Standard Symptom- and Sexual History–Based Testing Misses Anorectal Chlamydia trachomatis and Neisseria gonorrhoeae Infections in Swingers and Men Who Have Sex With Men

Geneviève A. F. S. van Liere, Christian J. P. A. Hoebe, Anne-Marie Niekamp, Femke D. H. Koedijk, Nicole H. T. M. Dukers-Muijrers
2013 Sexually Transmitted Diseases  
Currently, individuals at risk for sexually transmitted diseases (STDs) are tested extragenitally only if indicated, most often when there is a history of self-reported symptoms or self-reported anal sex. The sensitivity of such selective symptom-and sexual historyYbased testing for detection of anorectal STD has not been determined. Methods: All men having sex with men (MSM) and swingers (heterosexual couples who have sex with other heterosexual couples and their self-identified heterosexual
more » ... x partners) attending our STD clinic (consults: n = 1690) from January 2010 until February 2011 were universally tested for urogenital, anorectal, and oropharyngeal Chlamydia trachomatis and Neisseria gonorrhoeae infections (STD). We compared STD prevalence at anorectal site based on universal versus selective testing. Results: Sensitivity of selective symptom-and sexual historyYbased testing for anorectal STD was 52% for homosexual MSM, 40% for bisexual MSM, 43% for bisexual male swingers, 40% for heterosexual male swingers, and 47% for female swingers. Conclusions: Universal testing of STD clinic clients who were MSM ORIGINAL STUDY
doi:10.1097/olq.0b013e31828098f8 pmid:23486492 fatcat:wgazhpmmfnfevodpruxmfxt5fi