Bacterial Vaginosis–Associated Bacteria in Men: Association of Leptotrichia/Sneathia spp. With Nongonococcal Urethritis
BACKGROUNDApproximately 45% of nongonococcal urethritis cases have no identified etiology. Novel bacteria recently associated with bacterial vaginosis (BV) in women may be involved. We evaluated the association of idiopathic nongonococcal urethritis and 5 newly described BV-associated bacteria (BVAB...
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| Veröffentlicht in: | Sexually transmitted diseases 2013-12, Vol.40 (12), p.944-949 |
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| creator | Manhart, Lisa E. Khosropour, Christine M. Liu, Congzhu Gillespie, Catherine W. Depner, Kevin Fiedler, Tina Marrazzo, Jeanne M. Fredricks, David N. |
| description | BACKGROUNDApproximately 45% of nongonococcal urethritis cases have no identified etiology. Novel bacteria recently associated with bacterial vaginosis (BV) in women may be involved. We evaluated the association of idiopathic nongonococcal urethritis and 5 newly described BV-associated bacteria (BVAB).
METHODSHeterosexual men 16 years or older attending a sexually transmitted disease clinic in Seattle, Washington, from May 2007 to July 2011 and negative for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, and Ureaplasma urealyticum–biovar2 were eligible. Cases had urethral discharge or 5 or more polymorphonuclear leukocytes per high-power field in urethral exudates. Controls had no urethral discharge and less than 5 polymorphonuclear leukocytes per high-power field. Urine was tested for Atopobium spp., BVAB-2, BVAB-3, Megasphaera spp., and Leptotrichia/Sneathia spp. using quantitative taxon-directed polymerase chain reaction.
RESULTSCases (n = 157) and controls (n = 102) were of similar age, education, and income, and most were white. Leptotrichia/Sneathia spp. was significantly associated with urethritis (24/157 [15.3%] vs. 6/102 [5.9%], P = 0.03). BVAB-2 was more common in cases than in controls (7/157 [4.5%] vs. 1/102 [1.0%], P = 0.15), and BVAB-3 (n = 2) and Megasphaera spp. (n = 1) were only detected in men with urethritis, but these bacteria were found only in men who also had Leptotrichia/Sneathia spp. Atopobium spp. was not associated with urethritis. The quantity of bacteria did not differ between cases and controls. Among treated cases, doxycycline was more effective than azithromycin for clinical cure of men with Leptotrichia/Sneathia spp. (9/10 vs. 7/12, P = 0.16) and BVAB-2 (3/3 vs. 0/3, P = 0.10).
CONCLUSIONSLeptotrichia/Sneathia spp. may be urethral pathogens or contribute to a pathogenic microbiota that can also include BVAB-2, BVAB-3, and Megasphaera spp. Doxycycline may be more effective than azithromycin against these newly identified bacteria. |
| doi_str_mv | 10.1097/OLQ.0000000000000054 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4188452</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>48511702</jstor_id><sourcerecordid>48511702</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4110-dbbe9263fa7b68d454f54a5c9ebe9be1e5532a0a7a7f645009477938c1f173903</originalsourceid><addsrcrecordid>eNqNkc1OGzEUhS3UCkLoGwDKks2k9_pn7NlUgqillVKhStCt5ZnxJIbJmNoTou76DrwhT1KngbTpCkuWde1zPvneQ8gxwhihkO-vpt_GsLME3yMDFExmXFB8QwaAXGVCojwghzHewroG3CcHlFMKTOQDAhem6m1wph19NzPX-eji06_H8xh95Uxv69GLYOS60VfbHZG3jWmjffd8DsnNp4_Xk8_Z9Oryy-R8mlUcEbK6LG1Bc9YYWeaq5oI3ghtRFTbdlxatEIwaMNLIJucCoOBSFkxV2KBkBbAh-bDh3i_Lha0r2_XBtPo-uIUJP7U3Tu--dG6uZ_5Bc1Qq9Z8AZ8-A4H8sbez1wsXKtq3prF9GjbzI81wofI1UKAFUKpakfCOtgo8x2Gb7IwS9zkWnXPT_uSTb6b_dbE0vQfzlrnybxh3v2uXKBj23pu3nf3iSM5FRQIY0VVnauJ7SycZ2G3sftliuBKIEyn4DGLShNQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1458502783</pqid></control><display><type>article</type><title>Bacterial