Potential value of rectal-screening cultures for Chlamydia trachomatis in homosexual men

Anne Marie Rompalo, Charles B. Price, Pacita L. Roberts, Walter E. Stamm

Research output: Contribution to journalArticle

Abstract

We compared the potential value of rectal-screening cultures for Chlamydia trachomatis and Neisseria gonorrhoeae among homosexual men attending a sexually transmitted disease clinic and also assessed the relation of either infection to patient age, symptoms, history of previous infection, and likelihood of early treatment. Of 1,429 homosexual men cultured over a six-month period, 118 (8%) had gonococcal rectal infection, 72 (5%) had chlamydial rectal infection, and 15 (1%) had both. The prevalence of rectal chlamydial infection was strongly related to age, with the highest occurrence in adolescents. C. trachomatis was isolated more often from men infected with N. gonorrhoeae (11%) than from men not infected with N. gonorrhoeae (5%; P =.01), and simultaneous urethral infection in patients with positive rectal cultures occurred more frequently in men infected with N. gonorrhoeae than in men infected with C. trachomatis (27% vs. 14%, respectively; P =.05). The majority of rectal infections with N. gonorrhoeae and C. trachomatis in this population were asymptomatic. Although 80% of the patients who had rectal infection with N. gonorrhoeae were appropriately treated on the initial clinic visit, only 18% of those with rectal chlamydial infections received proper treatment (P

Original languageEnglish (US)
Pages (from-to)888-892
Number of pages5
JournalJournal of Infectious Diseases
Volume153
Issue number5
DOIs
StatePublished - 1986
Externally publishedYes

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Chlamydia trachomatis
Neisseria gonorrhoeae
Infection
Sexual Minorities
Ambulatory Care
Sexually Transmitted Diseases
Therapeutics

ASJC Scopus subject areas

  • Infectious Diseases
  • Immunology and Allergy
  • Immunology
  • Public Health, Environmental and Occupational Health

Cite this

Potential value of rectal-screening cultures for Chlamydia trachomatis in homosexual men. / Rompalo, Anne Marie; Price, Charles B.; Roberts, Pacita L.; Stamm, Walter E.

In: Journal of Infectious Diseases, Vol. 153, No. 5, 1986, p. 888-892.

Research output: Contribution to journalArticle

Rompalo, Anne Marie ; Price, Charles B. ; Roberts, Pacita L. ; Stamm, Walter E. / Potential value of rectal-screening cultures for Chlamydia trachomatis in homosexual men. In: Journal of Infectious Diseases. 1986 ; Vol. 153, No. 5. pp. 888-892.
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