Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Screening of oropharynx and anorectum increases prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae infection in female STD clinic visitors
Sexually Transmitted Diseases, Volume 38, No. 9, Year 2011
Notification
URL copied to clipboard!
Description
Background: The relevance of screening of oropharynx and anorectum in addition to endocervical tests for detection of Chlamydia trachomatis and Neisseria gonorrhoeae infection is unclear in women, while there is a documented benefit of this approach in men who have sex with men. Methods: Female visitors to the sexually transmitted disease (STD) clinic were asked about their sexual practice as a part of the routine electronic patient file. In addition to tests for endocervical infection, swabs were taken from the oropharynx and anorectum to test for C. trachomatis and N. gonorrhoeae based on the history of sexual contact. Routinely, all electronic patient files are anonymously included in a database for surveillance purposes. In this observational study, we analyzed all consultations in the database over an 18 months period. Results: A total of 4299 consultations were registered; 10% of women had endocervical chlamydia and 1.1% had gonorrhea. The detection rates for C. trachomatis and N. gonorrhoeae from oropharyngeal samples were 1.9% and 0.8%, and from anorectal samples 8.7% and 1.7%, respectively. Except for 2 cases of pharyngeal gonorrhea, all oropharyngeal and anorectal infections were asymptomatic. Inclusion of oropharyngeal and anorectal tests in the screening protocol was associated with a percentage increase in prevalence of chlamydia by 9.5% and gonorrhea by 31%, relative to tests for endocervical tests alone. The percentage increase in prevalence was higher than that for the symptom-based approach (3.7% and 10.4%, respectively). Conclusions: Inclusion of oropharyngeal and anorectal tests in the STD screening protocol increases the prevalence of chlamydia and gonorrhea in women. Screening of anatomical sites based on sexual history is preferred over a symptom-based protocol. Copyright © 2011 American Sexually Transmitted Diseases Association. All rights reserved.
Authors & Co-Authors
Peters, Remco PH
Netherlands, The Hague
Municipal Medical and Health Service of the Hague
South Africa, Johannesburg
Anova Health Institute
Nijsten, Noëmi
Netherlands, The Hague
Municipal Medical and Health Service of the Hague
Mutsaers, Johan A.E.M.
Netherlands, Leidschendam
Hmc
Jansen, Casper L.
Netherlands, Leidschendam
Hmc
Morré, Servaas Å.
Netherlands, Amsterdam
Amsterdam Umc - Vrije Universiteit Amsterdam
van Leeuwen, A. Petra
Netherlands, The Hague
Municipal Medical and Health Service of the Hague
Statistics
Citations: 74
Authors: 6
Affiliations: 4
Identifiers
Doi:
10.1097/OLQ.0b013e31821890e9
ISSN:
01485717
e-ISSN:
15374521
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Participants Gender
Male
Female