Tags

Type your tag names separated by a space and hit enter

Chlamydia trachomatis and Neisseria gonorrhoeae infection and the sexual behaviour of men who have sex with men.
Sex Transm Infect. 2007 Apr; 83(2):106-12.ST

Abstract

BACKGROUND

Rates of bacterial sexually transmitted infections (STIs) continue to rise among men who have sex with men (MSM) in the UK.

OBJECTIVE

To evaluate factors associated with Chlamydia trachomatis and Neisseria gonorrhoeae among MSM attending a genitourinary medicine clinic in inner London.

STUDY DESIGN

599 MSM undergoing testing for STIs were recruited. Specimens for ligase chain reaction (LCR), strand displacement amplification (SDA) assay and culture were collected from the pharynx, urethra and rectum for the detection of C trachomatis and N gonorrhoeae. Details regarding demographics, symptoms, signs and sexual behaviour were recorded. Associations of these factors with each infection were tested, adjusting for other risk factors.

RESULTS

The prevalence of C trachomatis and N gonorrhoeae was 11.0% and 16.0%, respectively. LCR and SDA performed well for the detection of C trachomatis and N gonorrhoeae from urethra and rectum. Using either method, compared with our current testing policy, over 18% of those with C trachomatis and N gonorrhoeae would not have had their infection diagnosed or treated. Age, sexual behaviour, urethral and rectal symptoms and signs were strongly associated with both infections. A total of 33.7% of men reported at least one episode of unprotected anal intercourse in the previous month. Men reporting multiple episodes were markedly more likely to be HIV positive.

CONCLUSION

The prevalence of infection, rates of partner acquisition and unprotected anal intercourse reported among these MSM are alarming. Improved detection of C trachomatis and N gonorrhoeae using nucleic acid amplification tests has major public health implications for STI and possibly HIV transmission in this population.

Authors+Show Affiliations

Department of Genitourinary Medicine, Mortimer Market Centre, Off Capper Street, London WC1B 6AU, UK. paul.benn@camdenpct.nhs.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17020893

Citation

Benn, P D., et al. "Chlamydia Trachomatis and Neisseria Gonorrhoeae Infection and the Sexual Behaviour of Men Who Have Sex With Men." Sexually Transmitted Infections, vol. 83, no. 2, 2007, pp. 106-12.
Benn PD, Rooney G, Carder C, et al. Chlamydia trachomatis and Neisseria gonorrhoeae infection and the sexual behaviour of men who have sex with men. Sex Transm Infect. 2007;83(2):106-12.
Benn, P. D., Rooney, G., Carder, C., Brown, M., Stevenson, S. R., Copas, A., Robinson, A. J., & Ridgway, G. L. (2007). Chlamydia trachomatis and Neisseria gonorrhoeae infection and the sexual behaviour of men who have sex with men. Sexually Transmitted Infections, 83(2), 106-12.
Benn PD, et al. Chlamydia Trachomatis and Neisseria Gonorrhoeae Infection and the Sexual Behaviour of Men Who Have Sex With Men. Sex Transm Infect. 2007;83(2):106-12. PubMed PMID: 17020893.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chlamydia trachomatis and Neisseria gonorrhoeae infection and the sexual behaviour of men who have sex with men. AU - Benn,P D, AU - Rooney,G, AU - Carder,C, AU - Brown,M, AU - Stevenson,S R, AU - Copas,A, AU - Robinson,A J, AU - Ridgway,G L, Y1 - 2006/10/04/ PY - 2006/10/6/pubmed PY - 2007/5/26/medline PY - 2006/10/6/entrez SP - 106 EP - 12 JF - Sexually transmitted infections JO - Sex Transm Infect VL - 83 IS - 2 N2 - BACKGROUND: Rates of bacterial sexually transmitted infections (STIs) continue to rise among men who have sex with men (MSM) in the UK. OBJECTIVE: To evaluate factors associated with Chlamydia trachomatis and Neisseria gonorrhoeae among MSM attending a genitourinary medicine clinic in inner London. STUDY DESIGN: 599 MSM undergoing testing for STIs were recruited. Specimens for ligase chain reaction (LCR), strand displacement amplification (SDA) assay and culture were collected from the pharynx, urethra and rectum for the detection of C trachomatis and N gonorrhoeae. Details regarding demographics, symptoms, signs and sexual behaviour were recorded. Associations of these factors with each infection were tested, adjusting for other risk factors. RESULTS: The prevalence of C trachomatis and N gonorrhoeae was 11.0% and 16.0%, respectively. LCR and SDA performed well for the detection of C trachomatis and N gonorrhoeae from urethra and rectum. Using either method, compared with our current testing policy, over 18% of those with C trachomatis and N gonorrhoeae would not have had their infection diagnosed or treated. Age, sexual behaviour, urethral and rectal symptoms and signs were strongly associated with both infections. A total of 33.7% of men reported at least one episode of unprotected anal intercourse in the previous month. Men reporting multiple episodes were markedly more likely to be HIV positive. CONCLUSION: The prevalence of infection, rates of partner acquisition and unprotected anal intercourse reported among these MSM are alarming. Improved detection of C trachomatis and N gonorrhoeae using nucleic acid amplification tests has major public health implications for STI and possibly HIV transmission in this population. SN - 1368-4973 UR - https://www.unboundmedicine.com/medline/citation/17020893/Chlamydia_trachomatis_and_Neisseria_gonorrhoeae_infection_and_the_sexual_behaviour_of_men_who_have_sex_with_men_ L2 - https://sti.bmj.com/lookup/pmidlookup?view=long&pmid=17020893 DB - PRIME DP - Unbound Medicine ER -