Table 4.

Association of Self-reported Persistent Urethritis and Return Visits

MG PositiveMG Negative
Resistance Mutations Present in 23S rRNA, n = 124Resistance Mutations Absent in 23S rRNA, n = 69n = 477
n (%)(95% CI)n (%)(95% CI)n (%)(95% CI)
Persistent symptoms at Day 15
 Yes32 (25.8)(18.4–34.4)9 (13.0)(6.1–23.3)82 (17.2)(13.9–20.9)
 No84 (67.7)(58.8–75.9)60 (87.0)(76.7–93.9)378 (79.2)(75.3–82.8)
 Incongruent: symptoms not reported at enrollment but reported as persistent at Day 154 (3.2)(.9–8.1)0 (0)(0–5.2)4 (.8)(.2–2.1)
 Incongruent: symptoms reported at enrollment but denied ever having at Day 154 (3.2)(.9–8.1)0 (0)(0–5.2)13 (2.7)(1.5–4.6)
Returned at least once within 45 days of enrollmentb
 Yes10 (31.3)(16.1–50)2 (22.2)(2.8–60)27 (32.9)(22.9–44.2)
 No22 (68.8)(50–83.9)7 (77.8)(40–97.2)55 (67.1)(55.8–77.1)
Return visit before Day 15 FUb
 Yes6 (18.8)(7.2–36.4)0 (0)(0–33.6)7 (8.5)(3.5–16.8)
 No26 (81.3)(63.6–92.8)9 (100)(66.4–100)75 (91.5)(83.2–96.5)
Return visit between Day 15 FU and Day 45b
 Yes4 (12.5)(3.5–29)2 (22.2)(2.8–60)21 (25.6)(16.6–36.4)
 No28 (87.5)(71–96.5)7 (77.8)(40–97.2)61 (74.4)(63.6–83.4)
MG PositiveMG Negative
Resistance Mutations Present in 23S rRNA, n = 124Resistance Mutations Absent in 23S rRNA, n = 69n = 477
n (%)(95% CI)n (%)(95% CI)n (%)(95% CI)
Persistent symptoms at Day 15
 Yes32 (25.8)(18.4–34.4)9 (13.0)(6.1–23.3)82 (17.2)(13.9–20.9)
 No84 (67.7)(58.8–75.9)60 (87.0)(76.7–93.9)378 (79.2)(75.3–82.8)
 Incongruent: symptoms not reported at enrollment but reported as persistent at Day 154 (3.2)(.9–8.1)0 (0)(0–5.2)4 (.8)(.2–2.1)
 Incongruent: symptoms reported at enrollment but denied ever having at Day 154 (3.2)(.9–8.1)0 (0)(0–5.2)13 (2.7)(1.5–4.6)
Returned at least once within 45 days of enrollmentb
 Yes10 (31.3)(16.1–50)2 (22.2)(2.8–60)27 (32.9)(22.9–44.2)
 No22 (68.8)(50–83.9)7 (77.8)(40–97.2)55 (67.1)(55.8–77.1)
Return visit before Day 15 FUb
 Yes6 (18.8)(7.2–36.4)0 (0)(0–33.6)7 (8.5)(3.5–16.8)
 No26 (81.3)(63.6–92.8)9 (100)(66.4–100)75 (91.5)(83.2–96.5)
Return visit between Day 15 FU and Day 45b
 Yes4 (12.5)(3.5–29)2 (22.2)(2.8–60)21 (25.6)(16.6–36.4)
 No28 (87.5)(71–96.5)7 (77.8)(40–97.2)61 (74.4)(63.6–83.4)

Data are among men treated with azithromycin who have analyzable Day 15 data, stratified by Mycoplasma genitalium status and by the presence or absence of macrolide resistance mutations (23S rRNA),a June 2017–July 2018.

Abbreviations: CI, confidence interval; FU, follow-up; MG, Mycoplasma genitalium; rRNA, ribosomal ribonucleic acid.

aMen with Trichomonas vaginalis infection were excluded; men with an unevaluable result for the 23S mutation were also excluded.

bAmong men reporting persistent symptoms at Day 15; excluding participants with incongruent answers.

