RESUMO
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.
Assuntos
Chlamydia trachomatis/isolamento & purificação , Neisseria gonorrhoeae/isolamento & purificação , Doenças Faríngeas/diagnóstico , Papel do Médico , Autocuidado/métodos , Manejo de Espécimes/métodos , Infecções por Chlamydia/diagnóstico , Infecções por Chlamydia/epidemiologia , Infecções por Chlamydia/microbiologia , Gonorreia/diagnóstico , Gonorreia/epidemiologia , Gonorreia/microbiologia , Homossexualidade Masculina , Humanos , Masculino , Técnicas de Amplificação de Ácido Nucleico/métodos , Aceitação pelo Paciente de Cuidados de Saúde , Doenças Faríngeas/epidemiologia , Doenças Faríngeas/microbiologia , Faringe/microbiologia , Prevalência , São Francisco/epidemiologia , Autocuidado/psicologiaRESUMO
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.