Vaginosis–Associated Bacteria in Men: Association of Leptotrichia/Sneathia spp. With Nongonococcal Urethritis</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>JSTOR Archive Collection A-Z Listing</source><creator>Manhart, Lisa E. ; Khosropour, Christine M. ; Liu, Congzhu ; Gillespie, Catherine W. ; Depner, Kevin ; Fiedler, Tina ; Marrazzo, Jeanne M. ; Fredricks, David N.</creator><creatorcontrib>Manhart, Lisa E. ; Khosropour, Christine M. ; Liu, Congzhu ; Gillespie, Catherine W. ; Depner, Kevin ; Fiedler, Tina ; Marrazzo, Jeanne M. ; Fredricks, David N.</creatorcontrib><description>BACKGROUNDApproximately 45% of nongonococcal urethritis cases have no identified etiology. Novel bacteria recently associated with bacterial vaginosis (BV) in women may be involved. We evaluated the association of idiopathic nongonococcal urethritis and 5 newly described BV-associated bacteria (BVAB).
METHODSHeterosexual men 16 years or older attending a sexually transmitted disease clinic in Seattle, Washington, from May 2007 to July 2011 and negative for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, and Ureaplasma urealyticum–biovar2 were eligible. Cases had urethral discharge or 5 or more polymorphonuclear leukocytes per high-power field in urethral exudates. Controls had no urethral discharge and less than 5 polymorphonuclear leukocytes per high-power field. Urine was tested for Atopobium spp., BVAB-2, BVAB-3, Megasphaera spp., and Leptotrichia/Sneathia spp. using quantitative taxon-directed polymerase chain reaction.
RESULTSCases (n = 157) and controls (n = 102) were of similar age, education, and income, and most were white. Leptotrichia/Sneathia spp. was significantly associated with urethritis (24/157 [15.3%] vs. 6/102 [5.9%], P = 0.03). BVAB-2 was more common in cases than in controls (7/157 [4.5%] vs. 1/102 [1.0%], P = 0.15), and BVAB-3 (n = 2) and Megasphaera spp. (n = 1) were only detected in men with urethritis, but these bacteria were found only in men who also had Leptotrichia/Sneathia spp. Atopobium spp. was not associated with urethritis. The quantity of bacteria did not differ between cases and controls. Among treated cases, doxycycline was more effective than azithromycin for clinical cure of men with Leptotrichia/Sneathia spp. (9/10 vs. 7/12, P = 0.16) and BVAB-2 (3/3 vs. 0/3, P = 0.10).
CONCLUSIONSLeptotrichia/Sneathia spp. may be urethral pathogens or contribute to a pathogenic microbiota that can also include BVAB-2, BVAB-3, and Megasphaera spp. Doxycycline may be more effective than azithromycin against these newly identified bacteria.</description><identifier>ISSN: 0148-5717</identifier><identifier>EISSN: 1537-4521</identifier><identifier>DOI: 10.1097/OLQ.0000000000000054</identifier><identifier>PMID: 24220356</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, a business of Wolters Kluwer Health</publisher><subject>Adult ; Anti-Bacterial Agents - therapeutic use ; Bacteria ; Chlamydia trachomatis ; Clinics ; Disease Reservoirs - microbiology ; Doxycycline - therapeutic use ; Female ; Fusobacteriaceae Infections - microbiology ; Fusobacteriaceae Infections - transmission ; Gram-Negative Bacterial Infections - microbiology ; Gram-Negative