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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Evaluation of sexual history-based screening of anatomic sites for chlamydia trachomatis and neisseria gonorrhoeae infection in men having sex with men in routine practice
BMC Infectious Diseases, Volume 11, Article 203, Year 2011
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Description
Background: Sexually transmitted infection (STI) screening programmes are implemented in many countries to decrease burden of STI and to improve sexual health. Screening for Chlamydia trachomatis and Neisseria gonorrhoeae has a prominent role in these protocols. Most of the screening programmes concerning men having sex with men (MSM) are based on opportunistic urethral testing. In The Netherlands, a history-based approach is used. The aim of this study is to evaluate the protocol of screening anatomic sites for C. trachomatis and N. gonorrhoeae infection based on sexual history in MSM in routine practice in The Netherlands.Methods: All MSM visiting the clinic for STI in The Hague are routinely asked about their sexual practice during consulting. As per protocol, tests for urogenital, oropharyngeal and anorectal infection are obtained based on reported site(s) of sexual contact. All consultations are entered into a database as part of the national STI monitoring system. Data of an 18 months period were retrieved from this database and analysed.Results: A total of 1455 consultations in MSM were registered during the study period. The prevalence of C. trachomatis and N. gonorrhoeae per anatomic site was: urethral infection 4.0% respectively and 2.8%, oropharynx 1.5% and 4.2%, and anorectum 8.2% and 6.0%. The majority of chlamydia cases (72%) involved a single anatomic site, which was especially manifest for anorectal infections (79%), while 42% of gonorrhoea cases were single site. Twenty-six percent of MSM with anorectal chlamydia and 17% with anorectal gonorrhoea reported symptoms of proctitis; none of the oropharyngeal infections were symptomatic. Most cases of anorectal infection (83%) and oropharyngeal infection (100%) would have remained undiagnosed with a symptom-based protocol.Conclusions: The current strategy of sexual-history based screening of multiple anatomic sites for chlamydia and gonorrhoea in MSM is a useful and valid guideline which is to be preferred over a symptom-based screening protocol. © 2011 Peters et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Peters, Remco PH
Netherlands, The Hague
Municipal Medical and Health Service of the Hague
South Africa, Johannesburg
Anova Health Institute
Verweij, Stephan P.
Netherlands, Amsterdam
Amsterdam Umc - Vrije Universiteit Amsterdam
Nijsten, Noëmi
Netherlands, The Hague
Municipal Medical and Health Service of the Hague
Ouburg, Sander
Netherlands, Amsterdam
Amsterdam Umc - Vrije Universiteit Amsterdam
Mutsaers, Johan A.E.M.
Netherlands, Leidschendam
Hmc
Jansen, Casper L.
Netherlands, Leidschendam
Hmc
van Leeuwen, A. Petra
Netherlands, Utrecht
Netherlands Public Health Service
Morré, Servaas Å.
Netherlands, Amsterdam
Amsterdam Umc - Vrije Universiteit Amsterdam
Statistics
Citations: 67
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.1186/1471-2334-11-203
e-ISSN:
14712334
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Participants Gender
Male