Rectal chlamydia trachomatis and neisseria gonorrhoeae infections among women reporting anal intercourse

Eloisa Llata, Jim Braxton, Lenore Asbel, Joan Chow, Lindsay Jenkins, Ryan Murphy, Preeti Pathela, Christina Schumacher, Elizabeth Torrone

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To examine the prevalence and treatment of rectal Chlamydia trachomatis and Neisseria gonorrhoeae infections among women reporting receptive anal intercourse in a network of sexually transmitted disease or sexual health clinics and estimate the proportion of missed infections if women were tested at the genital site only. METHODS: We conducted a cross-sectional analysis of C trachomatis and N gonorrhoeae test results from female patients reporting receptive anal intercourse in the preceding 3 months during visits to 24 sexually transmitted disease clinics from 2015 to 2016. Primary outcomes of interest were 1) anatomic site-specific C trachomatis and N gonorrhoeae testing and positivity among women attending selected U.S. sexually transmitted disease clinics who reported receptive anal intercourse and 2) the proportion of rectal infections that would have remained undetected if only genital sites were tested. RESULTS: Overall, 7.4% (3,743/50,785) of women reported receptive anal intercourse during the 2 years. Of the 2,818 women tested at both the genital and rectal sites for C trachomatis, 292 women were positive (61 genital only, 60 rectal only, and 171 at both sites). Of the 2,829 women tested at both the genital and rectal sites for N gonorrhoeae, 128 women were positive (31 genital only, 23 rectal only, and 74 at both sites). Among women tested at both anatomic sites, the proportion of missed C trachomatis infections would have been 20.5% and for N gonorrhoeae infections, 18.0%. CONCLUSION: Genital testing alone misses approximately one fifth of C trachomatis and N gonorrhoeae infections in women reporting receptive anal intercourse in our study population. Missed rectal infections may result in ongoing transmission to other sexual partners and reinfection.

Original languageEnglish (US)
Pages (from-to)692-697
Number of pages6
JournalObstetrics and Gynecology
Volume132
Issue number3
DOIs
StatePublished - Jan 1 2018

Fingerprint

Neisseria gonorrhoeae
Chlamydia trachomatis
Gonorrhea
Infection
Sexually Transmitted Diseases
Sexual Partners
Reproductive Health
Cross-Sectional Studies

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Rectal chlamydia trachomatis and neisseria gonorrhoeae infections among women reporting anal intercourse. / Llata, Eloisa; Braxton, Jim; Asbel, Lenore; Chow, Joan; Jenkins, Lindsay; Murphy, Ryan; Pathela, Preeti; Schumacher, Christina; Torrone, Elizabeth.

In: Obstetrics and Gynecology, Vol. 132, No. 3, 01.01.2018, p. 692-697.

