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Campylobacter spp. in men who have sex with men: A systematic review

Natasha Wahab1, Vaibhav Dubey1, Vidhushan Sivachandran1

  • 1Department of primary care and public health, Brighton & Sussex Medical School, Brighton, UK.

International Journal of STD & AIDS
|September 11, 2024
PubMed
Abstract

Insights

This review identified key demographic, biological, and behavioral factors associated with Campylobacter infections in men who have sex with men (MSM). Understanding these risks can improve public health strategies and clinical care for this population.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Sexual Health

Background:

  • Campylobacter spp. is a sexually transmitted enteric infection in men who have sex with men (MSM), causing severe diarrhea and occasionally Guillain-Barré syndrome.
  • Understanding the specific factors contributing to Campylobacter infections in MSM is crucial for targeted interventions.

Approach:

  • A systematic review was conducted following PRISMA guidelines, searching seven bibliographical databases for relevant English-language manuscripts.
  • Eligibility criteria focused on studies exploring factors in MSM with Campylobacter spp., with critical appraisal for bias assessment.

Key Points:

  • Demographic factors include living with HIV, residing in urban MSM districts, and HIV-negative MSM using HIV pre-exposure prophylaxis (PrEP).
  • Biological factors encompass antimicrobial-resistant Campylobacter, and co-infections with STIs (e.g., Neisseria gonorrhoeae, Chlamydia trachomatis) and enteric pathogens.
  • Behavioral factors involve condomless receptive anal sex, oral-anal/genital sex, multiple partners, and use of sex venues and online platforms.

Conclusions:

  • This review synthesizes critical demographic, biological, and behavioral risk factors for Campylobacter infections in MSM.
  • These findings are vital for developing effective public health interventions and updating clinical guidelines to address this infection in MSM populations.
Keywords:
Campylobacter spp.enteric infectionmen who have sex with mensexually transmitted infection

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