Mycoplasma genitalium

^[1]^[2]^[3]^[4]

Epidemiology

emerging STD
21% of young women in on study^[2]
- infection (vs colonization) persists for > 12 months
- incidence higher in black women^[2]

Mycoplasma genitalium DNA
- nucleic acid amplification tests are the only reliable method of diagnosis
- may not be widely available

continue to follow the CDC recommendations for urethritis but .. doxycycline is not reliable, azithromycin once ?
- azithromycin for 5 days (Z-Pak) 500 mg day 1, then 250 mg QD
oxifloxacin (Avelox) 400 mg daily for 10 days is sometimes effective

↑ Prescriber's Letter 14(8): 2007 Mycoplasma genitalium: An Emerging Sexually Transmitted Disease Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=230802&pb=PRL (subscription needed) http://www.prescribersletter.com
↑ ^2.0 ^2.1 ^2.2 Sena AC, Lee JY, Schwebke J et al. A silent epidemic: The prevalence, incidence and persistence of Mycoplasma genitalium among young, asymptomatic high-risk women in the United States. Clin Infect Dis 2018 Jun 18; 67:73-79. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29342269 https://academic.oup.com/cid/article-abstract/67/1/73/4802235
↑ Loinc
↑ Wikipedia: Mycoplasma genitalium https://en.wikipedia.org/wiki/Mycoplasma_genitalium