Incidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study

Abstract Gonococcal urethritis (GU) is the second most common sexually transmitted infection (STI). Epidemiologic studies of the situation of GU reinfection and its related risk factors among patients with a history of GU in Thailand remain somewhat limited. A hospital-based retrospective cohort stu...

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Autores principales:	Monai Meesaeng, Boonsub Sakboonyarat, Supitchaya Thaiwat
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7345aa4b995e4470abf261443165be30
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spelling	oai:doaj.org-article:7345aa4b995e4470abf261443165be302021-11-28T12:19:06ZIncidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study10.1038/s41598-021-02398-62045-2322https://doaj.org/article/7345aa4b995e4470abf261443165be302021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02398-6https://doaj.org/toc/2045-2322Abstract Gonococcal urethritis (GU) is the second most common sexually transmitted infection (STI). Epidemiologic studies of the situation of GU reinfection and its related risk factors among patients with a history of GU in Thailand remain somewhat limited. A hospital-based retrospective cohort study was conducted between January 1, 2010 and December 31, 2020 to determine the incidence and risk factors of GU reinfection among male patients visiting in Royal Thai Army (RTA) Hospitals. A total of 2,465 male patients presenting a history of GU was included in this study. In all, 147 (6.0%; 95% CI 5.1–6.9) male patients presented GU reinfection, representing an incidence rate of 1.3 (95% CI 1.1–1.5) per 100 person-years. The independent risk factors for GU reinfection were age < 30 years (AHR 1.7; 95% CI 1.0–2.8), number of sexual partners equal to 2 (AHR 3.4; 95% CI 1.0–11.2), $$\ge$$ ≥ 3 (AHR 5.6; 95% CI 2.7–11.6), and participants residing in the north (AHR 4.1; 95% CI 2.3–7.5) and northeast regions (AHR 2.1; 95% CI 1.1–3.9). Incidence of GU reinfection among male patients visiting RTA Hospitals was significantly high among younger aged patients, especially in the north and northeast regions. Multiple sex partners played a major role in GU reinfection. Effective STI prevention programs should be provided to alleviate reinfection and its complications.Monai MeesaengBoonsub SakboonyaratSupitchaya ThaiwatNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Monai Meesaeng Boonsub Sakboonyarat Supitchaya Thaiwat Incidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study
description	Abstract Gonococcal urethritis (GU) is the second most common sexually transmitted infection (STI). Epidemiologic studies of the situation of GU reinfection and its related risk factors among patients with a history of GU in Thailand remain somewhat limited. A hospital-based retrospective cohort study was conducted between January 1, 2010 and December 31, 2020 to determine the incidence and risk factors of GU reinfection among male patients visiting in Royal Thai Army (RTA) Hospitals. A total of 2,465 male patients presenting a history of GU was included in this study. In all, 147 (6.0%; 95% CI 5.1–6.9) male patients presented GU reinfection, representing an incidence rate of 1.3 (95% CI 1.1–1.5) per 100 person-years. The independent risk factors for GU reinfection were age < 30 years (AHR 1.7; 95% CI 1.0–2.8), number of sexual partners equal to 2 (AHR 3.4; 95% CI 1.0–11.2), $$\ge$$ ≥ 3 (AHR 5.6; 95% CI 2.7–11.6), and participants residing in the north (AHR 4.1; 95% CI 2.3–7.5) and northeast regions (AHR 2.1; 95% CI 1.1–3.9). Incidence of GU reinfection among male patients visiting RTA Hospitals was significantly high among younger aged patients, especially in the north and northeast regions. Multiple sex partners played a major role in GU reinfection. Effective STI prevention programs should be provided to alleviate reinfection and its complications.
format	article
author	Monai Meesaeng Boonsub Sakboonyarat Supitchaya Thaiwat
author_facet	Monai Meesaeng Boonsub Sakboonyarat Supitchaya Thaiwat
author_sort	Monai Meesaeng
title	Incidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study
title_short	Incidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study
title_full	Incidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study
title_fullStr	Incidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study
title_full_unstemmed	Incidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study
title_sort	incidence and risk factors of gonococcal urethritis reinfection among thai male patients in a multicenter, retrospective cohort study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/7345aa4b995e4470abf261443165be30
work_keys_str_mv	AT monaimeesaeng incidenceandriskfactorsofgonococcalurethritisreinfectionamongthaimalepatientsinamulticenterretrospectivecohortstudy AT boonsubsakboonyarat incidenceandriskfactorsofgonococcalurethritisreinfectionamongthaimalepatientsinamulticenterretrospectivecohortstudy AT supitchayathaiwat incidenceandriskfactorsofgonococcalurethritisreinfectionamongthaimalepatientsinamulticenterretrospectivecohortstudy
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Incidence and risk factors of gonococcal urethritis reinfection among Thai male patients in a multicenter, retrospective cohort study

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