M. genitalium is a recognised Sexually Transmitted Infection (STI), treated syndromically, with clinical presentation similar to that of Chlamydia trachomatis.
1Prevalence of
M. genitalium infections in the general population ranges from 1-4%
2, and its treatment is challenging due to high levels of macrolide resistance.
5- Macrolide resistance testing is recommended by international and local guidelines on management of M. genitalium infections.3,4,6-8
- Macrolide resistance testing can guide appropriate treatment choice enabling Resistance Guided Therapy.6
- Resistance‑guided therapy approaches have been shown in clinical studies to support treatment decision‑making in M. genitalium infections and improve patient management.9
- Fast detection of macrolide resitance can reduce time to cure, preventing ongoing tansmissions. 9
1.Manhart LE and Kay N.Mycoplasma genitalium: Is It a Sexually Transmitted Pathogen? Curr. Infect. Dis. Reps. 2010; 12(4):306-313.
2. Cools et al, Lancet Infectious DiseasesVol. 20No. 11p1222–1223
3. 2018 BASHH UK national guideline for the management of infection withMycoplasma genitalium. Available online at https://www.bashhguidelines.org/media/1198/mg-2018.pdf
4. Jensen et al. 2016 European guideline onMycoplasma genitalium infections. J Eur Acad Dermatol Venereol. 2016 Oct;30(10):1650-1656.
5. Unemo, M et al. Antimicrobial-resistant sexually transmitted infections: gonorrhoea andMycoplasma genitalium.Nat Rev Urol. 2017 Mar;14(3):139-152.
6. Horner PJ et al. 2016 European guideline on the management of non-gonococcal urethritis. Int J STD AIDS. 2016 Oct;27(11):928-37.
7. Australian STI Management Guidelines – Mycoplasma genitalium 2018. http://www.sti.guidelines.org.au/sexually-transmissible-infections/mycoplasma-genitalium
8. Groupe Infectiologie Dermatologique et Infections Sexuellement GRIDIST and Société Fançaise de Dermatologie – Press Release. Available online at: https://www.sfdermato.org/actualites/communique-commun-gridist-et-sfd.html
9. Read TRH et al. Outcomes of Resistance-guided Sequential Treatment of Mycoplasma genitalium Infections: A Prospective Evaluation. Clin Infect Dis. 2019 Feb 1;68(4):554-560.