Screening for Neisseria gonorrhoeae and Chlamydia trachomatis at Entertainment Venues Among Men Who Have Sex with Men

Debattista, Joseph; Clementson, C; Mason, Drew; Dwyer, John M.; Argent, Shelly; Woodward, Charlotte; Dean, Judith; Buks, Lorraine; Copley, M; Hinwood, Greg; Benfield, Craig; Walton, Paul H.

doi:10.1097/00007435-200204000-00006

Cited by 27 publications

(12 citation statements)

References 25 publications

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“…Urethral infection prevalence ranged from 1.0% [86] to 5.0% [84]. Estimates for pharyngeal infection were low, ranging from 0.0% in both clinical and SOPV settings [80,82,90] to 2.7% [85]. A large well-conducted cohort study found the prevalence of rectal and urethral chlamydia at the time of recruitment to be higher among HIV-positive compared with HIV-negative men (5.9% versus 4.4% and 0.9% versus 2.2%), although this was not statistically significant [87,88].…”

Section: Resultsmentioning

confidence: 99%

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

et al. 2012

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BackgroundChlamydia trachomatis is a common sexually transmitted infection in Australia. This report aims to measure the burden of chlamydia infection by systematically reviewing reports on prevalence in Australian populations.MethodsElectronic databases and conference websites were searched from 1997–2011 using the terms ‘Chlamydia trachomatis’ OR ‘chlamydia’ AND ‘prevalence’ OR ‘epidemiology’ AND ‘Australia’. Reference lists were checked and researchers contacted for additional literature. Studies were categorised by setting and participants, and meta-analysis conducted to determine pooled prevalence estimates for each category.ResultsSeventy-six studies met the inclusion criteria for the review. There was a high level of heterogeneity between studies; however, there was a trend towards higher chlamydia prevalence in younger populations, Indigenous Australians, and those attending sexual health centres. In community or general practice settings, pooled prevalence for women <25 years in studies conducted post-2005 was 5.0% (95% CI: 3.1, 6.9; five studies), and for men <30 years over the entire review period was 3.9% (95% CI: 2.7, 5.1; six studies). For young Australians aged <25 years attending sexual health, family planning or youth clinics, estimated prevalence was 6.2% (95% CI: 5.1, 7.4; 10 studies) for women and 10.2% (95% CI: 9.5, 10.9; five studies) for men. Other key findings include pooled prevalence estimates of 22.1% (95% CI: 19.0, 25.3; three studies) for Indigenous women <25 years, 14.6% (95% CI: 11.5, 17.8; three studies) for Indigenous men <25 years, and 5.6% (95% CI: 4.8, 6.3; 11 studies) for rectal infection in men who have sex with men. Several studies failed to report basic demographic details such as sex and age, and were therefore excluded from the analysis.ConclusionsChlamydia trachomatis infections are a significant health burden in Australia; however, accurate estimation of chlamydia prevalence in Australian sub-populations is limited by heterogeneity within surveyed populations, and variations in sampling methodologies and data reporting. There is a need for more large, population-based studies and prospective cohort studies to compliment mandatory notification data.

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Section: Resultsmentioning

confidence: 99%

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

et al. 2012

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“…1 Improved detection methods of Ct in urine allow community based testing in both sexes, including home based testing, 2-10 school based screening, 11 12 and tailored community outreach testing. [13][14][15][16][17][18][19][20][21] In a home based Ct screening project targeting 25-29 year olds, we found non-Dutch ethnicity, particularly Surinamese/ Antillean origin, a predictor for infection. 9 22 Participation in screening was less in people of non-Dutch ethnicity than of Dutch ethnicity (31% versus 42%, p,0.001).…”

mentioning

confidence: 76%

Chlamydia trachomatis infections in multi-ethnic urban youth: a pilot combining STI health education and outreach testing in Rotterdam, Netherlands