Table 4.

Association of Self-reported Persistent Urethritis and Return Visits

MG PositiveMG Negative
Resistance Mutations Present in 23S rRNA, n = 124Resistance Mutations Absent in 23S rRNA, n = 69n = 477
n (%)(95% CI)n (%)(95% CI)n (%)(95% CI)
Persistent symptoms at Day 15
 Yes32 (25.8)(18.4–34.4)9 (13.0)(6.1–23.3)82 (17.2)(13.9–20.9)
 No84 (67.7)(58.8–75.9)60 (87.0)(76.7–93.9)378 (79.2)(75.3–82.8)
 Incongruent: symptoms not reported at enrollment but reported as persistent at Day 154 (3.2)(.9–8.1)0 (0)(0–5.2)4 (.8)(.2–2.1)
 Incongruent: symptoms reported at enrollment but denied ever having at Day 154 (3.2)(.9–8.1)0 (0)(0–5.2)13 (2.7)(1.5–4.6)
Returned at least once within 45 days of enrollmentb
 Yes10 (31.3)(16.1–50)2 (22.2)(2.8–60)27 (32.9)(22.9–44.2)
 No22 (68.8)(50–83.9)7 (77.8)(40–97.2)55 (67.1)(55.8–77.1)
Return visit before Day 15 FUb
 Yes6 (18.8)(7.2–36.4)0 (0)(0–33.6)7 (8.5)(3.5–16.8)
 No26 (81.3)(63.6–92.8)9 (100)(66.4–100)75 (91.5)(83.2–96.5)
Return visit between Day 15 FU and Day 45b
 Yes4 (12.5)(3.5–29)2 (22.2)(2.8–60)21 (25.6)(16.6–36.4)
 No28 (87.5)(71–96.5)7 (77.8)(40–97.2)61 (74.4)(63.6–83.4)
MG PositiveMG Negative
Resistance Mutations Present in 23S rRNA, n = 124Resistance Mutations Absent in 23S rRNA, n = 69n = 477
n (%)(95% CI)n (%)(95% CI)n (%)(95% CI)
Persistent symptoms at Day 15
 Yes32 (25.8)(18.4–34.4)9 (13.0)(6.1–23.3)82 (17.2)(13.9–20.9)
 No84 (67.7)(58.8–75.9)60 (87.0)(76.7–93.9)378 (79.2)(75.3–82.8)
 Incongruent: symptoms not reported at enrollment but reported as persistent at Day 154 (3.2)(.9–8.1)0 (0)(0–5.2)4 (.8)(.2–2.1)
 Incongruent: symptoms reported at enrollment but denied ever having at Day 154 (3.2)(.9–8.1)0 (0)(0–5.2)13 (2.7)(1.5–4.6)
Returned at least once within 45 days of enrollmentb
 Yes10 (31.3)(16.1–50)2 (22.2)(2.8–60)27 (32.9)(22.9–44.2)
 No22 (68.8)(50–83.9)7 (77.8)(40–97.2)55 (67.1)(55.8–77.1)
Return visit before Day 15 FUb
 Yes6 (18.8)(7.2–36.4)0 (0)(0–33.6)7 (8.5)(3.5–16.8)
 No26 (81.3)(63.6–92.8)9 (100)(66.4–100)75 (91.5)(83.2–96.5)
Return visit between Day 15 FU and Day 45b
 Yes4 (12.5)(3.5–29)2 (22.2)(2.8–60)21 (25.6)(16.6–36.4)
 No28 (87.5)(71–96.5)7 (77.8)(40–97.2)61 (74.4)(63.6–83.4)

Data are among men treated with azithromycin who have analyzable Day 15 data, stratified by Mycoplasma genitalium status and by the presence or absence of macrolide resistance mutations (23S rRNA),a June 2017–July 2018.

Abbreviations: CI, confidence interval; FU, follow-up; MG, Mycoplasma genitalium; rRNA, ribosomal ribonucleic acid.

aMen with Trichomonas vaginalis infection were excluded; men with an unevaluable result for the 23S mutation were also excluded.

bAmong men reporting persistent symptoms at Day 15; excluding participants with incongruent answers.

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