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Volume 29, Number 10—October 2023
Dispatch

Outbreak of Sexually Transmitted Nongroupable Neisseria meningitidis–Associated Urethritis, Vietnam

Hao Trong Nguyen1, Thanh V. Phan1, Hau Phuc Tran, Thao Thi Phuong Vu, Nhi Thi Uyen Pham, Tho Thi Thanh Nguyen, Ha Manh Bui, Bao Hac Duong, Thu Nguyen Anh Luu, Nguyen Nhat Pham, Phuc Duy Nguyen, Tu Ngoc Le, Thu Quang Le, Dai Thi Trang Vo, Lan Trong Phan, Nghia Van Khuu, Quang Duy Pham, and Thuong Vu NguyenComments to Author 
Author affiliations: Ho Chi Minh City Hospital of Dermato-Venereology, Ho Chi Minh City, Vietnam (H.T. Nguyen, T.T.P. Vu, N.T.U. Pham, T.T.T. Nguyen, H.M. Bui, B.H. Duong, T.N.A. Luu, N.N. Pham); Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City (T.V. Phan, H.P. Tran, P.D. Nguyen, T.N. Le, T.Q. Le, D.T.T. Vo, L.T. Phan, N.V. Khuu, Q.D. Pham, T.V. Nguyen)

Main Article

Table 2

Correlates of demographic characteristics, STI symptoms and pathogens among male patients with N. meningitidis US NmNG urethritis and controls, Vietnam*

Variables Cases, 
n = 19 Controls, 
n = 76 Univariable analysis†
Multivariable analysis†
OR (95% CI) p value aOR (95% CI) p value
Mean age, y 26.9 27.8 0.90 (0.75–1.07) 0.232 NA
Mean years of education 10.8 11.0 0.96 (0.75–1.23) 0.760 NA
Medical examination >3 d after symptom onset
13 (68.4)
11 (14.5)
18.41 (4.04–83.86)
<0.001

16.00 (2.00–127.54)
0.009
Symptoms
Pyuria 2 (10.5) 10 (13.2) 0.79 (0.16–3.79) 0.764 NA
Dysuria 13 (68.4) 65 (85.5) 0.39 (0.12–1.19) 0.098 NA
Burning sensation during urination 2 (10.5) 57 (75.0) 0.05 (0.01–0.22) <0.001 0.08 (0.01–0.46) 0.005
Discharge
4 (21.1)
16 (21.1)
1.00 (0.26–3.89)
>0.999



Time between symptom onset and medical consultation, d
Mean 4.7 3.0 1.92 (1.18–3.13) 0.009 NA
Median (range)
5 (3–12)
3 (1–14)





History of meningococcal vaccine
Ever 0 1 (1.3) NA
Never 12 (63.2) 51 (67.1) NA
Do not know, do not remember
7 (36.8)
24 (31.6)
NA




Positive tests
HIV 2 (10.5) 6 (7.9) 1.36 (0.26–7.20) 0.716 NA
Syphilis 2 (10.5) 3 (3.9) 2.67 (0.45–15.96) 0.283 NA
Gonorrhea 0 (0.0) 75 (98.7) NA NA
Chlamydia 4 (21.1) 7 (9.2) 2.57 (0.67–9.83) 0.168 3.83 (0.37–39.43) 0.258
Ureaplasma 1 (5.3) 8 (10.5) 0.48 (0.06–4.01) 0.502 NA
Mycoplasma 1 (5.3) 10 (13.2) 0.39 (0.04–3.10) 0.372 NA

*Values are no. (%) except as indicated. aOR, adjusted odds ratio; NA, not applicable; OR, odds ratio. †Conditional logistic regression.

Main Article

1These first authors contributed equally to this article.

Page created: August 14, 2023
Page updated: September 21, 2023
Page reviewed: September 21, 2023
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