Gonorrhea Reinfection Among Sexually Transmitted Disease Clinic Attendees in Baltimore, Maryland

Bernstein, Kyle T.; Zenilman, Jonathan M.; Olthoff, Glen; Marsiglia, Vincent C.; Erbelding, Emily J.

doi:10.1097/01.olq.0000187233.53622.8a

Cited by 24 publications

(17 citation statements)

References 36 publications

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“…2,[43][44][45][46] Several studies that did not identify statistical significance still noted a trend of increased reinfection in younger participants. [47][48][49][50][51][52][53][54][55] The relationship between race or ethnicity and reinfection varied by study. Non-Hispanic blacks had a significantly higher risk of chlamydia reinfection in some studies; 2,37,39,42,44,46,56 however, other studies found no association with reinfection, 35,38,41,45,[57][58][59] despite a high proportion of black participants in several of these studies.…”

Section: Resultsmentioning

confidence: 96%

“…37,40,42,44,50,56,60 Of the studies that did not find a statistically significant relationship between race and gonorrhea reinfection, 2 of 3 study populations were over 80% black. 36,47 Of the 8 studies that examined the role of coinfection on reinfection estimates, 6 identified a statistically significant association. Five studies demonstrated that coinfection with gonorrhea increased reinfection with chlamydia, 2,38 -39,46,61 and 3 studies demonstrated that coinfection with chlamydia increased the risk of gonorrhea reinfection.…”

Section: Resultsmentioning

confidence: 97%

See 1 more Smart Citation

Repeat Infection With Chlamydia and Gonorrhea Among Females: A Systematic Review of the Literature

Hosenfeld

Workowski²,

Berman³

et al. 2009

Sexually Transmitted Diseases

278

207

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Determining the magnitude of chlamydia and gonorrhea reinfection is critical to inform evidence-based clinical practice guidelines related to retesting after treatment. PubMed was used to identify peer-reviewed English language studies published in the past 30 years that estimated reinfection rates among females treated for chlamydia or gonorrhea. Included in this analysis were original studies conducted in the United States and other industrialized countries that reported data on chlamydia or gonorrhea reinfection in females. Studies were stratified into 3 tiers based on study design. Reinfection rates were examined in relation to the organism, study design, length of follow-up, and population characteristics. Of the 47 studies included, 16 were active cohort (Tier 1), 15 passive cohort (Tier 2), and 16 disease registry (Tier 3) studies. The overall median proportion of females reinfected with chlamydia was 13.9% (n = 38 studies). Modeled chlamydia reinfection within 12 months demonstrated peak rates of 19% to 20% at 8 to 10 months. The overall median proportion of females reinfected with gonorrhea was 11.7% (n = 17 studies). Younger age was associated with higher rates of both chlamydia and gonorrhea reinfection. High rates of reinfection with chlamydia and gonorrhea among females, along with practical considerations, warrant retesting 3 to 6 months after treatment of the initial infection. Further research should investigate effective interventions to reduce reinfection and to increase retesting.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 97%

Repeat Infection With Chlamydia and Gonorrhea Among Females: A Systematic Review of the Literature

Hosenfeld

Workowski²,

Berman³

et al. 2009

Sexually Transmitted Diseases

278

207

View full text Add to dashboard Cite

show abstract

“…12 It is important to note that retesting for repeat chlamydia infection is distinct from a ''test-of-cure,'' which is now routinely recommended only for pregnant women 4 to 6 weeks after treatment and is primarily aimed at detecting treatment failure, not repeat infection. Though national retesting guidelines have existed since 2002, retesting rates in various clinical settings remain low: 43% in Job Corps clinics, 13,14 15%-38% in STD clinics, [15][16][17] and 21%-25% in California family planning clinics. (H. Howard, 2009, personal communication).…”

Section: Introductionmentioning

confidence: 99%

Retesting for Repeat Chlamydial Infection: Family Planning Provider Knowledge, Attitudes, and Practices

Park

Amey²,

Creegan³

et al. 2010

Journal of Women's Health

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Emphasizing the importance of retesting to providers through adoption of clinic policies will likely be an important component of a multimodal strategy to ensure that patients are retested and that provider/clinic staff take advantage of opportunities to retest patients. Innovative approaches such as home-based retesting with self-collected vaginal swabs and use of cost-effective technologies to generate patient reminders should also be considered.

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“…(19) Repeat screening using NAAT testing six months after completing therapy is recommended for individuals at risk for reinfection. (20,21) Cotreatment for chlamydia is indicated for all patients with proven gonorrhea, even if chlamydia is not detected. Syphilis: All pregnant adolescents should be screened for syphilis early in pregnancy and, ideally, again at delivery.…”

Section: Box 1 Which Adolescents Should Be Screened For Sexually Tranmentioning

confidence: 99%

Sexually transmitted infections in adolescents: Maximizing opportunities for optimal care

Allen¹,

MacDonald²

2014

Paediatrics &Amp; Child Health

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The recommendations in this document do not indicate an exclusive course of treatment or procedure to be followed. Variations, taking into account individual circumstances, may be appropriate. All Canadian Paediatric Society position statements and practice points are reviewed on a regular basis. Retired statements are removed from the website. Please consult the Position Statements section of the CPS website (www.cps.ca) for the full-text, current version.

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Gonorrhea Reinfection Among Sexually Transmitted Disease Clinic Attendees in Baltimore, Maryland

Abstract: Although reinfection rates were high, we found that field staff intervention to increase follow-up testing rates did not identify a significant amount of repeat infections compared with passive surveillance.

Cited by 24 publications

References 36 publications

Repeat Infection With Chlamydia and Gonorrhea Among Females: A Systematic Review of the Literature

Repeat Infection With Chlamydia and Gonorrhea Among Females: A Systematic Review of the Literature

Retesting for Repeat Chlamydial Infection: Family Planning Provider Knowledge, Attitudes, and Practices

Sexually transmitted infections in adolescents: Maximizing opportunities for optimal care

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