TY - JOUR
T1 - Prevalence and Correlates of Chlamydia trachomatis and Neisseria gonorrhoeae by Anatomic Site among Urban Thai Men Who Have Sex with Men
AU - Tongtoyai, Jaray
AU - Todd, Catherine S.
AU - Chonwattana, Wannee
AU - Pattanasin, Sarika
AU - Chaikummao, Supaporn
AU - Varangrat, Anchalee
AU - Lokpichart, Somchai
AU - Holtz, Timothy H.
AU - Van Griensven, Frits
AU - Curlin, Marcel E.
N1 - Publisher Copyright:
© 2015 by the American Sexually Transmitted Diseases Association.
PY - 2015/8/25
Y1 - 2015/8/25
N2 - Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infection are prevalent among men who have sex with men (MSM) and may infect multiple anatomic sites. We measured site-specific prevalence and correlates of CTand NG infection among Bangkok MSMCohort Study participants. Methods: In April 2006 to November 2010, 1744 men enrolled in the Bangkok MSM Cohort Study. Participants provided historical information and underwent physical examination. Rectal, urethral, and pharyngeal CT and NG screeningwere performed by nucleic acid amplification and/or culture. Logistic regression was used to identify correlates of site-specific CT, NG, and coinfection. Results: Among 1743 participants, 19.2% were infected with CT and/or NG. CT, NG, and CT-NG coinfection were detected in 11.6%, 4.6%, and 2.9%, of participants, respectively. Rectal, urethral, and pharyngeal CT infections were detected in 9.5%, 4.5%, and 3.6% of cases. N. gonorrhoeae was present at these sites in 6.1%, 1.8%, and 0.5%of cases.Most infections were asymptomatic (CT: 95.3%, NG: 83.2%). Rectal CTand NG infections were mutually associated (CT: adjusted odds ratio [AOR], 5.4; 95% confidence interval [CI], 3.4-8.7; NG: AOR, 2.4; 95%CI, 1.1-5.2) and independently associated with HIVinfection (CT: AOR, 1.6, 95%CI, 1.0-2.4; NG: AOR, 2.0, 95% CI, 1.3-3.1). Numerous behavioral correlates of infection were observed. Conclusions: CT and NG infections are highly prevalent among MSM in Bangkok, most frequently affect the rectum, and are most often asymptomatic. Routine screening of asymptomatic MSM for CT and NG infection should include rectal sampling and focus on men with HIVand a history of other sexually transmitted infections.
AB - Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infection are prevalent among men who have sex with men (MSM) and may infect multiple anatomic sites. We measured site-specific prevalence and correlates of CTand NG infection among Bangkok MSMCohort Study participants. Methods: In April 2006 to November 2010, 1744 men enrolled in the Bangkok MSM Cohort Study. Participants provided historical information and underwent physical examination. Rectal, urethral, and pharyngeal CT and NG screeningwere performed by nucleic acid amplification and/or culture. Logistic regression was used to identify correlates of site-specific CT, NG, and coinfection. Results: Among 1743 participants, 19.2% were infected with CT and/or NG. CT, NG, and CT-NG coinfection were detected in 11.6%, 4.6%, and 2.9%, of participants, respectively. Rectal, urethral, and pharyngeal CT infections were detected in 9.5%, 4.5%, and 3.6% of cases. N. gonorrhoeae was present at these sites in 6.1%, 1.8%, and 0.5%of cases.Most infections were asymptomatic (CT: 95.3%, NG: 83.2%). Rectal CTand NG infections were mutually associated (CT: adjusted odds ratio [AOR], 5.4; 95% confidence interval [CI], 3.4-8.7; NG: AOR, 2.4; 95%CI, 1.1-5.2) and independently associated with HIVinfection (CT: AOR, 1.6, 95%CI, 1.0-2.4; NG: AOR, 2.0, 95% CI, 1.3-3.1). Numerous behavioral correlates of infection were observed. Conclusions: CT and NG infections are highly prevalent among MSM in Bangkok, most frequently affect the rectum, and are most often asymptomatic. Routine screening of asymptomatic MSM for CT and NG infection should include rectal sampling and focus on men with HIVand a history of other sexually transmitted infections.
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U2 - 10.1097/OLQ.0000000000000311
DO - 10.1097/OLQ.0000000000000311
M3 - Article
C2 - 26165436
AN - SCOPUS:84937782531
SN - 0148-5717
VL - 42
SP - 440
EP - 449
JO - Sexually Transmitted Diseases
JF - Sexually Transmitted Diseases
IS - 8
ER -