Work

Is Patient-Reported Exposure a Reliable Indicator for Rectal Gonorrhea and Chlamydia Screening in Young Black Men Who Have Sex With Men (YBMSM)?

Year: 2016

Type: article

Abstract: Background. The Centers for Disease Prevention and Control (CDC) recommends gonorrhea (GC) and chlamydia (CT) screening for men who have sex with men (MSM) at all anatomical sites (pharyngeal, urethral, rectal) at which they report exposure. We conducted this study to assess the value of patient-reported exposure with respect to observed GC/CT rectal and urethral infection rates in a cohort of YBMSM screened at an urban STD clinic in Jackson, Mississippi. Methods. A total of 507 BMSM aged 15-29 years reporting a history of anal sex in the past 90 days completed a computer-assisted self-interview at a sexual health clinic and were screened for rectal and urethral GC/CT regardless of reported exposure. GC/CT infection rates were calculated per anatomic site by 90 day reported exposure with and without condom use. Results. The mean participant age was 22.6 years (SD = 3.2) The overall GC/CT infection rate was 26.9%. Among YBMSM that denied RAS, rectal GC/CT infection rates were 19.4%. Among those who reported at least one episode of RAS, the infection rate was 30.6%. Just over one-third of the sample (35.3%) reported condomless receptive anal sex (RAS), at least once, in the past 90 days, and over one-quarter (27.0%) reported condomless insertive anal sex (IAS). Reported condom use for RAS did not significantly reduce rectal GC/CT infection rate (p = 0.10). Among YBMSM that reported no IAS, urethral GC/CT infection rates were 6.7%. (p = 0.10). Reported condom use for IAS significantly reduced GC/CT urethral infections (p = 0.08). Conclusion. GC/CT infection rates in this population were high. A large number of infections were identified at anatomical sites not consistent with reported exposure in the past 90 days. Clinicians caring for YBMSM should consider screening individuals for GC/CT at all anatomical sites regardless of reported exposure at least at the moment of initial care. Report of consistent condom use protected patients reporting IAS from urethral infections. Disclosures. All authors: No reported disclosures

Source: Open Forum Infectious Diseases

DOI: 10.1093/ofid/ofw172.1012

Authors: Nicholas Chamberlain, Leandro Mena, Laura Beauchamps, Richard Crosby, Philip A. Chan

Institutions: University of Mississippi Medical Center, University of Kentucky, Brown University

Language: English

Topic: Reproductive tract infections research

Subfield: Microbiology

Field: Immunology and Microbiology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $4,053