Exploring the Prevalence of Neisseria gonorrhoeae in Women with Genitourinary Symptoms in Tehran, Iran.

IF 1.4 4区 医学 Q3 Medicine
Narjes Noori Goodarzi, Shaghayegh Zafar, Naghmeh Pourmand, Soheila Ajdary, Mir Saeed Yekaninejad, Mohammad Reza Pourmand, Farzad Badmasti
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引用次数: 0

Abstract

Background: Neisseria gonorrhoeae, the second most common sexually transmitted infection (STI) worldwide, affects one million people daily. We aimed to investigate the prevalence of gonorrhea in females with genital infections in Tehran, Iran.

Methods: First, a bioinformatic study was conducted to identify a conserved and high-prevalent gene marker for detection of N. gonorrhoeae. One desirable marker was selected and a pair of specific primers was designed to amplify it. The reliability of the primer pair was evaluated in silico and in vitro. Subsequently, 172 patients with genitourinary symptoms were enrolled and an endocervical swab specimen was obtained from each patient to evaluate the presence of N. gonorrhoeae in clinical specimens using the specific primers.

Results: Restriction endonuclease subunit S (resS, WP_003687768.1) was selected as a specific detection marker. The designed primer pair targeting resS showed specific and reliable detection of N. gonorrhoeae in silico and in vitro. Out of 172 clinical samples, seven (4.06%) cases were infected by N. gonorrhoeae. Statistical analysis of clinical manifestations showed that there was a significant association between the occurrence of N. gonorrhoeae and dysuria (P= 0.043), pelvic pain (P= 0.017), and fever (P = 0.045).Conclusion: Three promising markers were introduced for development of point-of-care testing approaches. Moreover, this study highlights a 4% prevalence of gonorrhea among women with genitourinary symptoms in Iran, which reminds the urgent need for routine surveillance and new policies in management of STIs, particularly gonorrhea.

探讨在伊朗德黑兰有泌尿生殖系统症状的妇女淋病奈瑟菌的流行。
背景:淋病奈瑟菌是世界上第二大最常见的性传播感染(STI),每天影响100万人。我们的目的是调查在伊朗德黑兰女性生殖器感染淋病的流行。方法:首先,通过生物信息学研究,鉴定一个保守且高流行的淋病奈瑟菌检测基因标记。选择一个理想的标记,设计一对特异性引物进行扩增。对引物对进行了计算机和体外可靠性评价。随后,纳入172例有泌尿生殖系统症状的患者,并从每位患者获得宫颈内膜拭子标本,使用特定引物评估临床标本中淋病奈瑟菌的存在。结果:选择限制性内切酶亚基S (resS, WP_003687768.1)作为特异性检测标记。所设计的靶向resS的引物对淋病奈瑟菌在硅和体外均具有特异性和可靠性。172例临床样本中,7例(4.06%)感染淋病奈瑟菌。临床表现统计分析显示淋病奈瑟菌的发生与排尿困难(P= 0.043)、盆腔疼痛(P= 0.017)、发热(P= 0.045)有显著相关性。结论:介绍了三种有前途的标志物,用于开发即时检测方法。此外,这项研究强调,在伊朗有泌尿生殖系统症状的妇女中淋病患病率为4%,这提醒人们迫切需要进行常规监测,并制定新的性传播感染管理政策,特别是淋病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.20
自引率
7.10%
发文量
0
审稿时长
2 months
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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