Evidence map›Paper›PMID 19221105›Full record

ArticleSexually transmitted infections2009

The prevalence of lymphogranuloma venereum infection in men who have sex with men: results of a multicentre case finding study.

H Ward, S Alexander, C Carder, G Dean, P French, D Ivens, C Ling, J Paul, W Tong, J White and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Sexually transmitted infections, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 117 citations in OpenAlex.

  1. Chlamydia (uncomplicated, genital).BMJ clinical evidence · 2015
    Pooled it
  2. Pooled it
  3. Chlamydia (uncomplicated, genital).BMJ clinical evidence · 2010
    Pooled it
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Increasing trends of lymphogranuloma venereum among HIV-negative and asymptomatic men who have sex with men, the Netherlands, 2011 to 2017.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020
    Article
  11. Unusual case of a rectal tumour.BMJ case reports · 2018
    Article
  12. Lymphogranuloma venereum in Quebec: Re-emergence among men who have sex with men.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2018
    Article
  13. Article
  14. Article
  15. Observational
  16. Emergence of the lymphogranuloma venereum L2c genovariant, Hungary, 2012 to 2016.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017
    Article
  17. Approach to lymphogranuloma venereum.Canadian family physician Medecin de famille canadien · 2016
    Review
  18. Hepatitis C and sex.Clinical medicine (London, England) · 2016
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

H WardImperial College London, London, UK. h.ward@imperial.ac.uk
S Alexander
C Carder
G Dean
P French
D Ivens
C Ling
J Paul
W Tong
J White
C A Ison
Guy's and St Thomas' NHS Foundation Trust · GBUniversity College London · GBUniversity Hospitals Sussex NHS Foundation Trust · GBExeter Primary Care · GBImperial College London · GBRoyal Free London NHS Foundation Trust · GB

Funding

Medical Research Council G0601699
6 · The paper itself

Abstract

objectiveTo determine the prevalence of lymphogranuloma venereum (LGV) and non-LGV associated serovars of urethral and rectal Chlamydia trachomatis (CT) infection in men who have sex with men (MSM).

designMulticentre cross-sectional survey.

settingFour genitourinary medicine clinics in the United Kingdom from 2006-7. SUBJECTS: 4825 urethral and 6778 rectal samples from consecutive MSM attending for sexual health screening.

methodsUrethral swabs or urine and rectal swabs were tested for CT using standard nucleic acid amplification tests. Chlamydia-positive specimens were sent to the reference laboratory for serovar determination. MAIN OUTCOME: Positivity for both LGV and non-LGV associated CT serovars; proportion of cases that were symptomatic.

resultsThe positivity (with 95% confidence intervals) in rectal samples was 6.06% (5.51% to 6.66%) for non-LGV CT and 0.90% (0.69% to 1.16%) for LGV; for urethral samples 3.21% (2.74% to 3.76%) for non-LGV CT and 0.04% (0.01% to 0.16%) for LGV. The majority of LGV was symptomatic (95% of rectal, one of two urethral cases); non-LGV chlamydia was mostly symptomatic in the urethra (68%) but not in the rectum (16%).

conclusionsChlamydial infections are common in MSM attending for sexual health screening, and the majority are non-LGV associated serovars. We did not identify a large reservoir of asymptomatic LGV in the rectum or urethra. Testing for chlamydia from the rectum and urethra should be included for MSM requesting a sexual health screen, but serovar-typing is not indicated in the absence of symptoms. We have yet to identify the source of most cases of LGV in the UK.

Indexed as

Homosexuality, MaleAmbulatory Care FacilitiesChlamydia InfectionsChlamydia trachomatisCross-Sectional StudiesHumansLymphogranuloma VenereumMaleMass ScreeningPrevalenceRectal DiseasesRisk FactorsUnited KingdomUrethral Diseases

Identifiers

PMID19221105
PMCPMC2683989
OpenAlexW2121844833

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.