LOGIN

International Epidemiology Databases to Evaluate AIDS

Home >> Publications >> Gonorrhoea and chlamydia testing rates of HIV-infected men: low despite guidelines.

Publication

Author(s):

Berry SA, Ghanem KG, Page KR, Thio CL, Moore RD, Gebo KA.

Pub Title:

Gonorrhoea and chlamydia testing rates of HIV-infected men: low despite guidelines.

Pub Date:

Nov 30 2010

Journal Issue:

6

Page Number:
481-4

Journal:

Title: 
Sexually Transmitted Infections (BMJ) Infect
Link: 
http://sti.bmj.com/content/86/6/481.long

PubMed: 20519251
Pub PDF: PDF icon 20519251.pdf

Abstract

OBJECTIVES: Screening HIV-infected men for gonorrhoea (GC) and chlamydia (CT) may decrease HIV transmission and reduce the incidence of pelvic inflammatory disease in female partners. This study determined GC/CT testing rates in a clinical HIV cohort before and after 2003 when the US Centers for Disease Control and Prevention issued guidelines for GC/CT screening.

METHODS: First GC/CT testing episodes were identified for all men enrolling in a Baltimore HIV clinic from 1999 to 2007. Multivariate Cox and logistic regression were used to assess clinical and demographic factors associated with being tested and with having a positive result.

RESULTS: Among 1110 men, the rate of GC/CT testing upon clinic enrollment increased from 4.0% prior to 2003 to 16.5% afterwards, and the rate of ever being tested increased from 34.2% to 49.1% (p<0.001 for both comparisons). Among men with same sex contact, 10% of first testing episodes included extragenital sites. Among the 342 men ever-tested, 5.2% had positive results on first testing. Predictors of testing included enrolling after 2003, younger age, frequent visits and black race. Predictors of a positive test result included CD4 count ≥ 200 cells/mm(3) and younger age.

CONCLUSIONS: GC/CT testing rates among men increased substantially after the 2003 guidelines but remain low. Disseminating existing evidence for GC/CT screening and promoting operational interventions to facilitate it are warranted.

PMID: 20519251 [PubMed - indexed for MEDLINE]

PMCID: PMC3066003

 

The following websites provide guidelines and policies when citing from PubMed®: http://www.ncbi.nlm.nih.gov/books/NBK7243/
http://www.nlm.nih.gov/bsd/policy/cit_format.html

Citation:

Berry SA, Ghanem KG, Page KR, Thio CL, Moore RD, Gebo KA. Gonorrhoea and chlamydia testing rates of HIV-infected men: low despite guidelines. Sex Transm Infect. 2010 Nov;86(6):481-4. doi: 10.1136/sti.2009.041541. Epub 2010 Jun 2. PubMed PMID: 20519251; PubMed Central PMCID: PMC3066003.