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Microbiology and Biotechnology Letters

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Molecular and Cellular Microbiology / Biomedical Sciences  |  Clinical Microbiology and Biomedical Sciences

Microbiol. Biotechnol. Lett. 2018; 46(4): 425-429

https://doi.org/10.4014/mbl.1805.05006

Received: May 22, 2018; Accepted: August 31, 2018

Epidemiological Trends of Sexually Transmitted Infections with Ureaplasma urealyticum among Women in Cheonan, South Korea: 2006−2017

Jae-Sik Jeon and Jae Kyung Kim *

Department of Biomedical Laboratory Science, Dankook University College of Health Sciences, Cheonan, Republic of Korea

Ureaplasma urealyticum (UU) infection can spread quickly through populations, and is associated with cervical intraepithelial neoplasms, human papillomavirus infections, and mortality in newborns. This study aimed to provide information that could be used to protect public health and decrease the incidence and transmission of sexually transmitted diseases (STDs), particularly among childbearing women. Here, the epidemiology of UU infection was examined in Cheonan, South Korea. During 2006–2017, specimens collected from 4,893 patients were submitted for sexually transmitted disease screening with multiplex polymerase chain reaction (STD-PCR) assay. Data were analyzed for UU infection cases using the R statistical program and presented as the median and range. Categorical data were analyzed using the chi-square test, and p-values <0.05 were considered statistically significant. STD-PCR tests showed positive results in 17.8%, 9.0%, and 18.7% of the total patient population, men, and women, respectively. Individuals in their teens and twenties accounted for the largest proportions of UU-positive specimens. Although Mycoplasma hominis was the most prevalent bacteria in 2006, it was superseded by UU in 2017. Of 870 UU-positive specimens, 50.1%, 33.1%, 13.4%, and 2.8% had single, double, triple, and quadruple infection, respectively. UU was most common among Korean individuals in their twenties, indicating high risks of maternal-to-fetal transmission that should be addressed through rapid diagnosis, treatment, and management.

Keywords: Sexually transmitted infections, Ureaplasma urealyticum, prevalence, pathogen, infection

