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  3. O12.5 Factors associated with antimicrobial resistant gonorrhoea infections in men who have sex with men: case-control study
 

O12.5 Factors associated with antimicrobial resistant gonorrhoea infections in men who have sex with men: case-control study

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BORIS DOI
10.7892/boris.116928
Date of Publication
2017
Publication Type
Conference Paper
Division/Institute

Institut für Sozial- ...

Universitätsklinik fü...

Institut für Infektio...

Institut für Infektio...

Author
Low, Nicolaorcid-logo
Institut für Sozial- und Präventivmedizin (ISPM)
B, Bertisch
Hauser, Christoph Victororcid-logo
Universitätsklinik für Infektiologie
M, Kluschke
Kasraian Fard, Sara
Institut für Infektionskrankheiten
Egli, Dianne
Institut für Sozial- und Präventivmedizin (ISPM)
Smid, Joost Hubert
Institut für Sozial- und Präventivmedizin (ISPM)
M, Unemo
Endimiani, Andreaorcid-logo
Institut für Infektionskrankheiten, Forschung
Donà, Valentina
Institut für Infektionskrankheiten
Furrer, Hansjakoborcid-logo
Universitätsklinik für Infektiologie
Subject(s)

600 - Technology::610...

500 - Science::570 - ...

300 - Social sciences...

Series
Sexually transmitted infections
ISSN or ISBN (if monograph)
1368-4973
Publisher
BMJ Publishing Group
Language
English
Publisher DOI
10.1136/sextrans-2017-053264.70
Description
Introduction Strategies to identify antimicrobial resistance (AMR) and improve antibiotic stewardship to control the spread of AMR in Neisseria gonorrhoeae (NG) are urgently needed. As part of a project to develop a point-of-care (POC) test for AMR in NG, we investigated factors that could help identify infections due to antibiotic resistant NG.
Methods We enrolled men who have sex with men (MSM) at sexual health centres in Zurich and Bern, Switzerland, from May 2015 to June 2016. All had samples taken for NG detection from urethra, rectum and pharynx. In culture positive specimens we obtained minimum inhibitory concentrations (MICs) using Etest for ciprofloxacin, ceftriaxone, cefixime and spectinomycin (EUCAST AMR breakpoints) and azithromycin (EuroGASP, >2 mg/L). We collected clinical data and patients completed an online questionnaire. We compared cases (positive NG culture and AMR) with controls (NG and no AMR) with odds ratios (OR) and 95% confidence intervals (CI). We used multivariable logistic regression in MSM with
complete data for all included variables.
Results Of 230 MSM enrolled, 117 had a positive NG culture. There were 46 (39%) cases with resistant NG (ciprofloxacin, n=45, azithromycin, n=1) and 71 controls. Clinical findings did not differ between cases and controls. Cases were more likely than controls to have had sex outside Switzerland in the previous 3 months (OR 2.2, 95% CI 1.0–4.7, p=0.05), to have received oral sex (OR 5.6, 95% CI 0.7–46.8, p=0.08) and
to have concurrent partnerships (OR 2.2, 95% CI 0.8–6.5, p=0.11). In multivariable analysis (39 cases, 54 controls), the association with sex abroad remained (OR 2.0, 95% CI 0.9–4.8, p=0.10), controlling for
Related URL
http://sti.bmj.com/content/93/Suppl_2/A28.2.info
Handle
https://boris-portal.unibe.ch/handle/20.500.12422/162264
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File(s)
FileFile TypeFormatSizeLicensePublisher/Copright statementContent
Low SexTransmInfect 2017_abstract.pdftextAdobe PDF978.43 KBpublisherpublished restricted
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