Hunte T, Alcaide M, Castro J
Jackson Memorial Hospital, Miami, FL, USA.
Int J STD AIDS. 2010 Dec;21(12):819-22. doi: 10.1258/ijsa.2010.009279.
Sexually transmitted rectal infections with Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) have been well documented in men who have sex with men (MSM). Few studies have described infections in women who engage in anal intercourse. We performed testing for rectal infections in women who reported ano-receptive intercourse at the Miami Dade Health Department Sexually Transmitted Diseases (STD) clinic and report the prevalence and characteristics of women with rectal CT or GC infections. Our results revealed a prevalence of 17.5% for rectal chlamydia and 13.4% for rectal gonorrhoea. Urine-based screening alone would have missed 6% of rectal chlamydia infections and 35% of rectal gonorrhoea infections. Anal symptoms were reported in 12.5% of women with rectal chlamydia infections. The only associated factor identified was an age less than 28 years. We conclude that rectal screening for CT and GC should be included in STD prevention strategies, especially in the younger population.
沙眼衣原体（CT）和淋病奈瑟菌（GC）引起的性传播直肠感染在男男性行为者（MSM）中已有充分记录。很少有研究描述过进行肛交的女性的感染情况。我们在迈阿密-戴德县卫生局性传播疾病（STD）诊所对报告有肛交行为的女性进行了直肠感染检测，并报告了直肠CT或GC感染女性的患病率及特征。我们的结果显示，直肠衣原体感染患病率为17.5%，直肠淋病患病率为13.4%。仅进行尿液筛查会漏诊6%的直肠衣原体感染和35%的直肠淋病感染。12.5%的直肠衣原体感染女性报告有肛门症状。唯一确定的相关因素是年龄小于28岁。我们得出结论，CT和GC的直肠筛查应纳入性传播疾病预防策略，尤其是在年轻人群中。
