Cross-sectional study of pharyngeal and genital chlamydia and gonorrhoea infections in emergency department patients: Table 1

Jenkins, Wiley D.; Nessa, Laurette L; Clark, Ted

doi:10.1136/sextrans-2013-051358

Cited by 18 publications

(10 citation statements)

References 10 publications

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“…Thirty-eight individuals were infected with CT or GC at any site for a tested population prevalence of 7.7%. Test results and analysis have been reported separately (20). All those testing positive were successfully treated.…”

Section: Resultsmentioning

confidence: 99%

“…The answer is equally complex and will likely need to be determined for each institution. From a societal perspective, routine screening and treatment services may be beneficial, as multiple studies have shown that the ED patient population has an increased prevalence of STI and that clinical presentation and examination is insufficiently sensitive for identification (12,13,20). Although the majority of CT/GCinfected individuals will remain asymptomatic and many infections will spontaneously clear, CT infection/ repeat infection itself remains one of the most significant causes of infertility and other morbidities (27).…”

Section: Discussionmentioning

confidence: 99%

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Sexual History Taking in the Emergency Department – More Specificity Required

Jenkins

LeVault

2015

The Journal of Emergency Medicine

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sexual History Taking in the Emergency Department – More Specificity Required

Jenkins

LeVault

2015

The Journal of Emergency Medicine

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“…The lower rate of consideration among males is also concerning given the disproportionate burden of HIV infection among young men who have sex with men and its association with anorectal STIs [21, 22]. Further, this disparity by sex is inconsistent with data showing similar risk of oropharyngeal infection among males and females presenting to EDs [19, 23]. The association of anorectal chief complaints with increased likelihood of consideration of STI suggests that physicians may be more aware of anorectal manifestations of STI; regardless, visits for both anorectal and oropharyngeal chief complaints had overall low rates of consideration (37% and 18%, respectively).…”

Section: Discussionmentioning

confidence: 99%

Pediatric Emergency Provider Sexually Transmitted Infection Screening Practices in Adolescents With Oropharyngeal or Anorectal Chief Complaints

Gallagher

Lee

Shofer³

et al. 2018

Pediatr Emer Care

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Objectives Sexually transmitted infections (STIs) may present with oropharyngeal or anorectal symptoms. Little is known about the evaluation of adolescents with these complaints in the pediatric emergency department (PED). This study aimed to determine the frequency of and factors associated with STI consideration and testing in this population. Methods Retrospective chart review of patients aged 13 to 18 years who presented to an urban PED with oropharyngeal or anorectal chief complaints between June 2014 and May 2015. STI consideration was defined as: sexual history documentation, documentation of STI in differential diagnosis, and/or diagnostic testing. Multivariate logistic regression models were used to identify factors associated with consideration. Results Of 767 visits for oropharyngeal (89.4%), anorectal (10.4%), or both complaints, 153 (19.9%) had STI consideration. Of the 35 visits (4.6%) that included gonorrhea and/or chlamydia testing, 12 (34.3%) included testing at the anatomic site of complaint. Of those 12 tests, 50.0% were the incorrect test. Patients with older age (aOR 1.5, 95% CI 1.3–1.7), female sex (aOR 1.6, 95% CI 1.03–2.5) or anorectal complaints (aOR 2.4, 95% CI 1.3–4.3) were more likely to have STI consideration. Conclusions In an urban PED, only 20% of visits for adolescents with oropharyngeal or anorectal symptoms included STI consideration. Testing was performed in only 5% of cases and often at an inappropriate anatomic site or with the incorrect test. Interventions to increase awareness of appropriate STI consideration and testing for individuals presenting with possible extragenital complaints may help reduce STIs among adolescents.

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“…Colonization of rectum, conjunctiva, and pharynx may be involved (13). Hematogenic spread may facilitate the gonococcal distribution to the joints and skin (14).…”

Section: Discussionmentioning

confidence: 99%

Case Report of Urethritis in a Male Patient Infected with Two Different Isolates of Multiple Drug-Resistant Neisseria gonorrhoeae

Al-Madboly

Gheida

2017

Front. Med.

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We report a brief description of a case suffering from bacterial urethritis, conjunctivitis, and arthritis, caused by two different isolates of multiple drug-resistant Neisseria gonorrhoeae. Initial diagnosis was dependent on the patient history, clinical findings, symptoms, and the bacteriological data. Polymerase chain reaction confirmed the identification of the pathogens. Random amplified polymorphic DNA revealed two different patterns. Susceptibility testing was performed using Kirby–Bauer disk diffusion method and the minimum inhibitory concentration was also determined. It revealed multiple drug resistance associated with β-lactamase production. Only gentamicin, rifampicin, and azithromycin were active against the test pathogens. A dual therapy was initiated using gentamicin as well as azithromycin to treat the possible co-infection with Chlamydia trachomatis. Complete recovery of the patient achieved with resolved symptoms a week later.

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Cross-sectional study of pharyngeal and genital chlamydia and gonorrhoea infections in emergency department patients: Table 1

Cited by 18 publications

References 10 publications

Sexual History Taking in the Emergency Department – More Specificity Required

Sexual History Taking in the Emergency Department – More Specificity Required

Pediatric Emergency Provider Sexually Transmitted Infection Screening Practices in Adolescents With Oropharyngeal or Anorectal Chief Complaints

Case Report of Urethritis in a Male Patient Infected with Two Different Isolates of Multiple Drug-Resistant Neisseria gonorrhoeae

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