Prevalence and factors associated with asymptomatic gonococcal and chlamydial infection among US Navy and Marine Corps men infected with the HIV: a cohort study

Objectives Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) can facilitate transmission of HIV. Men who have sex with men (MSM) may harbour infections at genital and extragenital sites. Data regarding extragenital GC and CT infections in military populations are lacking. We examined the pre...

Full description

Saved in:
Bibliographic Details
Published in:BMJ open 2013-01, Vol.3 (5), p.e002775
Main Authors: Carpenter, Robert J, Refugio, Oliver N, Adams, Nehkonti, O'Brien, Kevin P, Johnson, Mark D, Groff, Harold L, Maves, Ryan C, Bavaro, Mary F, Crum-Cianflone, Nancy F
Format: Article
Language:English
Subjects:
Asymptomatic
Chlamydia
Demographics
Drug therapy
Ethnicity
Gonorrhea
Hispanic people
HIV
Human immunodeficiency virus
Infections
Infectious Diseases
Laboratories
Medical records
Military bases
Population
Preventive medicine
Questionnaires
Rectum
Urine
White people
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) can facilitate transmission of HIV. Men who have sex with men (MSM) may harbour infections at genital and extragenital sites. Data regarding extragenital GC and CT infections in military populations are lacking. We examined the prevalence and factors associated with asymptomatic GC and CT infection among this category of HIV-infected military personnel. Design Cross-sectional cohort study (pilot). Setting Infectious diseases clinic at a single military treatment facility in San Diego, CA. Participants Ninety-nine HIV-positive men were evaluated—79% men who had sex with men, mean age 31 years, 36% black and 33% married. Inclusion criteria: male, HIV-infected, Department of Defense beneficiary. Exclusion criteria: any symptom related to the urethra, pharynx or rectum. Primary outcome measures GC and CT screening results. Results Twenty-four per cent were infected with either GC or CT. Rectal swabs were positive in 18% for CT and 3% for GC; pharynx swabs were positive in 8% for GC and 2% for CT. Only one infection was detected in the urine (GC). Anal sex (p=0.04), male partner (OR 7.02, p=0.04) and sex at least once weekly (OR 3.28, p=0.04) were associated with infection. Associated demographics included age
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2013-002775