Bacterial Infections - transmission ; Heterosexuality ; Humans ; Leptotrichia - pathogenicity ; Male ; Megasphaera - pathogenicity ; Men ; Original Study ; Sexual Behavior ; Sexual Partners ; Socioeconomic Factors ; Urethritis ; Urethritis - etiology ; Urethritis - microbiology ; Vaginosis, Bacterial - microbiology ; Vaginosis, Bacterial - transmission ; Women</subject><ispartof>Sexually transmitted diseases, 2013-12, Vol.40 (12), p.944-949</ispartof><rights>Copyright © 2013 American Sexually Transmitted Diseases Association</rights><rights>Copyright 2013 American Sexually Transmitted Diseases Association</rights><rights>Copyright © 2013 American Sexually Transmitted Diseases Association 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4110-dbbe9263fa7b68d454f54a5c9ebe9be1e5532a0a7a7f645009477938c1f173903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48511702$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48511702$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,803,885,27924,27925,31000,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24220356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manhart, Lisa E.</creatorcontrib><creatorcontrib>Khosropour, Christine M.</creatorcontrib><creatorcontrib>Liu, Congzhu</creatorcontrib><creatorcontrib>Gillespie, Catherine W.</creatorcontrib><creatorcontrib>Depner, Kevin</creatorcontrib><creatorcontrib>Fiedler, Tina</creatorcontrib><creatorcontrib>Marrazzo, Jeanne M.</creatorcontrib><creatorcontrib>Fredricks, David N.</creatorcontrib><title>Bacterial Vaginosis–Associated Bacteria in Men: Association of Leptotrichia/Sneathia spp. With Nongonococcal Urethritis</title><title>Sexually transmitted diseases</title><addtitle>Sex Transm Dis</addtitle><description>BACKGROUNDApproximately 45% of nongonococcal urethritis cases have no identified etiology. Novel bacteria recently associated with bacterial vaginosis (BV) in women may be involved. We evaluated the association of idiopathic nongonococcal urethritis and 5 newly described BV-associated bacteria (BVAB).
METHODSHeterosexual men 16 years or older attending a sexually transmitted disease clinic in Seattle, Washington, from May 2007 to July 2011 and negative for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, and Ureaplasma urealyticum–biovar2 were eligible. Cases had urethral discharge or 5 or more polymorphonuclear leukocytes per high-power field in urethral exudates. Controls had no urethral discharge and less than 5 polymorphonuclear leukocytes per high-power field. Urine was tested for Atopobium spp., BVAB-2, BVAB-3, Megasphaera spp., and Leptotrichia/Sneathia spp. using quantitative taxon-directed polymerase chain reaction.
RESULTSCases (n = 157) and controls (n = 102) were of similar age, education, and income, and most were white. Leptotrichia/Sneathia spp. was significantly associated with urethritis (24/157 [15.3%] vs. 6/102 [5.9%], P = 0.03). BVAB-2 was more common in cases than in controls (7/157 [4.5%] vs. 1/102 [1.0%], P = 0.15), and BVAB-3 (n = 2) and Megasphaera spp. (n = 1) were only detected in men with urethritis, but these bacteria were found only in men who also had Leptotrichia/Sneathia spp. Atopobium spp. was not associated with urethritis. The quantity of bacteria did not differ between cases and controls. Among treated cases, doxycycline was more effective than azithromycin for clinical cure of men with Leptotrichia/Sneathia spp. (9/10 vs. 7/12, P = 0.16) and BVAB-2 (3/3 vs. 0/3, P = 0.10).
