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BRIEF COMMUNICATION
Year : 2017  |  Volume : 8  |  Issue : 1  |  Page : 51

Assessing the need for routine screening for Mycoplasma genitalium in the low-risk female population: A prevalence and co-infection study on women from Croatia


1 Clinical Microbiology Department, Teaching Institute of Public Health “Dr. Andrija Štampar”; Medical Microbiology Department, School of Medicine, University of Zagreb, Zagreb, Croatia
2 Clinical Microbiology and Parasitology Unit, Polyclinic Dr. Zora Profozić", Zagreb, Croatia
3 Epidemiology Department, Teaching Institute of Public Health “Dr. Andrija Štampar”, Zagreb; Social Medicine and Epidemiology Department, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
4 Clinical Microbiology Department, Teaching Institute of Public Health “Dr. Andrija Štampar”, Zagreb, Croatia

Correspondence Address:
Tomislav Meštrović
Clinical Microbiology and Parasitology Unit, Polyclinic “Dr. Zora Profozić”, Bosutska 19
Croatia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpvm.IJPVM_309_16

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Background: There is an ongoing debate regarding possible cost and benefits, but also harm of universal screening for the emerging sexually transmitted pathogen Mycoplasma genitalium. Methods: From the initial pool of 8665 samples that were tested, a subset of Chlamydia trachomatis-positive and randomly selected C. trachomatis-negative cervical swabs were further interrogated for M. genitalium by real-time polymerase chain reaction, using a 224 bp long fragment of the glyceraldehyde-3-phosphate dehydrogenase gene. Results: M. genitalium was detected in 4.8% of C. trachomatis-positive samples and none of C. trachomatis-negative samples. Accordingly, a significant association was shown between M. genitalium and C. trachomatis (P < 0.01), but also between M. genitalium and Mycoplasma hominis infection (P < 0.01). Conclusions: Based on the results, routine screening is recommended only for women with one or more identified risk factors. Moreover, younger age does not represent an appropriate inclusion/exclusion criterion for M. genitalium testing in the low-risk female population.


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