The DOI matches its Crossref record; 28 of the 29 references it cites were found in a registry or an index.
High performance and acceptability of self-collected rectal swabs for diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae in men who have sex with men and women.
Abstract
BACKGROUND: Identification of sexually transmitted infections (STI) is limited by the infrequent assessment of rectal STI. This study assesses usability of self-collected rectal swabs (SRS) in diagnosing rectal Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG). METHODS: In 2006 to 2007, clients of the Amsterdam and South Limburg STI outpatient clinics reporting receptive anal intercourse were asked to fill out a questionnaire and provide SRS. A standard provider-collected rectal swab (PRS) was also taken, and both were tested for CT and NG by a nucleic acid amplification tests. SRS performance was compared with PRS as to agreement, sensitivity, and specificity. RESULTS: Prevalence of rectal CT was 11% among the 1458 MSM and 9% among the 936 women. Rectal NG prevalence was 7% and 2%. In 98% of both MSM and women, SRS and PRS yielded concordant CT test results, for NG agreement was 98% for MSM and 99.4% for women. SRS performance for CT and NG diagnosis was good in both groups and was comparable for both study regions. Slightly more (57% of MSM, 62% of women) preferred SRS to PRS or had no preference; 97% would visit the STI clinic again if SRS was standard practice. CONCLUSIONS: Because anal sex is a common practice for MSM and women, and anal STI are frequently present, rectal screening should be an essential part of an STI consultation. SRS is a feasible, valid, and acceptable alternative for MSM and women attending STI clinics, and hence should be considered for other settings as well.
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“Self-collected swabs have been reported to be an acceptable means of collection for pharyngeal and rectal specimens (217–219), which can enhance patient comfort and reduce clinical workloads.”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [217]
Citations
Cites
Sexual Behavior and Selected Health Measures: Men and Women 15-44 Years of Age, United States, 2002
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Schachter, J., Moncada, J., Liska, S., Shayevich, C., & Klausner, J. D. (2008) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e31817bdd7e · Cited by 292
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Self-citationIncrease in sexually transmitted infections among homosexual men in Amsterdam in relation to HAART
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Nucleic Acid Amplification Testing for Neisseria gonorrhoeae
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Sexually Transmitted Diseases Treatment Guidelines, 2010
Workowski, K., & BOLAN, G. A. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.04.006 · Cited by 2,074
Chan, P. A., Robinette, A., Montgomery, M., Almonte, A., Cu-Uvin, S., Lonks, J. R., Chapin, K. C., Kojic, E. M., & Hardy, E. J. (2016) · Infectious Diseases in Obstetrics and Gynecology · doi:10.1155/2016/5758387 · Cited by 330
2015 European guideline on the management of Chlamydia trachomatis infections
Lanjouw, E., Ouburg, S., de Vries, H., Stary, A., Radcliffe, K. W., & Unemo, M. (2015) · International Journal of STD & AIDS · doi:10.1177/0956462415618837 · Cited by 336
Anal cancer and cervical cancer screening: Key differences
Darragh, T. M., & Winkler, B. (2010) · Cancer Cytopathology · doi:10.1002/cncy.20126 · Cited by 219
Metadata
- Authors
- van der Helm, J. J., Hoebe, C. J. P. A., van Rooijen, M. S., Brouwers, E. E. H. G., Fennema, H. S. A., Thiesbrummel, H. F. J., & Dukers-Muijrers, N. H. T. M.
- Affiliations
- Maastricht University Medical Centre (NL)
- Amsterdam Public Health (NL)
- Corresponding author
- Thiesbrummel, Harold F. J.
- Venue
- Sexually Transmitted Diseases
- Published
- 2009-08
- Volume
- 36
- Issue
- 8
- Pages
- 493-497
- ISSN
- 0148-5717 (ISSN-L)
- OpenAlex
- W2063503031
- Cited by
- 138
- References
- 29
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 10 · 2023: 10 · 2022: 6 · 2021: 14 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 17 · 2016: 10 · 2015: 16 · 2014: 8 · 2013: 9 · 2012: 7
- FWCI
- 6.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- Chlamydia trachomatis, Neisseria gonorrhoeae, men who have sex with men, women, anal sex, STI screening, diagnostic accuracy, acceptability, nucleic acid amplification tests
- MeSH terms
- Chlamydia Infections, Chlamydia trachomatis, Female, Gonorrhea, Humans, Male, Neisseria gonorrhoeae, Patient Acceptance of Health Care, Surveys and Questionnaires, Rectum, Self Care, Sensitivity and Specificity, Sexual Behavior, Sexually Transmitted Diseases, Specimen Handling, Reproducibility of Results, Prevalence, Homosexuality, Male, Heterosexuality, Nucleic Acid Amplification Techniques
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