groups are planning to gather outside City Hall to protest Mr. Approximately a third of individuals with LGV and a quarter of those with chlamydia reported chemsex.On Thursday afternoon, L.G.B.T.Q. Recent sex abroad was reported by 13% of men with LGV and by 11% of men with chlamydia. Men with LGV were twice as likely to be infected with another STI compared to men with chlamydia (63% vs 37%), and a larger proportion were HIV positive (82% vs 64%). Proctitis was reported in 52% of men with LGV compared to 12% of individuals with chlamydia.
All of those with LGV were treated with doxycycline for either 21 (n = 13) or seven days (n = 9). Clinical and demographic data were available for just over half of individuals with rectal chlamydia, including 22 men with LGV. In the UK, 14% of rectal chlamydia samples (45 of 313) were LGV positive. He had received 1g azithromycin, then a recommended first-line treatment for chlamydia. In Slovenia, there were six cases of rectal chlamydia, including one man (17%) with LGV. All three men with LGV had proctitis (compared to a quarter of men with rectal chlamydia) and reported sex abroad within the previous three months. These men had been treated with a course of doxycycline that lasted for a minimum of 21 days. Of the 15 men diagnosed with rectal chlamydia in Croatia, three (20%) were infected with LGV.
"Under-diagnosis led to the use of potentially sub-optimal therapy." A higher proportion of men with LGV than chlamydia had a previous chlamydia diagnosis (36% vs 20%). Proctitis was over twice as common among men with LGV compared to those with routine chlamydia (92% vs 41%). The treatment given to the other 13 was not reported. Sixty-six patients had been treated with azithromycin and cefixime, then the first-line therapy for chlamydia and gonorrhoea. Under-diagnosis of LGV led to the provision of treatment that was potentially suboptimal. The LGV-positivity rate was highest in Austria (79 of 166 samples 48%). Just over a quarter (26%) tested positive for LGV. The genetic structure of LGV was also examined to see which strains of the bacteria were circulating.Ī total of 500 chlamydia-positive samples were examined. When available, clinical and demographic data were analysed. Nonetheless, previous studies have reported that between 27 and 43% of cases are asymptomatic. If untreated, it can cause anal fistulas.Ĭorrect diagnosis is important because of these distressing symptoms and also to ensure that people receive the correct therapy – LGV is cured by a 21-day course of the antibiotic doxycycline, whereas routine chlamydia only requires a seven-day course to achieve a cure. Symptoms are typically more severe than with rectal chlamydia and may include proctitis, rectal bleeding, fever, tiredness and weight loss. Most of the cases have involved rectal infection. They believe their findings are of public health significance, showing the importance of addressing barriers to LGV testing in order to optimise surveillance, diagnosis, treatment and prevention.Įpidemics of LGV among gay and bisexual men have been reported in Europe, North America and Canada. “Our data suggest considerable under-diagnosis of LGV may be occurring across many EU countries given the number of previously unidentified LGV cases detected and the poor availability of LGV diagnostics,” comment Dr Cole and colleagues. It can cause rectal pain, diarrhoea, bleeding and discharge, as well as the continuous feeling that you need to go to the toilet. Inflammation of the lining of the rectum.