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Recent epidemiology of sexually transmissible enteric infections in men who have sex with men

Mitchell, H; Hughes, G; (2018) Recent epidemiology of sexually transmissible enteric infections in men who have sex with men. Current Opinion in Infectious Diseases , 31 (1) pp. 50-56. 10.1097/QCO.0000000000000423. Green open access

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Abstract

PURPOSE OF REVIEW: Sexual transmission of enteric pathogens in men who have sex with men (MSM) has been described since the 1970s. Recently, an increasing number of enteric infection outbreaks have been reported in MSM. This article summarizes recent outbreaks and discusses the key issues for prevention and control. RECENT FINDINGS: Sexually transmissible enteric infections (STEIs) can spread rapidly and internationally within highly connected MSM populations and are often associated with antimicrobial resistance (AMR). The infections often cluster in high-risk groups of HIV-positive MSM who are more likely to engage in diverse sexual practices and chemsex, and to have multiple other sexually transmitted infections (STIs). SUMMARY: The roles of asymptomatic and/or persistent infection and other contextual factors in STEI transmission are not well described. STEI-associated AMR is increasing and has potential to spread rapidly in MSM, warranting further public health attention. A better understanding of the factors associated with sexual transmission will enable the development of more effective control measures. A holistic approach that promotes health and wellbeing as well as infection prevention and management is needed.

Type: Article
Title: Recent epidemiology of sexually transmissible enteric infections in men who have sex with men
Open access status: An open access version is available from UCL Discovery
DOI: 10.1097/QCO.0000000000000423
Publisher version: http://dx.doi.org/10.1097/QCO.0000000000000423
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: antimicrobial resistance, enteric infections, infectious disease outbreaks, men who have sex with men, sexually transmitted infections
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10044701
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