Prevalence of Neisseria Gonorrhoeae among men screened for Chlamydia Trachomatis in four United States cities, 1999-2003

Sexually Transmitted Diseases
Charlotte A GaydosJulia Ann Schillinger

Abstract

Neisseria gonorrhoeae infections are the second most commonly reported disease in the United States and cause significant morbidity. We describe the prevalence of gonorrhea in a large sample of men tested for gonorrhea and Chlamydia trachomatis in Baltimore, Denver, San Francisco, and Seattle. Gonorrhea prevalence was measured among 17,712 men tested in a variety of non-sexually transmitted disease (STD) clinic venues using urine-based nucleic acid amplification tests. Among 16,850 asymptomatic men, prevalence ranged from 0% to 1.5% by city (P=0.20): Baltimore 1.3%, Denver 1.5%, San Francisco 1.5%, and Seattle 0%. Among 862 symptomatic men, the gonorrhea prevalence varied from 0.0% to 28.3% by city (P<0.01). The high prevalence of gonorrhea in symptomatic men supports the importance of testing for symptomatic men. The prevalence of gonorrhea among asymptomatic men is low, and routine screening cannot be recommended when screening is performed for chlamydia, unless a substantial local prevalence of gonorrhea can be documented in specific targeted venues or population groups.

References

Apr 1, 1987·Sexually Transmitted Diseases·J J PotteratR B Rothenberg
Aug 24, 1999·Clinical Pediatrics·B H MorrisS E Denson
Oct 13, 2001·The Journal of Infectious Diseases·J A CecilC A Gaydos
Dec 6, 2002·Sexually Transmitted Diseases·Kristen J MertzUNKNOWN Jail STD Prevalence Monitoring Group
Nov 7, 2003·Sexually Transmitted Diseases·Thomas A FarleyDavid H Martin
May 13, 2004·JAMA : the Journal of the American Medical Association·William C MillerJ Richard Udry
Jul 10, 2004·Journal of Clinical Microbiology·Charlotte A GaydosThomas C Quinn
Jan 26, 2005·Sexually Transmitted Diseases·Julia Ann SchillingerLauri Ellen Markowitz
Jun 2, 2005·Annals of Family Medicine·UNKNOWN U.S. Preventive Services Task Force

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Citations

Jul 13, 2011·Sexually Transmitted Infections·Stephen A BerryKelly A Gebo
Dec 8, 2006·Sexually Transmitted Infections·Jacky M JenningsCornelis A Rietmeijer
Feb 9, 2008·Emerging Infectious Diseases·Dionne Gesink LawAnders Koch
Oct 18, 2011·Journal of Infection and Public Health·N A Al-SweihV O Rotimi
Nov 19, 2010·Revista Da Sociedade Brasileira De Medicina Tropical·Marcelo Joaquim BarbosaAngelica Espinosa Miranda
Mar 22, 2012·American Journal of Men's Health·Elizabeth RinkDionne Gesink

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