urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2023-11-1-177-183urovest-684Research ArticleОБЗОРЫ ПУБЛИКАЦИЙ – ТЕКУЩЕЕ МНЕНИЕCURRENT STATE-OF-THE-ARTТуберкулёз и другие урогенитальные инфекции как заболевания, передающиеся половым путёмTuberculosis and other urogenital infections as sexually transmitted diseaseshttps://orcid.org/0000-0001-8062-7775КульчавеняЕ. В.KulchavenyaE. V.

Екатерина Валерьевна Кульчавеня — доктор медицинских наук, профессор; профессор кафедры фтизиопульмонологии; 

профессор кафедры урологии им. Е.В. Шахова;

научный руководитель урологического отделения МЦ «Авиценна» группыкомпаний «Мать и дитя»,

г. Новосибирск

Ekaterina V. Kulchavenya — M.D., Dr.Sc.(Med), Full Prof.; Prof., Dept. of Tuberculosis Pulmonology,

Prof., Dept. of Urology,

Scientific Adviser, Urology Division,

Novosibirsk

urotub@yandex.ruНовосибирский государственный медицинский университет; Приволжский исследовательский медицинский университет; Медицинский центр «Авиценна»РоссияNovosibirsk State Medical University; Privolzhsky Research Medical University; Avicenna Medical CenterRussian Federation202308042023111177183Copyright © Кульчавеня Е.В., 20232023Кульчавеня Е.В.Kulchavenya E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/684

Проведён анализ отечественной и зарубежной литературы, посвящённой эпидемиологии, этиологии и возможной сексуальной трансмиссии инфекций мочевыводящей системы. Установлено, что в настоящее время к инфекциям, передаваемым половым путём (ИППП), относят более 30 патогенов. Молекулярно-генетическим методом показана идентичность уропатогенной Escherichia coli при семейных случаях инфекций мочевыводящей системы, что подтверждает половой путь передачи инфекции, которая ранее не относилась к классическим ИППП. Приведён ряд работ, несомненно, свидетельствующих о возможном половом пути передачи и Mycobacterium tuberculosis. На сегодняшний день опубликовано мало сообщений о передаче инфекции половым путём, хотя туберкулёз является одним из наиболее распространённых инфекционных заболеваний во всём мире. Возможно, причины в том, что активный скрининг партнёрши больного туберкулёзом половых органов мужчины, равно как и в случае банальных урогенитальных инфекций, не проводится. Таким образом, возможность передачи инфекции половым путём может быть недооценена. Вероятность передачи как M. tuberculosis, так и uropathogenic E. coli половым путём невысока, однако возможна. 

The analysis of domestic and foreign literature on the epidemiology, etiology, and possible sexual transmission of urinary tract infections (UTI) was carried out. It has been established that more than 30 pathogens are currently classified as sexually transmitted infections (STI). The molecular genetic method has shown the identity of uropathogenic Escherichia coli in familial cases of UTI, which confirms the sexual route of infection transmission, which was not previously classified as a classic STI. Several works are cited that undoubtedly testify to the possible sexual transmission of Mycobacterium tuberculosis. Up to date, few reports of sexual transmission of UTI have been published, although tuberculosis is one of the most common infectious diseases worldwide. Perhaps because the partner of a patient with genital tuberculosis or other UTI is not actively evaluated. Thus, the possibility of sexual transmission may be underestimated. Sexual transmission of M. tuberculosis as well as uropathogenic E. coli is unlikely, but possible.

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The authors declare that there are no conflicts of interest present.