CONCLUSIONSLeptotrichia/Sneathia spp. may be urethral pathogens or contribute to a pathogenic microbiota that can also include BVAB-2, BVAB-3, and Megasphaera spp. Doxycycline may be more effective than azithromycin against these newly identified bacteria.</description><subject>Adult</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Bacteria</subject><subject>Chlamydia trachomatis</subject><subject>Clinics</subject><subject>Disease Reservoirs - microbiology</subject><subject>Doxycycline - therapeutic use</subject><subject>Female</subject><subject>Fusobacteriaceae Infections - microbiology</subject><subject>Fusobacteriaceae Infections - transmission</subject><subject>Gram-Negative Bacterial Infections - microbiology</subject><subject>Gram-Negative Bacterial Infections - transmission</subject><subject>Heterosexuality</subject><subject>Humans</subject><subject>Leptotrichia - pathogenicity</subject><subject>Male</subject><subject>Megasphaera - pathogenicity</subject><subject>Men</subject><subject>Original Study</subject><subject>Sexual Behavior</subject><subject>Sexual Partners</subject><subject>Socioeconomic Factors</subject><subject>Urethritis</subject><subject>Urethritis - etiology</subject><subject>Urethritis - microbiology</subject><subject>Vaginosis, Bacterial - microbiology</subject><subject>Vaginosis, Bacterial - transmission</subject><subject>Women</subject><issn>0148-5717</issn><issn>1537-4521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkc1OGzEUhS3UCkLoGwDKks2k9_pn7NlUgqillVKhStCt5ZnxJIbJmNoTou76DrwhT1KngbTpCkuWde1zPvneQ8gxwhihkO-vpt_GsLME3yMDFExmXFB8QwaAXGVCojwghzHewroG3CcHlFMKTOQDAhem6m1wph19NzPX-eji06_H8xh95Uxv69GLYOS60VfbHZG3jWmjffd8DsnNp4_Xk8_Z9Oryy-R8mlUcEbK6LG1Bc9YYWeaq5oI3ghtRFTbdlxatEIwaMNLIJucCoOBSFkxV2KBkBbAh-bDh3i_Lha0r2_XBtPo-uIUJP7U3Tu--dG6uZ_5Bc1Qq9Z8AZ8-A4H8sbez1wsXKtq3prF9GjbzI81wofI1UKAFUKpakfCOtgo8x2Gb7IwS9zkWnXPT_uSTb6b_dbE0vQfzlrnybxh3v2uXKBj23pu3nf3iSM5FRQIY0VVnauJ7SycZ2G3sftliuBKIEyn4DGLShNQ</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>Manhart, Lisa E.</creator><creator>Khosropour, Christine M.</creator><creator>Liu, Congzhu</creator><creator>Gillespie, Catherine W.</creator><creator>Depner, Kevin</creator><creator>Fiedler, Tina</creator><creator>Marrazzo, Jeanne M.</creator><creator>Fredricks, David N.</creator><general>Lippincott Williams & Wilkins, a business of Wolters Kluwer Health</general><general>Copyright American Sexually Transmitted Diseases Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope><scope>5PM</scope></search><sort><creationdate>20131201</creationdate><title>Bacterial Vaginosis–Associated Bacteria in Men</title><author>Manhart, Lisa E. ; Khosropour, Christine M. ; Liu, Congzhu ; Gillespie, Catherine W. ; Depner, Kevin ; Fiedler, Tina ; Marrazzo, Jeanne M. ; Fredricks, David N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4110-dbbe9263fa7b68d454f54a5c9ebe9be1e5532a0a7a7f645009477938c1f173903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Bacteria</topic><topic>Chlamydia trachomatis</topic><topic>Clinics</topic><topic>Disease Reservoirs - microbiology</topic><topic>Doxycycline - therapeutic use</topic><topic>Female</topic><topic>Fusobacteriaceae Infections - microbiology</topic><topic>Fusobacteriaceae Infections - transmission</topic><topic>Gram-Negative Bacterial Infections - microbiology</topic><topic>Gram-Negative Bacterial Infections - transmission</topic><topic>Heterosexuality</topic><topic>Humans</topic><topic>Leptotrichia - pathogenicity</topic><topic>Male</topic><topic>Megasphaera - pathogenicity</topic><topic>Men</topic><topic>Original Study</topic><topic>Sexual Behavior</topic><topic>Sexual Partners</topic><topic>Socioeconomic Factors</topic><topic>Urethritis</topic><topic>Urethritis - etiology</topic><topic>Urethritis - microbiology</topic><topic>Vaginosis, Bacterial - microbiology</topic><topic>Vaginosis, Bacterial - transmission</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Manhart, Lisa E.</creatorcontrib><creatorcontrib>Khosropour, Christine M.