  1. Zhang Y, Hua C, Li SL. 2018. The relationship between the biovars and the antimicrobial resistance of Ureaplasma urealyticum in female patients with urogenital infections. J. Clin. Lab. Anal. 32:e22211.
    Pubmed CrossRef
  2. Taylor-Robinson D, Csonka GW, Prentice MJ. 1977. Human intraurethral inoculation of Ureaplasmas. Q. J. Med. 46: 309-326.
    Pubmed
  3. Klein JO, Buckland D, Finland M. 1969. Colonization of newborn infants by mycoplasmas. N. Engl. J. Med. 280: 1025-1030.
    Pubmed CrossRef
  4. Mårdh PA, Weström L. 1970. T-mycoplasmas in the genito-urinary tract of the female. Acta. Pathol. Microbiol. Scand. B. Microbiol. Immunol. 78: 269.
  5. Sompolinsky D, Solomon F, Leiba H, Caspi E, Lewinsohn G, Almog C. 1971. Puerperal sepsis due to T-strain Mycoplasma. Isr. J. Med. Sci. 7: 745-748.
    Pubmed
  6. Caspi E, Herczeg E, Solomon F, Sompolinsky D. 1971. Amnionitis and T Strain mycoplasmemia. Am. J. Obstet. Gynecol. 111: 11021106.
    CrossRef
  7. Braun P, Besdine R. 1973. Tuboovarian abscess with recovery of Tmycoplasma. Am. J. Obstet. Gynecol. 117: 861-862.
    CrossRef
  8. Weidner W, Brunner H, Krause W, Rothague CF. 1978. The importance of Ureaplasma urealyticum in non-specific prostato-urethritis. Dtsch. Med. Wochenschr. 103: 465-470.
    Pubmed CrossRef
  9. Quinn PA, Butany J, Chipman M, Taylor J, Hannah W. 1985. A prospective study of microbial infection in stillbirths and early neonatal death. Am. J. Obstet. Gynecol. 151: 238-249.
    CrossRef
  10. Biernat-Sudolska M, Szostek S, Rojek-Zakrzewska D, Klimek M, Kosz-Vnenchak M. 2011. Concomitant infections with human papillomavirus and various mycoplasma and Ureaplasma species in women with abnormal cervical cytology. Adv. Med. Sci. 56:299-303.
    Pubmed CrossRef
  11. Wang QY, Li RH, Zheng LQ, Shang XH. 2016. Prevalence and antimicrobial susceptibility of Ureaplasma urealyticum and Mycoplasma hominis in female outpatients, 2009-2013. J. Microbiol. Immunol. Infect. 49: 359-362.
    Pubmed CrossRef
  12. Samra Z, Rosenberg S, Madar-Shapiro L. 2011. Direct simultaneous detection of 6 sexually transmitted pathogens from clinical specimens by multiplex polymerase chain reaction and autocapillary electrophoresis. Diagn. Microbiol. Infect. Dis. 70: 17-21.
    Pubmed CrossRef
  13. Zhu X, Li M, Cao H, Yang X, Zhang C. 2016. Epidemiology of Ureaplasma urealyticum and Mycoplasma hominis in the semen of male outpatients with reproductive disorders. Exp. Ther. Med. 12: 1165-1170.
    Pubmed KoreaMed CrossRef
  14. Chung SH, Kim TH, Yeo SJ, Kim JS, Kim HM, Jung EJ, et al. 2007. Isolation of Mycoplasma hominis and Ureaplasma urealyticum from the uterine cervix and vaginal wall of pregnant women and correlation with perinatal outcome. Korean J. Fetal. Med. 2: 1-6.
  15. Lee MY, Kim MH, Lee WI, Kang SY, Jeon YL. 2016. Prevalence and antibiotic susceptibility of Mycoplasma hominis and Ureaplasma urealyticum in pregnant women. Yonsei Med. J. 57: 1271-1275.
    Pubmed KoreaMed CrossRef
  16. Kim JK. 2013. Epidemiological trends of sexually transmitted infections among women in Cheonan, South Korea, 2006-2012. J. Microbiol. Biotechnol. 23: 1484-1490.
    Pubmed CrossRef
  17. Taylor-Robinson D, Furr PM, Liberman MM. 1984. The occurrence of genital mycoplasmas in babies with and without respiratory distress. Acta. Paediatr. Scand. 73: 383-386.
    Pubmed CrossRef
  18. Chung SH, Kim TH, Yeo SJ, Kim JS, Kim HM, Jung EJ et al. 2007. Isolation of Mycoplasma hominis and Ureaplasma urealyticum from the Uterine Cervix and Vaginal Wall of Pregnant Women and Correlation with Perinatal Outcome. Korean J. Fetal Med. 2: 16.
  19. Yamazaki T, Matsumoto M, Matsuo J, Abe K, Minami K, Yamaguchi H. 2012. Frequency of Chlamydia trachomatis in Ureaplasmapositive healthy women attending their first prenatal visit in a community hospital in Sapporo, Japan. BMC. Infect. Dis. 12: 82.
    Pubmed KoreaMed CrossRef
  20. Lee SJ, Park DC, Lee DS, Choe HS, Cho YH. 2012. Evaluation of Seeplex? STD6 ACE Detection kit for the diagnosis of six bacterial sexually transmitted infections. J. Infect. Chemother. 18: 494-500.
    Pubmed CrossRef
  21. Moon SJ, Choi J-E, Park K-I. 2013. Comparison of the Anyplex II STI-7 and Seeplex STD6 ACE Detection kits for the detection of sexually transmitted infections. J. Lab. Med. Qual. Assur. 35: 87-92.
  22. Bayraktar MR, Ozerol IH, Gucluer N, Celik O. 2010. Prevalence and antibiotic susceptibility of Mycoplasma hominis and Ureaplasma urealyticum in pregnant women. Int. J. Infect. Dis. 14: e90-e95.
    Pubmed CrossRef
  23. Korea Centers for Disease Control and Prevention. Infectious disease portal. Korea Centers for Disease Control and Prevention. Available from http://www.cdc.go.kr/npt/biz/npp/iss/stisStatisticsMain.do Accessed Jan. 7, 2018.

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