Testing men who have sex with men for urethral infection with chlamydia trachomatis and neisseria gonorrhoeae is only half the job, and we need the right tools

Sexually Transmitted Diseases

Volumn 38, Issue 10, 2011, Pages 925-927

  Schachter, Julius ^a   Philip, Susan S ^b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BACTERIUM CULTURE; CHLAMYDIA TRACHOMATIS; DISEASE TRANSMISSION; EDITORIAL; HUMAN; INFECTION RISK; MALE; MALE HOMOSEXUAL; NEISSERIA GONORRHOEAE; NONHUMAN; NUCLEIC ACID AMPLIFICATION; OROPHARYNX; RECTUM; SEXUALITY; URETHRITIS;

CHLAMYDIA; CHLAMYDIA INFECTIONS; GONORRHEA; HUMANS; MALE; NEISSERIA GONORRHOEAE; PHARYNX; RECTUM;

EID: 80052961051     PISSN: 01485717     EISSN: 15374521     Source Type: Journal    
DOI: 10.1097/OLQ.0b013e318230f3d6     Document Type: Editorial

References (16)

1. Marcus JL, Bernstein KT, Kohn RP, et al. Infections missed by urethral-only screening for chlamydia or gonorrhea detection among men who have sex with men. Sex Transm Dis 2011; 38:922-924.
2. Kent CK, Chaw JK, Wong W, et al. Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003. Clin Infect Dis 2005; 41:67-74. (Pubitemid 40863746)
3. Gunn RA, O'Brien CJ, Lee MA, et al. Gonorrhea screening among men who have sex with men: Value of multiple anatomic site testing, San Diego, California, 1997-2003. Sex Transm Dis 2008; 35:845-8.
4. Schachter J, Moncada J, Liska S, et al. Nucleic acid amplification tests in the diagnosis of chlamydial and gonococcal infections of the oropharynx and rectum in men who have sex with men. Sex Transm Dis 2008; 35:637-642.
5. Moncada J, Schachter J, Rauch L, et al. How many MSM with chlamydial and gonococcal infections are missed if only urine specimens are screened? Presented at: 6th Meeting of the European Society for Chlamydia Research [P07]; 2008; Aarhus.
6. Bachmann LH, Johnson RE, Cheng H, et al. Nucleic acid amplification tests for diagnosis of Neisseria gonorrhoeae and Chlamydia trachomatis rectal infections. J Clin Microbiol 2010; 48:1827-1832.
7. Annan NT, Sullivan AK, Nori A, et al. Rectal chlamydia-a reservoir of undiagnosed infection in men who have sex with men. Sex Transm Infect 2009; 85:176-179.
8. Manavi K, McMillan A, Young H. The prevalence of rectal chlamydial infection amongst men who have sex with men attending the genitourinary medicine clinic in Edinburgh. Int J STD AIDS 2004; 15:162-164. (Pubitemid 38392109)
9. Templeton DJ, Jin F, Imrie J, et al. Prevalence, incidence and risk factors for pharyngeal chlamydia in the community-based Health in Men (HIM) cohort of homosexual men in Sydney, Australia. Sex Transm Infect 2008; 84:361-363.
10. Moncada J, Schachter J, Liska S, et al. Evaluation of selfcollected glans and rectal swabs from men who have sex with men for detection of Chlamydia trachomatis and Neisseria gonorrhoeae by use of nucleic acid amplification tests. J Clin Microbiol 2009; 47:1657-1662.
11. Ota KV, Tamari IE, Smieja M, et al. Detection of Neisseria gonorrhoeae and Chlamydia trachomatis in pharyngeal and rectal specimens using the BD Probetec ET system, the Gen-Probe Aptima Combo 2 assay and culture. Sex Transm Infect 2009; 85:182-186.
12. Karlsson A, Osterlund A, Forssen A. Pharyngeal Chlamydia trachomatis is not uncommon any more. Scand J Infect Dis 2011; 43:344-348.
13. Hunte T, Alcaide M, Castro J. Rectal infections with chlamydia and gonorrhoea in women attending a multiethnic sexually transmitted diseases urban clinic. Int J STD AIDS 2010; 21:819-822.
14. Bernstein KT, Marcus JL, Nieri G, et al. Rectal gonorrhea and chlamydia reinfection is associated with increased risk of HIV seroconversion. JAIDS 2010; 53:537-543.
15. Bernstein KT, Stephens SC, Barry PM, et al. Chlamydia trachomatis and Neisseria gonorrhoeae transmission from the oropharynx to the urethra among men who have sex with men. Clin Infect Dis 2009; 49:1793-1797.
16. Expert Consultation Meeting Summary Report: Laboratory Diagnostic Testing for Chlamydia trachomatis and Neisseria gonorrhoeae [APHL Web site]. 2009. Available at http://www.aphl. org/aphlprograms/infectious/std/Pages/ stdtestingguidelines.aspx. Accessed July 28, 2011.