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Asymptomatic gonorrhea and chlamydial infections detected by nucleic acid amplification tests among Boston area men who have sex with men.
Sex Transm Dis. 2008 May; 35(5):495-8.ST

Abstract

BACKGROUND

The purpose of this project was to determine the prevalence of asymptomatic sexually transmitted diseases (STDs) among men who have sex with men (MSM) in the Boston area who had been sexually active (oral and/or anal sex) with another male within the past year.

METHODS

Over a 1-month period (March 2007), asymptomatic MSM in care at a Boston community health center (n = 114) were screened for gonorrhea and chlamydia using the BD ProbeTec technique. Deidentified medical record data were analyzed and linked to prevalence monitoring results.

RESULTS

Eleven percent of the sample tested positive for one of the 2 STDs (gonorrhea or chlamydia) from at least one mucosal site. Individuals who were infected with an STD were considerably more likely to have a prior history of one or more STD infections when compared with those without an STD history (OR = 3.69; P <0.02). There were no significant differences observed in psychosocial and other behavioral risk factors between patients with or without an STD.

CONCLUSIONS

Screening asymptomatic MSM using nucleic acid amplification tests (NAATs) revealed a substantial STD burden that might not have been diagnosed using traditional assays. These data are critical for the design of effective public health interventions for this population.

Authors+Show Affiliations

The Fenway Institute, Research and Evaluation Department, Fenway Community Health, Boston, Massachusetts 02119, USA. mmimiaga@fenwayhealth.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

18354345

Citation

Mimiaga, Matthew J., et al. "Asymptomatic Gonorrhea and Chlamydial Infections Detected By Nucleic Acid Amplification Tests Among Boston Area Men Who Have Sex With Men." Sexually Transmitted Diseases, vol. 35, no. 5, 2008, pp. 495-8.
Mimiaga MJ, Mayer KH, Reisner SL, et al. Asymptomatic gonorrhea and chlamydial infections detected by nucleic acid amplification tests among Boston area men who have sex with men. Sex Transm Dis. 2008;35(5):495-8.
Mimiaga, M. J., Mayer, K. H., Reisner, S. L., Gonzalez, A., Dumas, B., Vanderwarker, R., Novak, D. S., & Bertrand, T. (2008). Asymptomatic gonorrhea and chlamydial infections detected by nucleic acid amplification tests among Boston area men who have sex with men. Sexually Transmitted Diseases, 35(5), 495-8. https://doi.org/10.1097/OLQ.0b013e31816471ae
Mimiaga MJ, et al. Asymptomatic Gonorrhea and Chlamydial Infections Detected By Nucleic Acid Amplification Tests Among Boston Area Men Who Have Sex With Men. Sex Transm Dis. 2008;35(5):495-8. PubMed PMID: 18354345.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Asymptomatic gonorrhea and chlamydial infections detected by nucleic acid amplification tests among Boston area men who have sex with men. AU - Mimiaga,Matthew J, AU - Mayer,Kenneth H, AU - Reisner,Sari L, AU - Gonzalez,Alex, AU - Dumas,Bill, AU - Vanderwarker,Rodney, AU - Novak,David S, AU - Bertrand,Thomas, PY - 2008/3/21/pubmed PY - 2008/7/19/medline PY - 2008/3/21/entrez SP - 495 EP - 8 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 35 IS - 5 N2 - BACKGROUND: The purpose of this project was to determine the prevalence of asymptomatic sexually transmitted diseases (STDs) among men who have sex with men (MSM) in the Boston area who had been sexually active (oral and/or anal sex) with another male within the past year. METHODS: Over a 1-month period (March 2007), asymptomatic MSM in care at a Boston community health center (n = 114) were screened for gonorrhea and chlamydia using the BD ProbeTec technique. Deidentified medical record data were analyzed and linked to prevalence monitoring results. RESULTS: Eleven percent of the sample tested positive for one of the 2 STDs (gonorrhea or chlamydia) from at least one mucosal site. Individuals who were infected with an STD were considerably more likely to have a prior history of one or more STD infections when compared with those without an STD history (OR = 3.69; P <0.02). There were no significant differences observed in psychosocial and other behavioral risk factors between patients with or without an STD. CONCLUSIONS: Screening asymptomatic MSM using nucleic acid amplification tests (NAATs) revealed a substantial STD burden that might not have been diagnosed using traditional assays. These data are critical for the design of effective public health interventions for this population. SN - 0148-5717 UR - https://www.unboundmedicine.com/medline/citation/18354345/Asymptomatic_gonorrhea_and_chlamydial_infections_detected_by_nucleic_acid_amplification_tests_among_Boston_area_men_who_have_sex_with_men_ L2 - https://doi.org/10.1097/OLQ.0b013e31816471ae DB - PRIME DP - Unbound Medicine ER -