{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:57:50Z","timestamp":1768265870057,"version":"3.49.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/04750\/2020, LA\/P\/0064\/2020"],"award-info":[{"award-number":["UIDB\/04750\/2020, LA\/P\/0064\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000805","name":"European Centre for Disease Prevention and Control","doi-asserted-by":"publisher","award":["ECDC Fellowship Programme"],"award-info":[{"award-number":["ECDC Fellowship Programme"]}],"id":[{"id":"10.13039\/501100000805","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Men who have sex with men (MSM) are at risk for sexually transmitted infections (STIs), but more data on extragenital carriage are needed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p> We assessed the genital and extragenital prevalence of bacterial and other STIs in MSM in a Lisbon sexual health clinic. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> We screened oral, anal, and urine samples of MSM visiting the GAT-CheckpointLX clinic June 2017-December 2021 for Chlamydia trachomatis (including lymphogranuloma venereum, LGV), Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, Mycoplasma hominis, Ureaplasma urealyticum, and U. parvum. Ano-oro-genital lesions were tested for LGV, Treponema pallidum, and Herpes Simplex Virus. Blood was tested for HIV and T. pallidum antibodies. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> N. gonorrhoeae was found in 16.6% of the MSM followed by C. trachomatis (13.2%), M. genitalium (10.3%) and T. vaginalis (0.2%). The most frequent occurrence was anorectal ( C. trachomatis, M. genitalium) and oral ( N. gonorrhoeae). We found high carriage of U. urealyticum (36.1%) and M. hominis (22.1%). LGV was detected in 21.8% of chlamydia-positive anorectal swabs. Syphilis was detected in 22.6% of tested MSM, while 13.8% had HIV. Gonorrhoea and chlamydia were significantly more prevalent in MSM with concomitant HIV or syphilis. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> The substantial extragenital prevalence of bacterial STIs in MSM, and HIV and syphilis coinfections, suggest screening has value in identifying hidden carriage and in contributing for providing better care. <\/jats:p><\/jats:sec>","DOI":"10.1177\/09564624231221591","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T20:53:26Z","timestamp":1704228806000},"page":"379-388","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Orogenital and anal infection by <i>Chlamydia trachomatis<\/i>, <i>Neisseria gonorrhoeae<\/i>, <i>Mycoplasma genitalium<\/i>, and other sexually transmitted infections in men who have sex with men in Lisbon"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7862-4874","authenticated-orcid":false,"given":"Corrado","family":"Minetti","sequence":"first","affiliation":[{"name":"Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"},{"name":"ECDC fellowship Programme, Public Health Microbiology path (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1057-2419","authenticated-orcid":false,"given":"Miguel","family":"Rocha","sequence":"additional","affiliation":[{"name":"GAT-CheckpointLX, Grupo de Ativistas em Tratamentos, Lisbon, Portugal"}]},{"given":"Lu\u00eds Miguel","family":"Duque","sequence":"additional","affiliation":[{"name":"GAT-CheckpointLX, Grupo de Ativistas em Tratamentos, Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9055-7491","authenticated-orcid":false,"given":"Paula","family":"Meireles","sequence":"additional","affiliation":[{"name":"EPIUnit-Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Universidade do Porto, Porto, Portugal"}]},{"given":"Cristina","family":"Correia","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio Nacional de Refer\u00eancia das Infe\u00e7\u00f5es Sexualmente Transmiss\u00edveis, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"}]},{"given":"Dora","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio Nacional de Refer\u00eancia das Infe\u00e7\u00f5es Sexualmente Transmiss\u00edveis, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4694-371X","authenticated-orcid":false,"given":"In\u00eas","family":"Jo\u00e3o","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio Nacional de Refer\u00eancia das Infe\u00e7\u00f5es Sexualmente Transmiss\u00edveis, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0152-9937","authenticated-orcid":false,"given":"Carla","family":"Manita","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Imunologia para Doen\u00e7as Infecciosas, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"}]},{"given":"Sofia","family":"Soeiro","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Imunologia para Doen\u00e7as Infecciosas, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8564-1098","authenticated-orcid":false,"given":"Jo\u00e3o Almeida","family":"Santos","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Imunologia para Doen\u00e7as Infecciosas, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"}]},{"given":"Rita","family":"Matos","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Imunologia para Doen\u00e7as Infecciosas, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"}]},{"given":"Catarina","family":"Almeida","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio Nacional de Refer\u00eancia das Infe\u00e7\u00f5es Sexualmente Transmiss\u00edveis, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4450-1918","authenticated-orcid":false,"given":"Helena Cortes","family":"Martins","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio Nacional de Refer\u00eancia das Infe\u00e7\u00f5es Sexualmente Transmiss\u00edveis, Instituto Nacional de Sa\u00fade 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