The Prevalence of Asymptomatic Pharyngeal Gonorrhea among Men who have Sex with Men Attending STD OP at Government Rajaji Hospital, Madurai

Suganya, C (2019) The Prevalence of Asymptomatic Pharyngeal Gonorrhea among Men who have Sex with Men Attending STD OP at Government Rajaji Hospital, Madurai. Masters thesis, Madurai Medical College, Madurai.

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Abstract

BACKGROUND: Gonorrhea is caused by an obligate human pathogen Neisseria gonorrhoeae. Neisseria gonorrhoeae colonises and infects mucosa of urogenital, anorectal, pharyngeal and ocular regions causing urethritis, cervicitis, proctitis, pharyngitis, and conjunctivitis respectively. Rectum and pharynx serve as reservoirs of asymptomatic gonococcus in Men having sex with men (MSM). Asymptomatic nature of gonococcus among Men having sex with men are alarming, serving them as reservoirs for gonorrhea at other sites and may also lead to drug resistance. AIM OF THE STUDY: To study the Prevalence of asymptomatic pharyngeal gonorrhea among Men who have sex with Men attending STD op at Government Rajaji hospital, Madurai. MATERIALS AND METHODS: In this study 50 asymptomatic Men having sex with Men attending STD op with ororeceptive contact in past 3 months were undergone pharyngeal swab for gonococci. Those pharyngeal samples which were culture positive for gonococci were subjected to Gram Stain, Carbohydrate Utilisation Test and Oxidase Test. RESULTS: Out of 50 cases enrolled in our study, one case(2%) showed culture positive for Gonococci and 98% showed culture negative for Gonococci. The prevalence of pharyngeal gonorrhea among Men having sex with Men with ororeceptive contact in past 3 months noted in our study was 2%. It was similar to the Indian study conducted by Vandana et al where the prevalence of pharyngeal gonorrhea was 1.09%. CONCLUSION: Prevalence of 2% asymptomatic pharyngeal gonorrhea among Men who have sex with Men noted in our study made us to do routine screening for pharyngeal gonorrhea for Men who have sex with Men patients with ororeceptive contact. Although CDC recommends that all MSMs should be screened for pharyngeal gonorrhea annually, routine screening tests are not performed. These observations made in our study, made us realise the importance of screening MSM patients for pharyngeal gonorrhea.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Men having sex with men, Pharyngeal gonorrhea, ororeceptive contact.
Subjects: MEDICAL > Dermatology Venereology and Leprosy
Depositing User: Subramani R
Date Deposited: 19 Aug 2019 00:59
Last Modified: 19 Aug 2019 00:59
URI: http://repository-tnmgrmu.ac.in/id/eprint/10940

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