Mycoplasma genitalium: An Emerging Cause of Sexually Transmitted Disease in Women
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{"title"=>"Mycoplasma genitalium: An Emerging Cause of Sexually Transmitted Disease in Women", "type"=>"generic", "authors"=>[{"first_name"=>"Chris L.", "last_name"=>"McGowin", "scopus_author_id"=>"26325828800"}, {"first_name"=>"Colin", "last_name"=>"Anderson-Smits", "scopus_author_id"=>"37074125400"}], "year"=>2011, "source"=>"PLoS Pathogens", "identifiers"=>{"sgr"=>"79958067825", "issn"=>"15537366", "scopus"=>"2-s2.0-79958067825", "pmid"=>"21637847", "pui"=>"361895919", "isbn"=>"1553-7374 (Electronic)\\r1553-7366 (Linking)", "doi"=>"10.1371/journal.ppat.1001324"}, "id"=>"624dfbcc-f459-3b96-83b1-608c8eff2425", "abstract"=>"Mycoplasma genitalium is an emerging sexually transmitted pathogen implicated in urethritis in men and several inflammatory reproductive tract syndromes in women including cervicitis, pelvic inflammatory disease (PID), and infertility. This comprehensive review critically examines epidemiologic studies of M. genitalium infections in women with the goal of assessing the associations with reproductive tract disease and enhancing awareness of this emerging pathogen. Over 27,000 women from 48 published reports have been screened for M. genitalium urogenital infection in high- or low-risk populations worldwide with an overall prevalence of 7.3% and 2.0%, respectively. M. genitalium was present in the general population at rates between those of Chlamydia trachomatis and Neisseria gonorrhoeae. Considering more than 20 studies of lower tract inflammation, M. genitalium has been positively associated with urethritis, vaginal discharge, and microscopic signs of cervicitis and/or mucopurulent cervical discharge in seven of 14 studies. A consistent case definition of cervicitis is lacking and will be required for comprehensive understanding of these associations. Importantly, evidence for M. genitalium PID and infertility are quite convincing and indicate that a significant proportion of upper tract inflammation may be attributed to this elusive pathogen. Collectively, M. genitalium is highly prevalent in high- and low-risk populations, and should be considered an etiologic agent of select reproductive tract disease syndromes in women.", "link"=>"http://www.mendeley.com/research/mycoplasma-genitalium-emerging-cause-sexually-transmitted-disease-women-6", "reader_count"=>63, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>2, "Student > Doctoral Student"=>8, "Researcher"=>8, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>2, "Other"=>8, "Student > Master"=>15, "Student > Bachelor"=>3, "Lecturer"=>1, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>2, "Student > Doctoral Student"=>8, "Researcher"=>8, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>2, "Other"=>8, "Student > Master"=>15, "Student > Bachelor"=>3, "Lecturer"=>1, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>7, "Biochemistry, Genetics and Molecular Biology"=>4, "Agricultural and Biological Sciences"=>25, "Medicine and Dentistry"=>20, "Business, Management and Accounting"=>1, "Chemistry"=>1, "Social Sciences"=>1, "Immunology and Microbiology"=>4}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>20}, "Chemistry"=>{"Chemistry"=>1}, "Social Sciences"=>{"Social Sciences"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>25}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>4}, "Unspecified"=>{"Unspecified"=>7}}, "reader_count_by_country"=>{"United Kingdom"=>1, "Kenya"=>1, "Russia"=>1}, "group_count"=>2}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/771708"], "description"=>"1<p>Cases are those individuals with defined signs or symptoms; controls are individuals without signs or symptoms.</p>2<p><i>M. genitalium</i> prevalence and OR calculated at enrollment.</p>3<p>Cumulative, multi-sampling prevalence over a 5-y study that included <i>M. genitalium</i> PCR- and culture-positive individuals; only PCR-positive individuals considered for prevalence in cases vs. controls and OR calculations.</p>4<p>Excluded women co-infected with NG, CT, and TV.</p>5<p>Cumulative, multi-sampling prevalence.</p>6<p>Excluded patients co-infected with <i>M. genitalium</i> and CT.</p>7<p>OR calculated from symptoms reported at each sampling and excluded patients co-infected with <i>M. genitalium</i> and CT or NG.</p>8<p>Excluded patients with concurrent cervicitis.</p>9<p>For OR calculation and prevalence in cases versus controls, number of <i>M. genitalium</i> infections represented FVU-positive samples; overall prevalence for entire study population determined from FVU and endocervical swabs.