路易斯安那教区卫生单位 2016-2019 年的生殖器官外性传播感染检测。

Extragenital Sexually Transmitted Infection Testing Among Louisiana Parish Health Units, 2016-2019.

机构信息

Office of Public Health, Louisiana Department of Health.

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

出版信息

Sex Transm Dis. 2023 May 1;50(5):274-279. doi: 10.1097/OLQ.0000000000001764. Epub 2023 Jan 8.

DOI:10.1097/OLQ.0000000000001764

PMID:36630331

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10190115/

Abstract

BACKGROUND

The Centers for Disease Control and Prevention recommends that men who have sex with men (MSM) get tested annually for urethral and rectal chlamydia (CT) and gonorrhea (NG), and pharyngeal NG. There are no national recommendations to screen women and heterosexual men at extragenital sites. We assessed extragenital CT/NG screening among men and women at Louisiana's Parish Health Units (PHU).

METHODS

The Louisiana STD/HIV/Hepatitis Program piloted extragenital screening at 4 PHUs in February 2016 and expanded to 11 PHUs in 2017. Sexual histories were used to identify gender of sex partners and exposed sites. Because of billing restrictions, up to 2 anatomical sites were tested for CT/NG.

RESULTS

From February 2016 to June 2019, 70,895 urogenital and extragenital specimens (56,086 urogenital, 13,797 pharyngeal, and 1,012 rectal) were collected from 56,086 patients. Pharyngeal CT positivity was 160 of 7,868 (2.0%) among women, 54 of 4,838 (1.1%) among men who have sex with women (MSW) and 33 of 1,091 (3.0%) among MSM. Rectal CT positivity was 51 of 439 (11.6%) among women and 95 of 573 (16.6%) among MSM. Pharyngeal NG positivity was 299 of 7,868 (3.8%) among women, 222 of 4,838 (4.6%) among MSW, and 97 of 1,091 (8.9%) among MSM. Rectal NG positivity was 20 of 439 (4.6%) among women and 134 of 573 (23.4%) among MSM.Urogenital-only screening would have missed: among women, 173 of 3,923 (4.4%) CT and 227 of 1,480 (15.3%) NG infections; among MSW, 26 of 2,667 (1%) CT and 149 of 1,709 (8.7%) NG infections; and among MSM, 116 of 336 (34.5%) CT and 127 of 413 (42.1%) NG infections.

CONCLUSIONS

Many CT/NG infections would have been missed with urogenital-only screening. Men who have sex with men had much higher extragenital infection rates than women and MSW.

摘要

背景

疾病控制与预防中心建议男男性行为者（MSM）每年进行尿道和直肠衣原体（CT）和淋病（NG）以及咽 NG 检测。目前尚无针对女性和异性恋男性在非生殖器部位筛查的全国性建议。我们评估了路易斯安那州教区卫生单位（PHU）中男性和女性的非生殖器 CT/NG 筛查情况。

方法

路易斯安那州 STD/HIV/肝炎项目于 2016 年 2 月在 4 个 PHU 试点开展了非生殖器筛查，并于 2017 年扩展到 11 个 PHU。性史用于识别性伴侣和暴露部位的性别。由于计费限制，最多可对 2 个解剖部位进行 CT/NG 检测。

结果

从 2016 年 2 月至 2019 年 6 月，从 56086 名患者中采集了 70895 份泌尿生殖道和非生殖器标本（56086 份泌尿生殖道、13797 份咽和 1012 份直肠）。女性咽 CT 阳性率为 160/7868（2.0%），女性与女性发生性关系者（MSW）为 54/4838（1.1%），男男性行为者（MSM）为 33/1091（3.0%）。女性直肠 CT 阳性率为 51/439（11.6%），MSM 为 95/573（16.6%）。女性咽 NG 阳性率为 299/7868（3.8%），MSW 为 222/4838（4.6%），MSM 为 97/1091（8.9%）。女性直肠 NG 阳性率为 20/439（4.6%），MSM 为 134/573（23.4%）。单纯泌尿生殖道筛查将遗漏：女性 3923 例 CT 中有 173 例（4.4%），1480 例 NG 中有 227 例（15.3%）；MSW 中 26/2667（1%）CT 和 149/1709（8.7%）NG 感染；MSM 中 336 例 CT 中有 116 例（34.5%），413 例 NG 中有 127 例（42.1%）。