Tags

Type your tag names separated by a space and hit enter

High performance and acceptability of self-collected rectal swabs for diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae in men who have sex with men and women.
Sex Transm Dis. 2009 Aug; 36(8):493-7.ST

Abstract

BACKGROUND

Identification of sexually transmitted infections (STI) is limited by the infrequent assessment of rectal STI. This study assesses usability of self-collected rectal swabs (SRS) in diagnosing rectal Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG).

METHODS

In 2006 to 2007, clients of the Amsterdam and South Limburg STI outpatient clinics reporting receptive anal intercourse were asked to fill out a questionnaire and provide SRS. A standard provider-collected rectal swab (PRS) was also taken, and both were tested for CT and NG by a nucleic acid amplification tests. SRS performance was compared with PRS as to agreement, sensitivity, and specificity.

RESULTS

Prevalence of rectal CT was 11% among the 1458 MSM and 9% among the 936 women. Rectal NG prevalence was 7% and 2%. In 98% of both MSM and women, SRS and PRS yielded concordant CT test results, for NG agreement was 98% for MSM and 99.4% for women. SRS performance for CT and NG diagnosis was good in both groups and was comparable for both study regions. Slightly more (57% of MSM, 62% of women) preferred SRS to PRS or had no preference; 97% would visit the STI clinic again if SRS was standard practice.

CONCLUSIONS

Because anal sex is a common practice for MSM and women, and anal STI are frequently present, rectal screening should be an essential part of an STI consultation. SRS is a feasible, valid, and acceptable alternative for MSM and women attending STI clinics, and hence should be considered for other settings as well.

Authors+Show Affiliations

Cluster Infectious Diseases, Sexually Transmitted Infection Outpatient Clinic, Amsterdam Public Health Service, Weesperplein 1, Amsterdam 1018WZ, The Netherlands. jvdhelm@ggd.amsterdam.nlNo 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

19617869

Citation

van der Helm, Jannie J., et al. "High Performance and Acceptability of Self-collected Rectal Swabs for Diagnosis of Chlamydia Trachomatis and Neisseria Gonorrhoeae in Men Who Have Sex With Men and Women." Sexually Transmitted Diseases, vol. 36, no. 8, 2009, pp. 493-7.
van der Helm JJ, Hoebe CJ, van Rooijen MS, et al. High performance and acceptability of self-collected rectal swabs for diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae in men who have sex with men and women. Sex Transm Dis. 2009;36(8):493-7.
van der Helm, J. J., Hoebe, C. J., van Rooijen, M. S., Brouwers, E. E., Fennema, H. S., Thiesbrummel, H. F., & Dukers-Muijrers, N. H. (2009). High performance and acceptability of self-collected rectal swabs for diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae in men who have sex with men and women. Sexually Transmitted Diseases, 36(8), 493-7. https://doi.org/10.1097/OLQ.0b013e3181a44b8c
van der Helm JJ, et al. High Performance and Acceptability of Self-collected Rectal Swabs for Diagnosis of Chlamydia Trachomatis and Neisseria Gonorrhoeae in Men Who Have Sex With Men and Women. Sex Transm Dis. 2009;36(8):493-7. PubMed PMID: 19617869.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - High performance and acceptability of self-collected rectal swabs for diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae in men who have sex with men and women. AU - van der Helm,Jannie J, AU - Hoebe,Christian J P A, AU - van Rooijen,Martijn S, AU - Brouwers,Elfi E H G, AU - Fennema,Han S A, AU - Thiesbrummel,Harold F J, AU - Dukers-Muijrers,Nicole H T M, PY - 2009/7/21/entrez PY - 2009/7/21/pubmed PY - 2009/9/30/medline SP - 493 EP - 7 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 36 IS - 8 N2 - BACKGROUND: Identification of sexually transmitted infections (STI) is limited by the infrequent assessment of rectal STI. This study assesses usability of self-collected rectal swabs (SRS) in diagnosing rectal Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG). METHODS: In 2006 to 2007, clients of the Amsterdam and South Limburg STI outpatient clinics reporting receptive anal intercourse were asked to fill out a questionnaire and provide SRS. A standard provider-collected rectal swab (PRS) was also taken, and both were tested for CT and NG by a nucleic acid amplification tests. SRS performance was compared with PRS as to agreement, sensitivity, and specificity. RESULTS: Prevalence of rectal CT was 11% among the 1458 MSM and 9% among the 936 women. Rectal NG prevalence was 7% and 2%. In 98% of both MSM and women, SRS and PRS yielded concordant CT test results, for NG agreement was 98% for MSM and 99.4% for women. SRS performance for CT and NG diagnosis was good in both groups and was comparable for both study regions. Slightly more (57% of MSM, 62% of women) preferred SRS to PRS or had no preference; 97% would visit the STI clinic again if SRS was standard practice. CONCLUSIONS: Because anal sex is a common practice for MSM and women, and anal STI are frequently present, rectal screening should be an essential part of an STI consultation. SRS is a feasible, valid, and acceptable alternative for MSM and women attending STI clinics, and hence should be considered for other settings as well. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/19617869/High_performance_and_acceptability_of_self_collected_rectal_swabs_for_diagnosis_of_Chlamydia_trachomatis_and_Neisseria_gonorrhoeae_in_men_who_have_sex_with_men_and_women_ L2 - https://doi.org/10.1097/OLQ.0b013e3181a44b8c DB - PRIME DP - Unbound Medicine ER -