GC screening strategies for MSM should include testing of rectal and pharyngeal specimens based on exposure. Given the decline of culture availability, efforts are needed to encourage laboratories to validate NAATs for rectal/pharyngeal specimens, which will likely increase exposure-based screening of MSM.

Among 614 men who have sex with men in San Diego County with early syphilis during January 2004 to June 2007, 74 (11.7%; 95% confidence interval: 9.3%-14.4%) had repeat syphilis within 2 years. HIV-infected MSM were more likely to have repeat syphilis (odds ratio: 1.9; 95% confidence interval: 1.1, 3.4).

No abstract

Hepatitis B vaccination can be integrated into STD clinic services with reasonable levels of vaccine acceptance and series completion. The increase in vaccination coverage over time indicates that a sustained hepatitis B immunization program can achieve acceptable vaccine coverage in high-risk populations.