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Extragenital Gonorrhea and Chlamydia Among Men and Women According to Type of Sexual Exposure.
Sex Transm Dis. 2019 05; 46(5):329-334.ST

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

Extragenital GC and CT rates of infection was highest among MSM but was also observed in WSM and MSW, representing an unrecognized disease burden.

Authors+Show Affiliations

No affiliation info availableNo affiliation info availableKansas City, Missouri Health Department.Department of Biomedical & Health Informatics, University of Missouri-Kansas City School of Medicine, Kansas City, MO.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30676485

Citation

Bamberger, David M., et al. "Extragenital Gonorrhea and Chlamydia Among Men and Women According to Type of Sexual Exposure." Sexually Transmitted Diseases, vol. 46, no. 5, 2019, pp. 329-334.
Bamberger DM, Graham G, Dennis L, et al. Extragenital Gonorrhea and Chlamydia Among Men and Women According to Type of Sexual Exposure. Sex Transm Dis. 2019;46(5):329-334.
Bamberger, D. M., Graham, G., Dennis, L., & Gerkovich, M. M. (2019). Extragenital Gonorrhea and Chlamydia Among Men and Women According to Type of Sexual Exposure. Sexually Transmitted Diseases, 46(5), 329-334. https://doi.org/10.1097/OLQ.0000000000000967
Bamberger DM, et al. Extragenital Gonorrhea and Chlamydia Among Men and Women According to Type of Sexual Exposure. Sex Transm Dis. 2019;46(5):329-334. PubMed PMID: 30676485.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extragenital Gonorrhea and Chlamydia Among Men and Women According to Type of Sexual Exposure. AU - Bamberger,David M, AU - Graham,Georgia, AU - Dennis,Lesha, AU - Gerkovich,Mary M, PY - 2019/1/25/pubmed PY - 2020/5/12/medline PY - 2019/1/25/entrez SP - 329 EP - 334 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 46 IS - 5 N2 - BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: Extragenital GC and CT rates of infection was highest among MSM but was also observed in WSM and MSW, representing an unrecognized disease burden. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/30676485/Extragenital_Gonorrhea_and_Chlamydia_Among_Men_and_Women_According_to_Type_of_Sexual_Exposure_ L2 - https://doi.org/10.1097/OLQ.0000000000000967 DB - PRIME DP - Unbound Medicine ER -