Extragenital Sexually Transmitted Infection Testing Among Louisiana Parish Health Units, 2016-2019.

Autor:	Rahman MM, Johnson C; Office of Public Health, Louisiana Department of Health., Taylor SN, Peterman TA; Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA., Bennett TS; Bureau of Family Health, Louisiana Department of Health, New Orleans., Haydel D; Office of Public Health Laboratory, Louisiana Department of Health, Baton Rouge, LA., Newman DR; Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA., Furness BW; Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Jazyk:	angličtina
Zdroj:	Sexually transmitted diseases [Sex Transm Dis] 2023 May 01; Vol. 50 (5), pp. 274-279. Date of Electronic Publication: 2023 Jan 08.
DOI:	10.1097/OLQ.0000000000001764
Abstrakt:	Background: The Centers for Disease Control and Prevention recommends that men who have sex with men (MSM) get tested annually for urethral and rectal chlamydia (CT) and gonorrhea (NG), and pharyngeal NG. There are no national recommendations to screen women and heterosexual men at extragenital sites. We assessed extragenital CT/NG screening among men and women at Louisiana's Parish Health Units (PHU). Methods: The Louisiana STD/HIV/Hepatitis Program piloted extragenital screening at 4 PHUs in February 2016 and expanded to 11 PHUs in 2017. Sexual histories were used to identify gender of sex partners and exposed sites. Because of billing restrictions, up to 2 anatomical sites were tested for CT/NG. Results: From February 2016 to June 2019, 70,895 urogenital and extragenital specimens (56,086 urogenital, 13,797 pharyngeal, and 1,012 rectal) were collected from 56,086 patients. Pharyngeal CT positivity was 160 of 7,868 (2.0%) among women, 54 of 4,838 (1.1%) among men who have sex with women (MSW) and 33 of 1,091 (3.0%) among MSM. Rectal CT positivity was 51 of 439 (11.6%) among women and 95 of 573 (16.6%) among MSM. Pharyngeal NG positivity was 299 of 7,868 (3.8%) among women, 222 of 4,838 (4.6%) among MSW, and 97 of 1,091 (8.9%) among MSM. Rectal NG positivity was 20 of 439 (4.6%) among women and 134 of 573 (23.4%) among MSM.Urogenital-only screening would have missed: among women, 173 of 3,923 (4.4%) CT and 227 of 1,480 (15.3%) NG infections; among MSW, 26 of 2,667 (1%) CT and 149 of 1,709 (8.7%) NG infections; and among MSM, 116 of 336 (34.5%) CT and 127 of 413 (42.1%) NG infections. Conclusions: Many CT/NG infections would have been missed with urogenital-only screening. Men who have sex with men had much higher extragenital infection rates than women and MSW. Competing Interests: Conflict of Interest and Sources of Funding: None declared. (Copyright © 2023 American Sexually Transmitted Diseases Association. All rights reserved.)
Databáze:	MEDLINE
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