Extragenital Chlamydia and Gonorrhea in Young Black Men Who Have Sex With Men: Missed Treatment Opportunities for Human Immunodeficiency Virus-Infected Men Who Have Sex With Men?

Sexually Transmitted Diseases
Leandro MenaNicholas Chamberlain

Abstract

This study of young black men who have sex with men (YBMSM) assessed the prevalence of extragenital chlamydia and gonorrhea among those testing negative for urethral infections, and compared prevalence of both by human immunodeficiency virus (HIV) status. A convenience sample of 609 YBMSM was recruited for a cross-sectional study from 2 sexual health clinics located in Jackson, MS. To detect Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG), nucleic acid amplification testing was performed on urine, rectal swabs, and oral swabs. OraSure was used to detect HIV. Seventy-three percent of all chlamydia infections and 77% of gonorrhea infections were found from anal and oral swabs in the absence of urethral positivity. Compared with HIV-uninfected men, HIV-infected men were significantly more likely to have pharyngeal chlamydia (P = 0.03), multiple CT infections (P = 0.02), rectal NG (P < 0.001), multiple NG infections (P = 0.04), both CT/NG rectal infections (P = 0.001). As much as three quarters of all chlamydia and gonorrhea infections may be missed when only urine-based nucleic acid amplification testing is used to screen YBMSM for bacterial sexually transmitted infections. These missed opportunities for diagnosis may be...Continue Reading

References

Jun 7, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Charlotte K KentJeffrey D Klausner
Jun 15, 2007·Sexually Transmitted Diseases·Richard CrosbyLuke Shouse
Nov 17, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kyle T BernsteinJeffrey D Klausner
Nov 26, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kyle T BernsteinJeffrey D Klausner
Mar 12, 2016·Sexually Transmitted Diseases·David A KatzMatthew R Golden
Jul 2, 2016·Infectious Diseases in Obstetrics and Gynecology·Philip A ChanErica J Hardy

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Citations

Aug 27, 2019·Journal of Child Sexual Abuse·Agnes Wohl, Gregory W Kirschen
Aug 3, 2020·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jordan J WhiteCarl A Latkin
Sep 27, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Geneviève A F S van LiereChristian J P A Hoebe

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