2019
DOI: 10.1093/cid/ciz1085
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Chlamydia and Gonorrhea Incidence and Testing Among Patients in the Human Immunodeficiency Virus Outpatient Study (HOPS), 2007−2017

Abstract: Background Although chlamydia (CT) and gonorrhea (GC) infections are increasing in the United States, there are limited data on their incidence, testing rates and associated risk factors among persons with HIV (PWH), including by anatomic site among men who have sex with men (MSM). Methods We analyzed 2007-2017 medical record data from HIV Outpatient Study participants in care at nine HIV clinics. We calculated CT (and GC) in… Show more

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Cited by 8 publications
(12 citation statements)
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“…Almost 70% of GC infections were at rectal, pharyngeal, or concurrent rectal and pharyngeal sites, and >50% of CT infections were at the rectal site only. Consistent with prior studies, younger PWH experienced greater rates of GC/CT at each anatomic site, while TW/MSM experienced greater rates of extragenital GC/CT [ 3 , 5 , 6 , 33 ]. Black PWH were more likely to experience urogenital CT infections compared with White PWH.…”
Section: Discussionsupporting
confidence: 85%
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“…Almost 70% of GC infections were at rectal, pharyngeal, or concurrent rectal and pharyngeal sites, and >50% of CT infections were at the rectal site only. Consistent with prior studies, younger PWH experienced greater rates of GC/CT at each anatomic site, while TW/MSM experienced greater rates of extragenital GC/CT [ 3 , 5 , 6 , 33 ]. Black PWH were more likely to experience urogenital CT infections compared with White PWH.…”
Section: Discussionsupporting
confidence: 85%
“…The Centers for Disease Control and Prevention (CDC) recommends yearly testing for either screening or diagnostic purposes for Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) among sexually active people with HIV (PWH), with more frequent testing based on risk [ 1 ]. However, prior evaluations of sexually transmitted infection (STI) screening among PWH have indicated that GC/CT testing has fallen short of these recommendations [ 2 , 3 ].…”
mentioning
confidence: 99%
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“…The incidence of STIs has been increasing among certain subpopulations who engage frequent sexual risk-taking behaviors, such as men who have sex with men (MSM) who are living with HIV and those using pre-exposure prophylaxis (PrEP) for HIV. 14…”
Section: Introductionmentioning
confidence: 99%
“…[4][5][6][7][8][9] While testing for STIs has increased in recent years, it remains far below guidelines' recommendations. [10][11][12] We aimed to study the prevalence, characteristics and risk factors of asymptomatic STIs in HIVinfected MSM.…”
mentioning
confidence: 99%