Extragenital Screening of Chlamydia trachomatis and Neisseria gonorrhoeae Among Women in the College Health Setting.

Sexually Transmitted Diseases
Rebecca A HuxtaGiang T Nguyen

Abstract

Despite high frequencies of oral and receptive anal intercourse among young women, the Centers for Disease Control and Prevention does not recommend routine oropharyngeal or anorectal screening for CT and GC. Risk-based extragenital screening of women has not been adopted at the majority of college health centers, and existing research has not focused on the female or college population. We examined health records of women at a college health center in a large urban university for 3 years to evaluate the effectiveness of CT and GC screening. We also evaluated the proportion of CT and GC infections that would have been missed if risk-based extragenital screening was not performed. Decisions to screen at extragenital sites were based on patient-reported risk behavior. For 8027 unique chlamydia screens and 7907 unique gonorrhea screens, approximately 20% of the visits used extragenital screening in response to self-reported risk behaviors. More than 44% of patients were non-Hispanic White, and approximately 48% fell within the 20- to 24-year age group. The case positivity rates for CT were 2.85% with urogenital-only screening and 1.30% with risk-prompted extragenital screening (1.1% throat, 4.3% rectal). The case positivity rates ...Continue Reading

References

Mar 1, 1977·Annals of Internal Medicine·E J KleinL B Guze
Jan 25, 1973·The New England Journal of Medicine·P J WiesnerK K Holmes
Apr 14, 2015·Sexually Transmitted Diseases·Joshua D TrebachKhalil G Ghanem
Jul 3, 2018·Sexually Transmitted Diseases·Melissa A HabelSevgi O Aral
Dec 12, 2018·Journal of American College Health : J of ACH·Tyler G JamesGuy Nicolette

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