ABSTRACT
We evaluated self-sampling to detect pharyngeal Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infection among men who have sex with men attending a San Francisco STD clinic. The prevalence of pharyngeal NG and CT infection was 6.7% (32/480) and 1.3% (6/480), respectively. The percent agreement between self-collected and clinician-collected NG and CT specimens using nucleic acid amplification testing was 96.6% with a κ of 0.766 (95% confidence interval: 0.653-0.879) and 99.4% with a κ of 0.766 (95% confidence interval: 0.502-1.000), respectively. Acceptability was high among participants.
Subject(s)
Chlamydia trachomatis/isolation & purification , Neisseria gonorrhoeae/isolation & purification , Pharyngeal Diseases/diagnosis , Physician's Role , Self Care/methods , Specimen Handling/methods , Chlamydia Infections/diagnosis , Chlamydia Infections/epidemiology , Chlamydia Infections/microbiology , Gonorrhea/diagnosis , Gonorrhea/epidemiology , Gonorrhea/microbiology , Homosexuality, Male , Humans , Male , Nucleic Acid Amplification Techniques/methods , Patient Acceptance of Health Care , Pharyngeal Diseases/epidemiology , Pharyngeal Diseases/microbiology , Pharynx/microbiology , Prevalence , San Francisco/epidemiology , Self Care/psychologyABSTRACT
We describe the epidemiology of Trichomonas vaginalis (TV) among San Francisco County Jail inmates using APTIMA TV analyte-specific reagents on remnant urine. We detected TV in 15/713 (2.1%) men and 95/297 (32.0%) women. Among women, increased age was significantly associated with TV. The benefits of TV screening should be determined.
