OBJECTIVES: Few data are available on the prevalence of sexually transmitted diseases (STDs) in men who have sex with men (MSM), making it difficult to develop STD screening guidelines for this population. The objective of the study was to determine the prevalence of urethral infections caused by Chlamydia trachomatis and Neisseria gonorrhoeae within a large, community based population of MSM, and to assess the feasibility of rectal screening in this population. METHODS: This was a cross sectional study of 566 MSM, who were predominantly middle aged, white, asymptomatic, and engaged in sex with multiple partners. All provided a urine sample to screen for chlamydial and gonorrhoea infections using a PCR assay; rectal screening was performed on 48 participants. RESULTS: Urethral C. trachomatis infections were detected in 1/566 participants (prevalence 0.2%, 95% CI 0.004% to 1.0%), and rectal C. trachomatis infections were detected in 2/48 men (prevalence 4.2%, 95% CI 0.5% to 14.2%). No gonorrhoea infections were detected, and none of the 117 HIV positive men had either infection. CONCLUSIONS: Chlamydial and gonorrhoea infections were uncommon in this sample of MSM, even among those with multiple sexual partners or HIV infection. These data call into question recommendations to screen all MSM based on their individual sexual behaviours or HIV. Additional data are needed on the prevalence of these infections in MSM from different settings.
OBJECTIVES: Few data are available on the prevalence of sexually transmitted diseases (STDs) in men who have sex with men (MSM), making it difficult to develop STD screening guidelines for this population. The objective of the study was to determine the prevalence of urethral infections caused by Chlamydia trachomatis and Neisseria gonorrhoeae within a large, community based population of MSM, and to assess the feasibility of rectal screening in this population. METHODS: This was a cross sectional study of 566 MSM, who were predominantly middle aged, white, asymptomatic, and engaged in sex with multiple partners. All provided a urine sample to screen for chlamydial and gonorrhoea infections using a PCR assay; rectal screening was performed on 48 participants. RESULTS: Urethral C. trachomatis infections were detected in 1/566 participants (prevalence 0.2%, 95% CI 0.004% to 1.0%), and rectal C. trachomatis infections were detected in 2/48 men (prevalence 4.2%, 95% CI 0.5% to 14.2%). No gonorrhoea infections were detected, and none of the 117 HIV positive men had either infection. CONCLUSIONS: Chlamydial and gonorrhoea infections were uncommon in this sample of MSM, even among those with multiple sexual partners or HIV infection. These data call into question recommendations to screen all MSM based on their individual sexual behaviours or HIV. Additional data are needed on the prevalence of these infections in MSM from different settings.
Authors: E L Ciemins; J Flood; C K Kent; H Shaw; S Rowniak; J Moncada; J D Klausner; J Schachter Journal: Sex Transm Dis Date: 2000-05 Impact factor: 2.830
Authors: D H Martin; C Cammarata; B Van Der Pol; R B Jones; T C Quinn; C A Gaydos; K Crotchfelt; J Schachter; J Moncada; D Jungkind; B Turner; C Peyton Journal: J Clin Microbiol Date: 2000-10 Impact factor: 5.948
Authors: B Van Der Pol; T C Quinn; C A Gaydos; K Crotchfelt; J Schachter; J Moncada; D Jungkind; D H Martin; B Turner; C Peyton; R B Jones Journal: J Clin Microbiol Date: 2000-03 Impact factor: 5.948
Authors: Hyman M Scott; Kyle T Bernstein; Henry F Raymond; Robert Kohn; Jeffrey D Klausner Journal: BMC Public Health Date: 2010-06-06 Impact factor: 3.295
Authors: Christine M Khosropour; Julia C Dombrowski; Lindley A Barbee; Lisa E Manhart; Matthew R Golden Journal: Sex Transm Dis Date: 2014-02 Impact factor: 2.830
Authors: Joseph Baker; Michael Plankey; Yiga Josayma; Richard Elion; Philippe Chiliade; Akbar Shahkolahi; Max Menna; Kevin Miniter; Rebecca Slack; Yang Yang; Benjamin Masterman; Joseph B Margolick Journal: AIDS Patient Care STDS Date: 2009-08 Impact factor: 5.078
Authors: Lenka A Vodstrcil; Christopher K Fairley; Glenda Fehler; David Leslie; Jennifer Walker; Catriona S Bradshaw; Jane S Hocking Journal: BMC Infect Dis Date: 2011-06-05 Impact factor: 3.090
Authors: Edward R Cachay; Amy Sitapati; Joseph Caperna; Kellie Freeborn; Joseph T Lonergan; Edward Jocson; William C Mathews Journal: PLoS One Date: 2009-12-30 Impact factor: 3.240
Authors: Frantz Jean Louis; Guethina Galbaud; Maureen Leonard; Emmanuel Pericles; Ito Journel; Josiane Buteau; Jacques Boncy; Regine Jean Francois; Jean Wysler Domercant Journal: BMJ Open Date: 2020-03-16 Impact factor: 2.692