</p><p>MG, <i>Mycoplasma genitalium</i>; OR, odds ratio; RR, relative risk; HR, hazard ratio; pmn/hpf, polymorphonuclear leukocytes per high-power microscope field; STI, sexually transmitted infection; PHC, public health clinic; THC, teen health center; ER, emergency room; WH, women's health; FVU, first void urine; US, urethral swab; A, age; CT, <i>Chlamydia trachomatis</i> status; NG, <i>Neisseria gonorrhoeae</i> status; TV, <i>Trichomonas vaginalis</i> status; PS, pregnancy status, CA, <i>Candida albicans</i> status, BV, bacterial vaginosis status.</p>", "links"=>[], "tags"=>["published", "studies", "evaluating", "associations", "vaginal", "discharge"], "article_id"=>442072, "categories"=>["Computational Biology", "Microbiology", "Evolutionary Biology", "Medicine"], "users"=>["Chris L. McGowin", "Colin Anderson-Smits"], "doi"=>"https://dx.doi.org/10.1371/journal.ppat.1001324.t001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_published_studies_evaluating_the_associations_of_M_genitalium_with_vaginal_discharge_or_urethritis_/442072", "title"=>"Characteristics of published studies evaluating the associations of <i>M. genitalium</i> with vaginal discharge or urethritis.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-05-26 00:34:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/771767"], "description"=>"1<p>Cases are those individuals with defined signs or symptoms; controls are individuals without signs or symptoms.</p>2<p><i>M. genitalium</i> prevalence calculated at enrollment; PID HR calculated from incident infections in prospective study.</p>3<p><i>M. genitalium</i> prevalence and association with endometritis calculated from infection status and signs at enrollment.</p>4<p><i>M. genitalium</i> prevalence and association with ectopic pregnancy were evaluated using a serological assay rather than with a NAAT.</p>5<p>Excluded patients co-infected with <i>M. genitalium</i> and CT.</p>6<p>Excluded women with CT and women co-infected with <i>M. genitalium</i> and CT.</p><p>MG, <i>Mycoplasma genitalium</i>; OR, odds ratio; RR, relative risk; HR, hazard ratio; hpf, high-power microscope field; Ob/Gyn, obstetrics and gynecology; STI, sexually transmitted infection; PID, pelvic inflammatory disease; ER, emergency room; CSW, commercial sex workers; TOP, termination of pregnancy; PHC, public health clinic; PT, self reported partner treatment; A, age; CT, <i>Chlamydia trachomatis</i> status; R, race; IC, intercourse between enrollment and 30-d visit.</p>", "links"=>[], "tags"=>["published", "studies", "evaluating", "associations", "pelvic", "inflammatory"], "article_id"=>442135, "categories"=>["Computational Biology", "Microbiology", "Evolutionary Biology", "Medicine"], "users"=>["Chris L. McGowin", "Colin Anderson-Smits"], "doi"=>"https://dx.doi.org/10.1371/journal.ppat.1001324.t003", "stats"=>{"downloads"=>3, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_published_studies_evaluating_the_associations_of_M_genitalium_with_pelvic_inflammatory_disease_/442135", "title"=>"Characteristics of published studies evaluating the associations of <i>M. genitalium</i> with pelvic inflammatory disease.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-05-26 00:35:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/771726"], "description"=>"1<p>Cases are those individuals with defined signs or symptoms; controls are individuals without signs or symptoms.</p>2<p>Excluded patients with concurrent urethritis and those co-infected with <i>M. genitalium</i> and CT.</p>3<p>Population prevalence and prevalence of <i>M. genitalium</i> in cases vs. controls excluded patients with human papilloma virus and CT.</p>4<p>Each enrolled patient sampled at 2–3 sites; prevalence calculated from positive result at any site.</p>5<p>Exluded women co-infected with <i>M. genitalium</i> and CT.</p>6<p>Cumulative, multi-sampling prevalence over a 5-y study that included <i>M. genitalium</i> PCR- and culture-positive individuals; only PCR-positive individuals considered for prevalence in cases vs. controls and OR calculations.</p>7<p>Excluded women co-infected with <i>M. genitalium</i> and NG, CT, or TV.</p>8<p>Excluded women with CT and women co-infected with <i>M. genitalium</i> and CT.</p>", "links"=>[], "tags"=>["published", "studies", "evaluating", "associations"], "article_id"=>442105, "categories"=>["Computational Biology", "Microbiology", "Evolutionary Biology", "Medicine"], "users"=>["Chris L. McGowin", "Colin Anderson-Smits"], "doi"=>"https://dx.doi.org/10.1371/journal.ppat.1001324.t002", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_published_studies_evaluating_the_associations_of_M_genitalium_with_cervicitis_/442105", "title"=>"Characteristics of published studies evaluating the associations of <i>M. genitalium</i> with cervicitis.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-05-26 00:35:05"}
