Evaluation of Self-Collected Versus Clinician-Collected Swabs for the Detection of Chlamydia trachomatis and Neisseria gonorrhoeae Pharyngeal Infection Among Men Who Have Sex With Men

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 agr...

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Bibliographic Details
Published in:Sexually transmitted diseases 2011-11, Vol.38 (11), p.1036-1039
Main Authors: Freeman, Alexandra H., Bernstein, Kyle T., Kohn, Robert P., Philip, Susan, Rauch, Leah M., Klausner, Jeffrey D.
Format: Article
Language:English
Subjects:
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Chlamydia
Chlamydia Infections - diagnosis
Chlamydia Infections - epidemiology
Chlamydia Infections - microbiology
Chlamydia trachomatis
Chlamydia trachomatis - isolation & purification
Confidence intervals
Epidemiology. Vaccinations
General aspects
Gonorrhea
Gonorrhea - diagnosis
Gonorrhea - epidemiology
Gonorrhea - microbiology
Gonorrhoea
Homosexuality, Male
Homosexuals
Human bacterial diseases
Human infectious diseases. Experimental studies and models
Humans
Infection
Infections
Infectious diseases
Male
Medical sciences
Men
Neisseria gonorrhoeae - isolation & purification
Nucleic Acid Amplification Techniques - methods
Patient Acceptance of Health Care
Pharyngeal Diseases - diagnosis
Pharyngeal Diseases - epidemiology
Pharyngeal Diseases - microbiology
Pharynx - microbiology
Physician's Role
Prevalence
San Francisco - epidemiology
Self Care - methods
Self Care - psychology
Sexual behavior
Specimen Handling - methods
Throat
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Summary: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.
ISSN:0148-5717
1537-4521
DOI:10.1097/OLQ.0b013e318227713e