Prevalence of Chlamydia trachomatis Infection Among Men Screened in 4 U.S. Cities

Schillinger, Julia A.; Dunne, Eileen F.; Chapin, Johanna B.; Ellen, Jonathan M.; Gaydos, Charlotte A.; Willard, Nancy; Kent, Charlotte K.; Marrazzo, Jeanne M.; Klausner, Jeffrey D.; Rietmeijer, Cornelis A.; Markowitz, Lauri E.

doi:10.1097/01.olq.0000149670.11953.ca

Cited by 65 publications

(39 citation statements)

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“…Although there is evidence that asymptomatic gonococcal infections in heterosexual men may contribute disproportionately to disease transmission to women 14 , relatively few studies have measured the prevalence of Neisseria gonorrhoeae infection among asymptomatic men 9,16,17 . Regarding C. trachomatis infection, the rate of asymptomatic infection is higher 18 .…”

Section: Discussionmentioning

confidence: 99%

“…Factors identified as being independently associated with Chlamydia trachomatis in the final multiple logistic model were younger age (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) …”

Section: Discussionmentioning

confidence: 99%

“…A prevalência de co-infecção foi 4,4% (IC95% 2,95%-5,85%). Os fatores identificados como sendo associados com a infecção pela CT foram ser jovem (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) The importance of understanding and addressing Chlamydia trachomatis (CT)infections and gonorrhea among men is being recognized in several studies 1,2 . The role of identifying and treating male infections in preventing adverse outcomes among women has prompted some researchers to call for Chlamydia trachomatis and gonorrhea screening guidelines directed at detecting male infections 3,4 .…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infection in men attending STD clinics in Brazil

Barbosa

Moherdaui

Pinto

et al. 2010

Rev. Soc. Bras. Med. Trop.

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Section: Discussionmentioning

confidence: 99%

“…Factors identified as being independently associated with Chlamydia trachomatis in the final multiple logistic model were younger age (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infection in men attending STD clinics in Brazil

Barbosa

Moherdaui

Pinto

et al. 2010

Rev. Soc. Bras. Med. Trop.

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“…6,30 Males in these settings with a history of multiple partners are at greatest risk of asymptomatic chlamydia infection. [31][32][33] The CDC also recommends chlamydia screening of males who have sex with males (MSM) at least annually for urethral and rectal infection on the basis of reported sexual practices and every 3 to 6 months if considered high risk because of multiple or anonymous partners, sex in conjunction with illicit drug use, or having sex partners who participate in these activities. 6 Sex partners of chlamydia-infected individuals during the 60 days before the diagnosis should also be targeted for testing and treatment because of their high likelihood of infection.…”

Section: Chlamydia Importancementioning

confidence: 99%

Screening for Nonviral Sexually Transmitted Infections in Adolescents and Young Adults

