococcus ( its natural reservoir is human) and the symptoms are purulent discharge from external urethral orificium, burning sensation during urination, distal urethra itching, dysuria, vaginal or penile discharge, and erection pain. Non-Gonococcal Urethritis (NGU) is an urethral inflammation that is not caused by Gonococcal infection, but due to Chlamydia trachomatis and Ureaplasma urealyticum. The
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Palenewen, Jonna, Ferra O. Mawu, and Nurdjanah J. Niode. "Profil uretritis gonokokus dan uretritis non gonokokus di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari – Desember 2013." e-CliniC 4, no. 2 (2016). http://dx.doi.org/10.35790/ecl.4.2.2016.13648.

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Abstract: Gonococcal urethritis (GU) is an inflammation of the urethra caused by Gram negative bacteria Neisseria gonorrhoeae associated with complaints of itching and burning sensation, pain during urination, mucopurulent urethral discharge from the tip of the urethra which sometimes bleeds, and pollakiuria. Non-gonococcal urethritis (NGU) is an inflammation of the urethra caused by Gram-negative bacterium Chlamydia trachomatis which is transmitted through sexual contact. Symptoms include mild dysuria, an uneasy feeling in the urethra, pollakiuria, and seropurulent urethral discharge. This st
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Powers, Rachel E., Erin Winkler, Theresa Casey, Ga O. Jung, Angela Osuna, and Joseph Marcus. "P-1399. Impact of Positive Chlamydia and Gonorrhea Testing Among Male Military Trainees." Open Forum Infectious Diseases 12, Supplement_1 (2025). https://doi.org/10.1093/ofid/ofae631.1574.

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Abstract Background All females trainees entering the U.S. Air Force basic military training (BMT) are tested for chlamydia (CT) and gonorrhea (GC) and account for the vast majority of cases in this population. Recent studies have demonstrated that, when universally tested, BMT males had similar overall rates of CT and GC as compared to females, as most cases are asymptomatic. This study evaluates the incidence of CT and GC in male BMT trainees and follow-up. Methods Over 30,000 BMT recruits train at Joint Base San Antonio-Lackland each year. This study included all male trainees who tested po
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Antonini, Marcela, Mario Vianna Vettore, Anita Øgård-Repål, et al. "Patterns of Chlamydia trachomatis and Neisseria gonorrhoeae in different anatomical sites among Pre-Exposure Prophylaxis (PrEP) users in Brazil." BMC Infectious Diseases 24, no. 1 (2024). http://dx.doi.org/10.1186/s12879-024-09144-z.

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Abstract Background The presence of untreated sexually transmitted infections (STIs) significantly increases the chance of acquiring HIV. In Brazil, testing for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) among Pre-Exposure Prophylaxis (PrEP) users is insufficient, and syndromic treatment is a priority in clinical practice. Multi-site testing for CT/NG improves thescreening of asymptomatic cases and ensures timely treatment. Therefore, it is essential for HIV prevention. This study aims to test the importance of two-site testing for better screening of these pathogens and to dete
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Al Ubaidi, Basem Abbas Ahmed, and Mohammed Al Sheikh. "Clinical Review of Urethral and Vaginal Discharge Syndrome: A Comprehensive Case Series from Primary Care Centers in Bahrain." Austin Journal of Clinical Case Reports 10, no. 8 (2023). http://dx.doi.org/10.26420/austinjclincaserep.2023.1305.

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Background: This case series presents a comprehensive clinical review of twelve cases exhibiting symptoms of urethral and vaginal discharge syndrome in men and women attending primary care centers in Bahrain. The cases encompassed a diverse range of clinical manifestations, including dysuria, frequency, pyuria, urethral pruritus, malodorous urine, vulval itching, purulent vaginal discharge, abnormal vaginal bleeding, dyspareunia, lower abdominal pain, anorectal pain, and anal skin lesions. The individuals included in the case series engaged in various types of sexual activities, ranging from h
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Coleman-Belin, Janet C., and Tamar Reisman. "SAT407 Hematospermia In Transgender Woman Revealing Occult Endometriosis." Journal of the Endocrine Society 7, Supplement_1 (2023). http://dx.doi.org/10.1210/jendso/bvad114.2078.

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Abstract Disclosure: J.C. Coleman-Belin: None. T. Reisman: None. Background: While hematospermia (visible blood in ejaculate) is most frequently benign, etiology includes idiopathic, infection, prostate disease, iatrogenic, obstruction, systemic disorders, and (rarely) malignancy. The incidence and prevalence of hematospermia in transgender women is unknown. Clinical Course: A 35-year-old transgender woman treated with estradiol valerate and leuprolide presents with persistent hematospermia and two years of intermittent hematuria. She does not report dysuria, urgency, frequency, or gastrointes
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Rameshkumar, Naveen Sundar. "MON-LB123 Diagnosis and Management of Euglycemic DKA in the Setting of SGLT2 Inhibitor Use and Prostate Abscess." Journal of the Endocrine Society 4, Supplement_1 (2020). http://dx.doi.org/10.1210/jendso/bvaa046.2250.

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Abstract Introduction: SGLT2i has been associated with euglycemic DKA by increasing lipid oxidation and glucagon synthesis. In the event of an underlying infection, increased ketogenesis could lead to the presentation of DKA. Clinical case: A 35 year old male patient who was recently diagnosed with type 2 Diabetes mellitus after he presented to his primary care physician with increased urinary frequency, frothy urine. He was found to have a hemoglobin A1c of 12.5% and blood glucose 408 mg/dl. Urinalysis was negative for nitrites and leukocyte esterase. Patient endorsed to have one sexual partn
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