Characterization and Trend of Co-Infection with Neisseria gonorrhoeae and Chlamydia trachomatis from the Korean National Infectious Diseases Surveillance Database
Purpose: We analyzed the database from the Korean National Infectious Diseases Surveillance to reveal clinical characteristics of co-infection with Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT). Materials and Methods: Eligible cases included a single NG infection (male/female) for 6,42...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Sexual Medicine and Andrology
2021-01-01
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| Series: | The World Journal of Men's Health |
| Subjects: |
| Summary: | Purpose: We analyzed the database from the Korean National Infectious Diseases Surveillance to reveal clinical characteristics
of co-infection with Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT).
Materials and Methods: Eligible cases included a single NG infection (male/female) for 6,421 (4,975/1,446), a single CT infection
for 20,436 (6,107/14,329), and co-infection for 498 (233/265) between 2011 and 2015.
Results: Cases of NG and CT have increased for 5 years; the proportion of co-infected male has increased continuously and
was positively correlated with that of CT infections. But the proportion of co-infected female was positively correlated with
that of NG infections, following an expanded wavelike-pattern. Generally, people with co-infection was younger than either
infection alone (p=0.001). But the characteristics of co-infection revealed sex-specific differences. While the co-infected females
were younger than females in NG (p=0.001) or CT group (p=0.001), the co-infected males were younger than males in
CT (p=0.001) only, not males in the NG group (p=0.394). Amongst males, 4.47% with NG had CT infection, while in female
15.49% with NG had CT (p=0.001). In contrast, in male 3.68% with CT infection had NG infection and in female 1.82% of
CT had NG (p=0.001). Young people in both sexes have increased risks of co-infection bi-directionally (all p=0.001), except
males with NG that were also co-infected with CT (p=0.642).
Conclusions: The sex-specific findings in co-infection may improve understanding of gender-specific characteristics in NG
and CT infections. Co-infected people are increasing for 5 years. Therefore, we must consider long-term complication of the
co-infected people. |
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| ISSN: | 2287-4208 2287-4690 |