Extragenital Gonorrhea and Chlamydia Among Men and Women According to Type of Sexual Exposure

Autor: Lesha Dennis, David M. Bamberger, Georgia Graham, Mary M. Gerkovich
Rok vydání: 2019
Předmět:
Adult
Male
Microbiology (medical)
medicine.medical_specialty
Adolescent
Sexual Behavior
Gonorrhea
Chlamydia trachomatis
Dermatology
urologic and male genital diseases
Treatment failure
Sexual and Gender Minorities
Young Adult
03 medical and health sciences
0302 clinical medicine
Prevalence
medicine
Humans
030212 general & internal medicine
Men having sex with men
Young adult
Sexual exposure
030505 public health
Chlamydia
Obstetrics
business.industry
Rectum
Public Health
Environmental and Occupational Health
Nucleic acid amplification technique
Chlamydia Infections
Kansas
Middle Aged
medicine.disease
Neisseria gonorrhoeae
female genital diseases and pregnancy complications
Sexual Partners
Infectious Diseases
Pharynx
Female
0305 other medical science
business
Nucleic Acid Amplification Techniques
Disease transmission
Zdroj: Sexually Transmitted Diseases. 46:329-334
ISSN: 1537-4521
0148-5717
Popis: Current guidelines recommend screening for extragenital gonorrhea (GC) and chlamydia (CT) only among men having sex with men (MSM). Extragenital GC and CT is associated with treatment failure and disease transmission. The prevalence of extragenital GC/CT infections in women and in men having sex with women (MSW) are less well studied. We sought to determine the prevalence of extragenital CG and CT among all persons attending a sexually transmitted diseases clinic who engaged in extragenital sexual activity.We examined demographic and clinical data of all patients who engaged in extragenital sexual activity between January 2012 and October 2014. Nucleic acid amplification testing for GC and CT was performed at sites of exposure among all men and women at pharyngeal, rectal, and urogenital sites. Multivariable logistic regression analyses were performed to determine the extent that age, race/ethnicity, and number of sexual partners predicted a positive test result.Pharyngeal GC was found in 3.1% of MSW, representing 35% of the GC infections in MSW. Thirty-six percent of MSW with pharyngeal GC tested negative at their urogenital site. Pharyngeal GC in MSW prevalence was higher among those with younger age or a higher number of sex partners. Pharyngeal GC, rectal GC, and rectal CT rates were 8.5%, 15.0%, and 16.5%, respectively, among MSM and 3.8%, 4.8%, and 11.8% among women having sex with men (WSM), respectively.Extragenital GC and CT rates of infection was highest among MSM but was also observed in WSM and MSW, representing an unrecognized disease burden.
Databáze: OpenAIRE
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