  • {"files"=>["https://ndownloader.figshare.com/files/387093"], "description"=>"<div><p><em>Mycoplasma genitalium</em> is an emerging sexually transmitted pathogen implicated in urethritis in men and several inflammatory reproductive tract syndromes in women including cervicitis, pelvic inflammatory disease (PID), and infertility. This comprehensive review critically examines epidemiologic studies of <em>M. genitalium</em> infections in women with the goal of assessing the associations with reproductive tract disease and enhancing awareness of this emerging pathogen. Over 27,000 women from 48 published reports have been screened for <em>M. genitalium</em> urogenital infection in high- or low-risk populations worldwide with an overall prevalence of 7.3% and 2.0%, respectively. <em>M. genitalium</em> was present in the general population at rates between those of <em>Chlamydia trachomatis</em> and <em>Neisseria gonorrhoeae</em>. Considering more than 20 studies of lower tract inflammation, <em>M. genitalium</em> has been positively associated with urethritis, vaginal discharge, and microscopic signs of cervicitis and/or mucopurulent cervical discharge in seven of 14 studies. A consistent case definition of cervicitis is lacking and will be required for comprehensive understanding of these associations. Importantly, evidence for <em>M. genitalium</em> PID and infertility are quite convincing and indicate that a significant proportion of upper tract inflammation may be attributed to this elusive pathogen. Collectively, <em>M. genitalium</em> is highly prevalent in high- and low-risk populations, and should be considered an etiologic agent of select reproductive tract disease syndromes in women.</p> </div>", "links"=>[], "tags"=>["transmitted", "women"], "article_id"=>136433, "categories"=>["Biological Sciences", "Microbiology", "Evolutionary Biology", "Medicine"], "users"=>["Chris L. McGowin", "Colin Anderson-Smits"], "doi"=>"https://dx.doi.org/10.1371/journal.ppat.1001324", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mycoplasma_genitalium_An_Emerging_Cause_of_Sexually_Transmitted_Disease_in_Women/136433", "title"=>"<em>Mycoplasma genitalium</em>: An Emerging Cause of Sexually Transmitted Disease in Women", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-05-26 01:47:13"}
  • {"files"=>["https://ndownloader.figshare.com/files/771675"], "description"=>"<p>MG, <i>Mycoplasma genitalium</i>; OR, odds ratio; RR, relative risk; HR, hazard ratio; NAAT, nucleic acid amplification test; Ob/Gyn, obstetrics and gynecology; ER, emergency room; PID, pelvic inflammatory disease; IVF, in vitro fertilization; A, age; CT, <i>Chlamydia trachomatis</i> status; MA, maternal age; CS, cigarette smoking; STB, second trimester bleeding; TG, twin gestation; PTB, prior preterm birth; PSA, previous spontaneous abortion; CTS, <i>Chlamydia trachomatis</i> serostatus.</p>1<p>Cases are those individuals with defined signs or symptoms; controls are individuals without signs or symptoms.</p>2<p>Population prevalance and OR calculation of <i>M. genitalium</i> infection with infertility were evaluated using a serological assay targeting MgPa.</p>3<p><i>M. genitalium</i> was not detected by PCR in any of 210 available specimens; <i>M. genitalium</i> seroprevalence was 7% among 212 tested women.</p>4<p>Women with CT-positive ELISAs were excluded.</p>", "links"=>[], "tags"=>["published", "studies", "evaluating", "associations", "pregnancy-related", "complications"], "article_id"=>442041, "categories"=>["Computational Biology", "Microbiology", "Evolutionary Biology", "Medicine"], "users"=>["Chris L. McGowin", "Colin Anderson-Smits"], "doi"=>"https://dx.doi.org/10.1371/journal.ppat.1001324.t004", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_published_studies_evaluating_the_associations_of_M_genitalium_with_pregnancy_related_complications_or_infertility_/442041", "title"=>"Characteristics of published studies evaluating the associations of <i>M. genitalium</i> with pregnancy-related complications or infertility.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-05-26 00:34:01"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"145", "full-text"=>"163", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"4"}
  • {"unique-ip"=>"123", "full-text"=>"148", "pdf"=>"21", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2014", "month"=>"7"}
  • {"unique-ip"=>"65", "full-text"=>"82", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"8"}
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  • {"unique-ip"=>"86", "full-text"=>"102", "pdf"=>"20", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2014", "month"=>"11"}
  • {"unique-ip"=>"79", "full-text"=>"92", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"12"}
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