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المؤلفChidiac, Omar
المؤلفAlMukdad, Sawsan
المؤلفHarfouche, Manale
المؤلفHarding-Esch, Emma
المؤلفAbu-Raddad, Laith J.
تاريخ الإتاحة2024-04-25T06:20:12Z
تاريخ النشر2024
اسم المنشورEurosurveillance
المصدرScopus
الرقم المعياري الدولي للكتاب1025496X
معرّف المصادر الموحدhttp://dx.doi.org/10.2807/1560-7917.ES.2024.29.9.2300226
معرّف المصادر الموحدhttp://hdl.handle.net/10576/54236
الملخصBackground: Epidemiology of Neisseria gonorrhoeae (NG) infection remains inadequately understood. Aim: We aimed to characterise NG epidemiology in Europe. Methods: We used Cochrane and PRISMA guidelines to systematically review, report, synthesise and analyse NG prevalence data from 1949 to 30 September 2021. Random-effects meta-analyses estimated pooled prevalence. Meta-regression analyses investigated associations and sources of heterogeneity. Results:The 844 included publications yielded 1,573 prevalence measures. Pooled prevalence of current urogenital infection was 1.0% (95% CI: 0.7-1.2%) among general populations, 3.2% (95% CI: 1.8-4.8%) among female sex workers, 4.9% (95% CI: 4.2-5.6%) among sexually transmitted infection clinic attendees and 12.1% (95% CI: 8.8-15.8%) among symptomatic men. Among men who have sex with men, pooled prevalence was 0.9% (95% CI: 0.5-1.4%), 5.6% (95% CI: 3.6-8.1%), and 3.8% (95% CI: 2.5-5.4%), respectively, for current urogenital, anorectal or oropharyngeal infection. Current urogenital, anorectal or oropharyngeal infection was 1.45-fold (95% CI: 1.19-1.77%), 2.75-fold (95% CI: 1.89-4.02%) and 2.64-fold (95% CI: 1.77-3.93%) higher among men than women. Current urogenital infection declined 0.97-fold (95% CI: 0.96-0.98%) yearly, but anorectal and oropharyngeal infection increased (1.02-fold; 95% CI: 1.01-1.04% and 1.02-fold; 95% CI: 1.00-1.04%), respectively. Conclusions: Neisseria gonorrhoeae epidemiology in Europe has distinct and contrasting epidemiologies for vaginal sex transmission in heterosexual sex networks vs anal and oral sex transmission in MSM sexual networks. Increased transmission may facilitate drug-resistant strain emergence. Europe is far from achieving the World Health Organization target of 90% incidence reduction by 2030.
راعي المشروعThe authors are grateful to Ms. Adona Canlas for administrative support. This publication was made possible by ARG01-0522-230273 from the Qatar Research, Development and Innovation and NPRP grant number 9-040-3-008 from the Qatar National Research Fund (a member of Qatar Foundation). The findings achieved herein are solely the responsibility of the authors. The authors are also grateful for infrastructure support provided by the Biomedical Research Program and the Biostatistics, Epidemiology, and Biomathematics Research Core, both at Weill Cornell Medicine in Qatar.
اللغةen
الناشرEuropean Centre for Disease Prevention and Control (ECDC)
الموضوعanorectal infection
Europe
gonorrhea
human
incidence
men who have sex with men
oropharyngeal infection
pharynx disease
prevalence
rectum disease
Review
sex worker
sexual transmission
sexually transmitted disease
systematic review
urogenital tract infection
World Health Organization
Chlamydia infection
Chlamydia trachomatis
female
male
male homosexuality
Neisseria gonorrhoeae
sex worker
sexual and gender minority
Chlamydia Infections
Chlamydia trachomatis
Female
Gonorrhea
Homosexuality, Male
Humans
Male
Neisseria gonorrhoeae
Prevalence
Sex Workers
Sexual and Gender Minorities
World Health Organization
العنوانEpidemiology of gonorrhoea: systematic review, meta-analyses, and meta-regressions, World Health Organization European Region, 1949 to 2021
النوعArticle Review
رقم العدد9
رقم المجلد29
dc.accessType Open Access


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