STD screening of HIV-infected MSM in HIV clinics.

Hoover, Karen W.; Butler, Mary; Workowski, Kimberly; Carpio, Felix; Follansbee, Stephen; Gratzer, Beau; Hare, Brad; Johnston, Barbara; Theodore, John L.; Wohlfeiler, Michael; Tao, Guoyu; Brooks, John T.; Chorba, Terence; Irwin, Kathleen; Kent, Charlotte K.

doi:10.1097/olq.0b013e3181e50058

Cited by 105HIV/AIDS Research and InterventionsReproductive tract infections researchSyphilis Diagnosis and Treatment

STD screening of HIV-infected MSM in HIV clinics.

Hoover, Karen W., Butler, Mary, Workowski, Kimberly, Carpio, Felix, Follansbee, Stephen, Gratzer, Beau, Hare, Brad, Johnston, Barbara +7 more·2010·Sexually Transmitted Diseases

DOI 10.1097/olq.0b013e3181e50058

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Abstract

BACKGROUND: National guidelines for the care of human immunodeficiency virus (HIV)-infected persons recommend asymptomatic routine screening for sexually transmitted diseases (STDs). Our objective was to determine whether providers who care for HIV-infected men who have sex with men (MSM) followed these guidelines. METHODS: We abstracted medical records to evaluate STD screening at 8 large HIV clinics in 6 US cities. We estimated the number of men who had at least one test for syphilis, chlamydia (urethral and/or rectal), or gonorrhea (urethral, rectal, and/or pharyngeal) in 2004, 2005, and 2006. Urethral testing included nucleic acid amplification tests of both urethral swabs and urine. We also calculated the positivity of syphilis, chlamydia, and gonorrhea among screened men. RESULTS: Medical records were abstracted for 1334 HIV-infected MSM who made 14,659 visits from 2004-2006. The annual screening rate for syphilis ranged from 66.0% to 75.8% during 2004-2006. Rectal chlamydia and rectal and pharyngeal gonorrhea annual screening rates ranged from 2.3% to 8.5% despite moderate to high positivity among specimens from asymptomatic patients (3.0%-9.8%) during this period. Annual urethral chlamydia and gonorrhea screening rates were higher than rates for nonurethral sites, but were suboptimal, and ranged from 13.8% to 18.3%. CONCLUSIONS: Most asymptomatic HIV-infected MSM were screened for syphilis, indicating good provider adherence to this screening guideline. Low screening rates for gonorrhea and chlamydia, especially at rectal and pharyngeal sites, suggest that substantial barriers exist for complying with these guidelines. The moderate to high prevalence of asymptomatic chlamydial and gonococcal infections underscores the importance of screening. A range of clinical quality improvement interventions are needed to increase screening, including increasing the awareness of nucleic acid amplification tests for nonurethral screening.

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MSM living with HIV infection and engaged in care also experience suboptimal rates of STI testing.
“MSM living with HIV infection and engaged in care also experience suboptimal rates of STI testing (222,223).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [222]

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Authors: Hoover, K. W., Butler, M., Workowski, K., Carpio, F., Follansbee, S., Gratzer, B., Hare, B., Johnston, B., Theodore, J. L., Wohlfeiler, M., Tao, G., Brooks, J. T., Chorba, T., Irwin, K., & Kent, C. K.
Affiliations: Centers for Disease Control and Prevention (US)
San Francisco General Hospital (US)
Kaiser Permanente (US)
Emory University (US)
AltaMed (US)
Corresponding author: Hoover, Karen W.
Workowski, Kimberly
Gratzer, Beau
Tao, Guoyu
Brooks, John T.
Chorba, Terence
Irwin, Kathleen
Kent, Charlotte K.
ORCID: Hoover, Karen W.
Workowski, Kimberly
Johnston, Barbara
Tao, Guoyu
Brooks, John T.
Chorba, Terence
Venue: Sexually Transmitted Diseases
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-12
Volume: 37
Issue: 12
Pages: 771-776
ISSN: 0148-5717 (ISSN-L)
DOI: 10.1097/olq.0b013e3181e50058
OpenAlex: W2073115674
Cited by: 105
References: 31
Citations by year: 2026: 1 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 7 · 2020: 14 · 2019: 10 · 2018: 5 · 2017: 9 · 2016: 9 · 2015: 10 · 2014: 14 · 2013: 7 · 2012: 4
FWCI: 3.93
Type: journal article
Language: en
Open access: closed
Locations: Sexually Transmitted Diseases (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Health Sciences › Medicine › Physiology › Syphilis Diagnosis and Treatment
Keywords: STI screening, HIV-infected men who have sex with men, syphilis, chlamydia, gonorrhea, rectal screening, nucleic acid amplification tests, guideline adherence, asymptomatic infection, HIV clinics
MeSH terms: Adult, Aged, Ambulatory Care Facilities, Chlamydia Infections, Gonorrhea, Humans, Male, Mass Screening, Medical Records, Middle Aged, Sexually Transmitted Diseases, Syphilis, United States, HIV Infections, Homosexuality, Male, Guideline Adherence, Young Adult

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STD screening of HIV-infected MSM in HIV clinics.

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