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Enteric Infections in Men Who Have Sex With Men

Candice J McNeil1, Robert D Kirkcaldy2, Kimberly Workowski2,3

  • 1Department of Internal Medicine, Section on Infectious Diseases, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|April 13, 2022
PubMed
Abstract

Insights

Enteric pathogens can spread through sexual contact in networks of men who have sex with men (MSM). Research confirms transmission of specific pathogens like Campylobacter and Shigella, urging targeted testing and prevention strategies.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Public Health

Background:

  • Enteric pathogens are typically linked to food, water, animal, or fecal exposure.
  • Sexual transmission of enteric pathogens can occur within networks of men who have sex with men (MSM) through oral-anal contact.

Purpose of the Study:

  • To conduct a scoping review of literature on enteric pathogens and gastrointestinal syndromes in MSM.
  • To identify pathogens and transmission routes relevant to MSM sexual networks.

Main Methods:

  • Scoping review of literature published before July 2019.
  • Searched multiple electronic databases using keywords for gastrointestinal syndromes, enteric pathogens, sexually transmitted infections (STIs), and outbreaks.
  • Included 117 references from 5861 identified records for pathogen-specific reviews.

Main Results:

  • A significant body of evidence supports the sexual transmission of Campylobacter, Giardia lamblia, and Shigella (especially antimicrobial-resistant strains) among MSM.
  • Data strength varies by pathogen, but transmission within MSM sexual networks is documented.

Conclusions:

  • Enteritis or proctocolitis in MSM should be considered potentially sexually transmitted, prompting targeted STI testing.
  • Effective risk reduction and prevention strategies require further research, highlighting a need for more evidence-based interventions.
Keywords:
enteric diseasesmen who have sex with mensexual transmission

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