1 大山クリニックOyama Clinic
2 大滝病院泌尿器科Department of Urology, Otaki Hospital
3 大滝病院外科Department of Surgery, Otaki Hospital
4 福島泌尿器科医院Fukushima Urology Clinic
2023年1月から5月までの5ヵ月間の非クラミジア非淋菌性尿道炎の原因菌の1つと考えられるMycoplasma genitaliumを含め、男子尿道炎の発生状況を調べた。尿道炎患者総数は223人で、淋菌性尿道炎が38人、クラミジア性尿道炎が96人、非クラミジア非淋菌性尿道炎が89人だった。M. genitaliumの検査は16人に施行され6名が陽性であった。非クラミジア非淋菌性尿道炎の感染経路は非CSWが43%、CSWが28%であり、全尿道炎での傾向と変わりなかった。M. genitalium検査は保険適用上、尿道炎初期治療失敗例に対して実施されることが多いことから、非クラミジア非淋菌性尿道炎症例の15%に実施されたに過ぎなかった。M. genitalium尿道炎に対して、診療開始早期からより適切な治療を実施するためには、初診時からPCR検査が実施できるような保険適用の拡充が期待される。
We investigated the incidence of male urethritis, including cases caused by Mycoplasma genitalium, which is considered a culprit behind nonchlamydial nongonococcal urethritis. There were 223 patients with urethritis, including 38 with gonococcal urethritis, 96 with chlamydial urethritis, and 89 with nonchlamydial nongonococcal urethritis. A total of 16 patients were tested for M. genitalium, which resulted in 6 positive cases. Nonchlamydial nongonococcal urethritis was detected in 43% of noncommercial sex workers (non-CSWs) and 28% of commercial sex workers (CSWs), showing no significant deviation from the overall trend in urethritis. Considering that M. genitalium testing is frequently performed only in cases where initial urethritis treatment fails, due to insurance coverage limitations, this testing was performed in only 15% of nonchlamydial nongonococcal urethritis cases. To facilitate the initiation of more appropriate treatments for urethritis caused by M. genitalium from the early stages of medical consultation, there is hope for an expansion in insurance coverage that would allow PCR testing right from the first visit.
Key words: Mycoplasma genitalium; nonchlamydial nongonococcal urethritis; PCR testing; insurance coverage; infection route
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This page was last modified on 2025-01-14T12:00:34.000+09:00
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