1750Prevalence of Non-Genital Neisseria gonorrhea (GC) and Chlamydia trachomatis (CT) among Men and Women Tested on the Basis of Sexual Exposure at an Urban Sexually Transmitted Diseases Clinic

Abstract

Background. Current guidelines recommend screening for rectal GC and CT and pharyngeal GC only in men having sex with men (MSM). We sought to determine the incidence of GC and CT based on anatomic exposure (oral, anal or genital) in all men and women. Methods. In 2012-13 the Kansas City Health Department STD clinic screened all men and women for GC and CT according to anatomic site of sexual exposure. Pharyngeal and rectal swabs were collected utilizing the Aptima unisex swab specimen collection kit, and performed at the Missouri Department of Health and Senior Services. We report the result of pharyngeal and rectal GC and CT among MSM, bisexual men, men having sex with women (MSW), women having sex with men (WSM), women having sex with women (WSW), and bisexual women. Results. 3832 men and women engaged in oral or anal sex. The rates of pharyngeal, rectal and urogenital GC and CT among this group are [results expressed as number positive/number exposed (percentage)] : GC CT Pharyngeal Rectal Urogenital Pharyngeal Rectal Urogenital