Detecting and treating Mycoplasma genitalium

Detecting and treating Mycoplasma genitalium

Mycoplasma genitalium (M. genitalium), is thought to affect up to 400,000 Australians.

It causes urethritis in men, and in women it can lead to pelvic inflammatory disease, cervicitis and preterm labour. It is also a recognised cause of anorectal proctitis along with other infections including Chlamydia trachomatis (including the LGV strains), gonorrhoea, syphilis, HSV and shigellosis.

Asymptomatic infection is also common.

Who to test

Only test those with symptoms and their contacts. Screening asymptomatic people for M. genitalium is not currently recommended.

Diagnosis

Females:

PCR on endocervical or vaginal swab, first pass urine (FPU), ThinPrep -collected by cervical brush/swab.

Males:

PCR on urethral swab (in preference to FPU), anorectal swabs.

Throat swabs are not recommended as pharyngeal infection ...

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