Götz

Veldhuijzen

Ossewaarde

et al. 2006

Sexually Transmitted Infections

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Background/objectives: Testing for Chlamydia trachomatis (Ct) is less accepted in people of non-Dutch ethnicity than Dutch people. We offered additional Ct and gonorrhoea testing through our outreach sexually transmitted infections (STI) prevention programme to determine whether this intervention strategy is feasible and efficient. Methods: Outreach workers offered test kits to women and men aged 15-29 years, in group and street settings and in a vocational training school. Demographic and behavioural data and characteristics of non-responders were assessed. DNA was isolated (using the MagNA Pure LC system) from urine and tested using the Cobas Amplicor test. Results: Among sexually active people, the test rate differed by venue (groups 80% (74/93), school 73% (49/67), street 17% (49/287); p,0.001). There was no difference in test rate between group and school settings by gender or ethnicity. Ct positivity was 14.5% (25/172); women 20.2% (20/99) versus men 6.8% (5/73); p = 0.01. Ct positivity was highest at school (24.5% (12/49)) and among Surinamese/ Antillean people (17.5% (14/80)). Treatment rate of index cases and current partners was 100% and 78%, respectively. Conclusions: We found a high acceptance of chlamydia testing in group and school settings in both men and women of non-Dutch ethnicity. The prevalence indicates that we have accessed high risk people. Outreach testing and is feasible and most efficient in school and group settings. School screening may have an impact on community prevalence of Ct infections.

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“…5 There was a co-infection of GU with chlamydia, similar study was also shown by Saleem et al and Nayak et al 4,5 Debattista et al also mentioned association with gonococci and chlamydia. 6 Hakenberg et al showed that, chlamydia infection was the cause of 25-50% male urethritis. 7 In our study 57 patients did not give history of use of condom.…”

Section: Discussionmentioning

confidence: 99%

Male urethritis with or without discharge: a clinico aetiological study in Hi-tech Medical College and Hospital Bhubaneswar, Odisha

et al. 2018

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Background: Urethritis or inflammation of the urethra is a multifactorial condition. Urethritis is called gonococcal urethritis (GU) when Neisseria gonorrhoeae is detected in urethral smear of the patient and nongonococcal urethritis (NGU) when this organism cannot be visualized.Methods: Urethritis cases were identified from the dermatology OPD record. A retrospective analysis of data of patients diagnosed as GU and NGU for a period of 5 years (from August 2012-July 2017) was made. We have included only male patients more than 10 year.Results: Neisseria gonorrhoeae (61.42%) and Chlamydia trachomatis (45.9%) were the most common causative organism among urethritis and nongonococcal urethritis (NGU) respectively. Chlamydia urethritis had been confirmed by demonstrating ≥5 polymorphonuclear lymphocytes (PMNLs) from the anterior urethra using a Gram stained urethral smear. Acute condition (7-14 days) more common in GU. Dysuria and purulent urethral discharge (68.6%) was more common in GU. In urine specimen pus cells count were more than 10. The most common age group was 21-30 year (42.86%). Most patients were from low socio-economic status (62.85%). Sexual exposure was more common in unmarried patients (94.74%). Heterosexual exposure (93.75%) was more common. Urethritis was also associated with other infection in 18 patients.Conclusions: Urethritis is inflammation of urethra which is manifested by dysuria with or without urethral discharge. Though there is increased incidence of Chlamydia infections, still now Gonococcal infection is the most common cause of urethritis.

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Screening for Neisseria gonorrhoeae and Chlamydia trachomatis at Entertainment Venues Among Men Who Have Sex with Men

Abstract: C trachomatis is a potentially significant pathogen in this population of urban homosexual men. Screening programs such as these are valuable as health-promotion exercises.

Cited by 27 publications

References 25 publications

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

Chlamydia trachomatis infections in multi-ethnic urban youth: a pilot combining STI health education and outreach testing in Rotterdam, Netherlands

Male urethritis with or without discharge: a clinico aetiological study in Hi-tech Medical College and Hospital Bhubaneswar, Odisha

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