Murray¹,

Braverman²,

Adelman³

et al. 2014

Pediatrics

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Prevalence rates of many sexually transmitted infections (STIs) are highest among adolescents. If nonviral STIs are detected early, they can be treated, transmission to others can be eliminated, and sequelae can be averted. The US Preventive Services Task Force and the Centers for Disease Control and Prevention have published chlamydia, gonorrhea, and syphilis screening guidelines that recommend screening those at risk on the basis of epidemiologic and clinical outcomes data. This policy statement specifically focuses on these curable, nonviral STIs and reviews the evidence for nonviral STI screening in adolescents, communicates the value of screening, and outlines recommendations for routine nonviral STI screening of adolescents. Pediatrics 2014;134:e302-e311 EVIDENCE TO SUPPORT NONVIRAL STI SCREENINGThe goal of sexually transmitted infection (STI) screening is to identify and treat individuals with treatable infections, reduce transmission to others, avoid or minimize long-term consequences, identify other exposed and potentially infected individuals, and decrease the prevalence of infection in a community. Healthy People 2020 objectives for sexually transmitted diseases 1 include items that address screening for chlamydia in sexually active females younger than 25 years and set targets for decreased rates of chlamydia, gonorrhea, and syphilis in specific populations. The US Preventive Services Task Force (USPSTF), an independent panel of prevention and evidence-based medicine experts, has published chlamydia, 2 gonorrhea, 3 and syphilis 4,5 screening guidelines that recommend screening those at risk on the basis of epidemiologic and clinical outcomes data. The Centers for Disease Control and Prevention (CDC) publishes evidence-based STI screening recommendations for specific at-risk populations that are not addressed by the USPSTF but that pose public health challenges for disease prevention and control. 6-8 Major professional medical organizations, including the American College of Obstetricians and Gynecologists and the American Academy of Family Physicians, have also published STI screening guidelines for specific populations. 7-10 The American Academy of Pediatrics' (AAP) Bright Futures guidelines for health supervision recommend chlamydia and gonorrhea screening as appropriate for the patient population and the clinical setting. 11 Recent AAP clinical reports addressing gynecologic examinations and male reproductive and sexual health care discuss clinic issues and provider COMMITTEE ON ADOLESCENCE and SOCIETY FOR ADOLESCENT HEALTH AND MEDICINE

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“…The age groups 20-29 years and 30-39 years significantly had the highest prevalence of the pathogen. C. trachomatis has been found to be more commonly associated with younger age (Schillinger et al, 2005;Ikeme et al, 2011), were sexual activity is usually at its highest peak.…”

mentioning

confidence: 99%

The prevalence of Chlamydia trachomatis infection among infertile males and its association with abnormal semen characteristics in Delta State, Nigeria

Osazuwa¹,

Aiguobarueghian²,

Alekwe

et al. 2013

Tanzania J Hlth Res

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Chlamydia trachomatis is the most common cause of sexually transmitted diseases that is not of viral origin and there is accumulating evidence of a significant role played by this pathogen in causing male factor infertility. This study thus aimed to determine the prevalence of C. trachomatis among infertile males and to evaluate their association with fertility status and abnormal semen characteristics. This study included 215 infertile male subjects who visited a major fertility clinic in Warri, Delta state, Nigeria. Forty apparently healthy males without complaints of infertility were enrolled as controls. Blood samples were collected from patients aseptically using venous puncture and semen samples were obtained after masturbation. C. trachomatis IgG antibodies were assayed for in blood specimens using the Dot rapid Assay Kit flow through Ct cassette and positive samples were further screened with an enzyme immunoassay technique. Semen samples were analyzed following World Health Organization guidelines. Forty-two (19.5%) out of 215 infertile male subjects were found sero-positive for C. trachomatis. C. trachomatis was significantly associated with male infertility when compared to controls (P<0.001). Age groups 20-29 years (43.3%) and 30-39 years (22.1%) significantly had higher prevalence of C. trachomatis (P<0.001), as compared to age groups 40-49 (7.9%) and > 50 years (3.7%). Sero-positivity for C. trachomatis antibodies was significantly associated with oligozoospermia (22.5%) and azospermia (61.5%) than with teratozoospermia (7.3%) and asthenozoospermia (6.3%) (P<0.001). The prevalence of C. trachomatis among infertile males was high; there was an association between C. trachomatis infection and poor semen characteristics and infertility. There is need for routine screening for the pathogen in males with complaints of infertility so as to rule out this potentially correctable/reversible cause of infertility.____________________________________________________________________________________

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Prevalence of Chlamydia trachomatis Infection Among Men Screened in 4 U.S. Cities

Abstract: At 7%, the prevalence of CT is moderately high among men opportunistically tested in nonclinical and clinical settings.

Cited by 65 publications

References 10 publications

Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infection in men attending STD clinics in Brazil

Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infection in men attending STD clinics in Brazil

Screening for Nonviral Sexually Transmitted Infections in Adolescents and Young Adults

The prevalence of Chlamydia trachomatis infection among infertile males and its association with abnormal semen characteristics in Delta State, Nigeria

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