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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Mucopurulent Cervicitis — The Ignored Counterpart in Women of Urethritis in Men
New England Journal of Medicine, Volume 311, No. 1, Year 1984
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Description
Among 100 randomly selected nonmenstruating women attending a clinic for sexually transmitted diseases, we assessed objective criteria for the clinical diagnosis of mucopurulent cervicitis. Visualization of yellow mucopurulent endocervical secretions on a white swab and the presence of 10 or more polymorphonuclear leukocytes per microscopical field (at a magnification of 1000) in satisfactory gram-stained endocervical smears were independently correlated with cervical Chlamydia trachomatis infection. Neither finding correlated with gonorrhea or genital herpes, although herpes caused characteristic cervical ulcerations. C. trachomatis was isolated from the cervix of 20 of 40 women with mucopurulent cervicitis but of only 2 of 60 without it. The overall prevalence of mucopurulent cervicitis among women attending the clinic (40 per cent) exceeded that of nongonococcal urethritis among men in the same clinic, and the prevalence of C. trachomatis infection was higher in mucopurulent cervicitis than in nongonococcal urethritis, a condition that is conventionally treated with tetracyclines. These findings support recommendations for the treatment of mucopurulent cervicitis and should guide the selective use of confirmatory diagnostic tests for C. trachomatis infection. (N Engl J Med 1984; 311:1–6.). © 1984, Massachusetts Medical Society. All rights reserved.
Authors & Co-Authors
Brunham, Robert C.
United States, Seattle
Harborview Medical Center
Paavonen, Jorma A.
United States, Seattle
Harborview Medical Center
Stevens, Claire E.
United States, Seattle
Harborview Medical Center
Kiviat, Nancy B.
United States, Seattle
Harborview Medical Center
Kuo, Chochou
United States, Seattle
Harborview Medical Center
Critchlow, Cathy W.
United States, Seattle
Harborview Medical Center
Holmes, King Kennard
United States, Seattle
Harborview Medical Center
Statistics
Citations: 278
Authors: 7
Affiliations: 1
Identifiers
Doi:
10.1056/NEJM198407053110101
ISSN:
00284793
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Participants Gender
Male
Female