{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T03:01:36Z","timestamp":1773716496186,"version":"3.50.1"},"reference-count":40,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2013,12,10]]},"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine <jats:italic>Mycoplasma genitalium<\/jats:italic> infection and correlates among young women undergoing population-based screening or clinic-based testing for <jats:italic>Chlamydia<\/jats:italic> infection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Cross-sectional study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>National Chlamydia Screening Programme (NCSP) and two London sexually transmitted infection (STI) clinics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>2441 women aged 15\u201364\u2005years who participated in the NCSP and 2172 women who attended two London STI clinics over a 4-month period in 2009.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcome measures<\/jats:title>\n                  <jats:p>(1) <jats:italic>M genitalium<\/jats:italic> prevalence in defined populations (%). (2) Age-adjusted ORs (aORs) for correlates of <jats:italic>M genitalium<\/jats:italic> infection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The overall frequency of <jats:italic>M genitalium<\/jats:italic> and <jats:italic>Chlamydia trachomatis<\/jats:italic> was 3% and 5.4%, respectively. Co-infection was relatively uncommon (0.5% of all women); however 9% of women with <jats:italic>C trachomatis<\/jats:italic> also had <jats:italic>M genitalium<\/jats:italic> infection. <jats:italic>M genitalium<\/jats:italic> was more frequently detected in swab than urine samples (3.9 vs 1.3%, p&lt;0.001) with a significantly higher mean bacterial load (p\u2009\u2264\u20090.001). Among NCSP participants, <jats:italic>M genitalium<\/jats:italic> was significantly more likely to be diagnosed in women of black\/black British ethnicity (aOR 2.3, 95% CI 1.2 to 4.5, p=0.01). <jats:italic>M genitalium<\/jats:italic> and <jats:italic>C trachomatis<\/jats:italic> and were both significantly associated with multiple sexual partners in the past year (aOR 2.4, 95% CI 1.3 to 4.4, p=0.01 and aOR 2.0, 95% CI 1.4 to 2.8, p&lt;0.01). Among STI clinic attendees, <jats:italic>M genitalium<\/jats:italic> was more common in women who were less than 25\u2005years in age.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>\n                     <jats:italic>M genitalium<\/jats:italic> is a relatively common infection among young women in London. It is significantly more likely to be detected in vulvovaginal swabs than in urine samples. Co-infection with <jats:italic>Chlamydia<\/jats:italic> is uncommon. The clinical effectiveness of testing and treatment strategies for <jats:italic>M genitalium<\/jats:italic> needs further investigation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2013-003947","type":"journal-article","created":{"date-parts":[[2014,2,7]],"date-time":"2014-02-07T01:03:15Z","timestamp":1391734995000},"page":"e003947","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":33,"title":["A cross-sectional study of <i>Mycoplasma genitalium<\/i> infection and correlates in women undergoing population-based screening or clinic-based testing for <i>Chlamydia<\/i> infection in London"],"prefix":"10.1136","volume":"4","author":[{"given":"H F","family":"Svenstrup","sequence":"first","affiliation":[{"name":"Research Department of Reproductive Medicine, Institute for Women's Health, University College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S 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