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- Original Article Prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasmagenitalium, Ureaplasma urealyticum in Chronic Prostatitis Category IIIa andIIIb Patients Using Polymerase Chain Reaction
- In-Chang Cho, Yoo Seok Kim, Sung Bin Kim, Soon Ki Kim, Gyeong In Lee, Seung Ki Min
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Chain Reaction을 이용한 Chlamydia trachomatis, Neisseriagonorrhoeae, Mycoplasma genitalium, Ureaplasmaurealyticum 의 유병률<br> - 조인창, 김유석, 김성빈, 김순기, 이경인, 민승기
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Urogenital Tract Infection 2013;8(2):102-108.
Published online: October 31, 2013
Departments of Urology and <sup>1</sup>Laboratory Medicine, National Police Hospital, Seoul, Korea<br>
국립경찰병원 비뇨기과,
1진단검사의학과
국립경찰병원 비뇨기과,
1진단검사의학과
Received: 30 September 2013 • Revised: 14 October 2013 • Accepted: 14 October 2013
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Abstract
Purpose: The aim of this study was to report on the prevalence of Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Mycoplasma genitalium (MG), and Ureaplasma urealyticum (UU) in patients with chronic prostatitis (CP) IIIa and CP IIIb using PCR and correlations between four microorganisms and other clinical parameters.
Materials and Methods: The medical charts of 206 Patients who visited National Police Hospital and were diagnosed with CP IIIa and CP IIIb between January 2011 and December 2012 were reviewed. We investigated white blood cell (WBC) counts on expressed prostatic secretion (EPS) samples and the frequency of four possible causative microorganisms of prostatitis, CT, NG, MG, and UU, using PCR techniques on first voided urine samples (VB1).
Results: Of 206 patients, 88 patients were CP IIIa and 118 were CP IIIb, with a mean age of 33.8±12.9 and 34.6±11.3, respectively. CT, NG, MG, and UU were detected in 13.6%, 0%, 4.5%, and 14.8% of CP IIIa patients and in 0.8%, 0%, 3.4%, and 11.9% of CP IIIb patients, respectively. Among men aged 19-30, detection of CT was significantly greater in the CP IIIa group than in the CP IIIb group (p=0.002). CT showed a positive association with EPS or the third voided urine (VB3) WBC count grade (p＜0.01), however, MG and UU did not. The relationship between numbers of detected microorganisms and WBC counts was statistically insignificant.
Conclusions: In subgroup analyses, microorganisms were detected in by PCR in 29 CP IIIa patients (32.9%) and 19 CP IIIb patients (16.1%). Young aged men in the CP IIIa group showed high prevalence of CT, and patients in whom CT was detected in urine PCR had high EPS WBC counts.
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