1. Gonorrhoea and chlamydia testing rates of HIV-infected men: low despite guidelines.
- Author
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Berry, Stephen A, Ghanem, Khalil G, Page, Kathleen R, Thio, Chloe L, Moore, Richard D, and Gebo, Kelly A
- Subjects
CHLAMYDIA infection diagnosis ,GONORRHEA diagnosis ,HIV infection complications ,OUTPATIENT medical care ,CHLAMYDIA infections ,GONORRHEA ,HOMOSEXUALITY ,MEDICAL protocols ,RESEARCH funding ,DISEASE incidence ,EARLY diagnosis ,SEXUAL partners ,DISEASE complications - 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. [ABSTRACT FROM AUTHOR]- Published
- 2010
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