</creatorcontrib><creatorcontrib>Liu, Congzhu</creatorcontrib><creatorcontrib>Gillespie, Catherine W.</creatorcontrib><creatorcontrib>Depner, Kevin</creatorcontrib><creatorcontrib>Fiedler, Tina</creatorcontrib><creatorcontrib>Marrazzo, Jeanne M.</creatorcontrib><creatorcontrib>Fredricks, David N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sexually transmitted diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manhart, Lisa E.</au><au>Khosropour, Christine M.</au><au>Liu, Congzhu</au><au>Gillespie, Catherine W.</au><au>Depner, Kevin</au><au>Fiedler, Tina</au><au>Marrazzo, Jeanne M.</au><au>Fredricks, David N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bacterial Vaginosis–Associated Bacteria in Men: Association of Leptotrichia/Sneathia spp. With Nongonococcal Urethritis</atitle><jtitle>Sexually transmitted diseases</jtitle><addtitle>Sex Transm Dis</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>40</volume><issue>12</issue><spage>944</spage><epage>949</epage><pages>944-949</pages><issn>0148-5717</issn><eissn>1537-4521</eissn><abstract>BACKGROUNDApproximately 45% of nongonococcal urethritis cases have no identified etiology. Novel bacteria recently associated with bacterial vaginosis (BV) in women may be involved. We evaluated the association of idiopathic nongonococcal urethritis and 5 newly described BV-associated bacteria (BVAB).
METHODSHeterosexual men 16 years or older attending a sexually transmitted disease clinic in Seattle, Washington, from May 2007 to July 2011 and negative for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, and Ureaplasma urealyticum–biovar2 were eligible. Cases had urethral discharge or 5 or more polymorphonuclear leukocytes per high-power field in urethral exudates. Controls had no urethral discharge and less than 5 polymorphonuclear leukocytes per high-power field. Urine was tested for Atopobium spp., BVAB-2, BVAB-3, Megasphaera spp., and Leptotrichia/Sneathia spp. using quantitative taxon-directed polymerase chain reaction.
RESULTSCases (n = 157) and controls (n = 102) were of similar age, education, and income, and most were white. Leptotrichia/Sneathia spp. was significantly associated with urethritis (24/157 [15.3%] vs. 6/102 [5.9%], P = 0.03). BVAB-2 was more common in cases than in controls (7/157 [4.5%] vs. 1/102 [1.0%], P = 0.15), and BVAB-3 (n = 2) and Megasphaera spp. (n = 1) were only detected in men with urethritis, but these bacteria were found only in men who also had Leptotrichia/Sneathia spp. Atopobium spp. was not associated with urethritis. The quantity of bacteria did not differ between cases and controls. Among treated cases, doxycycline was more effective than azithromycin for clinical cure of men with Leptotrichia/Sneathia spp. (9/10 vs. 7/12, P = 0.16) and BVAB-2 (3/3 vs. 0/3, P = 0.10).
CONCLUSIONSLeptotrichia/Sneathia spp. may be urethral pathogens or contribute to a pathogenic microbiota that can also include BVAB-2, BVAB-3, and Megasphaera spp. Doxycycline may be more effective than azithromycin against these newly identified bacteria.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, a business of Wolters Kluwer Health</pub><pmid>24220356</pmid><doi>10.1097/OLQ.0000000000000054</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Anti-Bacterial Agents - therapeutic use Bacteria Chlamydia trachomatis Clinics Disease Reservoirs - microbiology Doxycycline - therapeutic use Female Fusobacteriaceae Infections - microbiology Fusobacteriaceae Infections - transmission Gram-Negative Bacterial Infections - microbiology Gram-Negative Bacterial Infections - transmission Heterosexuality Humans Leptotrichia - pathogenicity Male Megasphaera - pathogenicity Men Original Study Sexual Behavior Sexual Partners Socioeconomic Factors Urethritis Urethritis - etiology Urethritis - microbiology Vaginosis, Bacterial - microbiology Vaginosis, Bacterial - transmission Women |
| title | Bacterial Vaginosis–Associated Bacteria in Men: Association of Leptotrichia/Sneathia spp. With Nongonococcal Urethritis |
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