Research output: Contribution to journalArticle

Llata, E, Braxton, J, Asbel, L, Chow, J, Jenkins, L, Murphy, R, Pathela, P, Schumacher, C & Torrone, E 2018, 'Rectal chlamydia trachomatis and neisseria gonorrhoeae infections among women reporting anal intercourse', Obstetrics and Gynecology, vol. 132, no. 3, pp. 692-697. https://doi.org/10.1097/AOG.0000000000002804
Llata, Eloisa ; Braxton, Jim ; Asbel, Lenore ; Chow, Joan ; Jenkins, Lindsay ; Murphy, Ryan ; Pathela, Preeti ; Schumacher, Christina ; Torrone, Elizabeth. / Rectal chlamydia trachomatis and neisseria gonorrhoeae infections among women reporting anal intercourse. In: Obstetrics and Gynecology. 2018 ; Vol. 132, No. 3. pp. 692-697.
@article{baf1319ea65b4cc8a2a76a2243dd0e60,
title = "Rectal chlamydia trachomatis and neisseria gonorrhoeae infections among women reporting anal intercourse",
abstract = "OBJECTIVE: To examine the prevalence and treatment of rectal Chlamydia trachomatis and Neisseria gonorrhoeae infections among women reporting receptive anal intercourse in a network of sexually transmitted disease or sexual health clinics and estimate the proportion of missed infections if women were tested at the genital site only. METHODS: We conducted a cross-sectional analysis of C trachomatis and N gonorrhoeae test results from female patients reporting receptive anal intercourse in the preceding 3 months during visits to 24 sexually transmitted disease clinics from 2015 to 2016. Primary outcomes of interest were 1) anatomic site-specific C trachomatis and N gonorrhoeae testing and positivity among women attending selected U.S. sexually transmitted disease clinics who reported receptive anal intercourse and 2) the proportion of rectal infections that would have remained undetected if only genital sites were tested. RESULTS: Overall, 7.4{\%} (3,743/50,785) of women reported receptive anal intercourse during the 2 years. Of the 2,818 women tested at both the genital and rectal sites for C trachomatis, 292 women were positive (61 genital only, 60 rectal only, and 171 at both sites). Of the 2,829 women tested at both the genital and rectal sites for N gonorrhoeae, 128 women were positive (31 genital only, 23 rectal only, and 74 at both sites). Among women tested at both anatomic sites, the proportion of missed C trachomatis infections would have been 20.5{\%} and for N gonorrhoeae infections, 18.0{\%}. CONCLUSION: Genital testing alone misses approximately one fifth of C trachomatis and N gonorrhoeae infections in women reporting receptive anal intercourse in our study population. Missed rectal infections may result in ongoing transmission to other sexual partners and reinfection.",
author = "Eloisa Llata and Jim Braxton and Lenore Asbel and Joan Chow and Lindsay Jenkins and Ryan Murphy and Preeti Pathela and Christina Schumacher and Elizabeth Torrone",
year = "2018",
month = "1",
day = "1",
doi = "10.1097/AOG.0000000000002804",
language = "English (US)",
volume = "132",
pages = "692--697",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Rectal chlamydia trachomatis and neisseria gonorrhoeae infections among women reporting anal intercourse

AU - Llata, Eloisa

AU - Braxton, Jim

AU - Asbel, Lenore

AU - Chow, Joan

AU - Jenkins, Lindsay

AU - Murphy, Ryan

AU - Pathela, Preeti

AU - Schumacher, Christina

AU - Torrone, Elizabeth

PY - 2018/1/1

Y1 - 2018/1/1

N2 - OBJECTIVE: To examine the prevalence and treatment of rectal Chlamydia trachomatis and Neisseria gonorrhoeae infections among women reporting receptive anal intercourse in a network of sexually transmitted disease or sexual health clinics and estimate the proportion of missed infections if women were tested at the genital site only. METHODS: We conducted a cross-sectional analysis of C trachomatis and N gonorrhoeae test results from female patients reporting receptive anal intercourse in the preceding 3 months during visits to 24 sexually transmitted disease clinics from 2015 to 2016. Primary outcomes of interest were 1) anatomic site-specific C trachomatis and N gonorrhoeae testing and positivity among women attending selected U.S. sexually transmitted disease clinics who reported receptive anal intercourse and 2) the proportion of rectal infections that would have remained undetected if only genital sites were tested. RESULTS: Overall, 7.4% (3,743/50,785) of women reported receptive anal intercourse during the 2 years. Of the 2,818 women tested at both the genital and rectal sites for C trachomatis, 292 women were positive (61 genital only, 60 rectal only, and 171 at both sites). Of the 2,829 women tested at both the genital and rectal sites for N gonorrhoeae, 128 women were positive (31 genital only, 23 rectal only, and 74 at both sites). Among women tested at both anatomic sites, the proportion of missed C trachomatis infections would have been 20.5% and for N gonorrhoeae infections, 18.0%. CONCLUSION: Genital testing alone misses approximately one fifth of C trachomatis and N gonorrhoeae infections in women reporting receptive anal intercourse in our study population. Missed rectal infections may result in ongoing transmission to other sexual partners and reinfection.

AB - OBJECTIVE: To examine the prevalence and treatment of rectal Chlamydia trachomatis and Neisseria gonorrhoeae infections among women reporting receptive anal intercourse in a network of sexually transmitted disease or sexual health clinics and estimate the proportion of missed infections if women were tested at the genital site only. METHODS: We conducted a cross-sectional analysis of C trachomatis and N gonorrhoeae test results from female patients reporting receptive anal intercourse in the preceding 3 months during visits to 24 sexually transmitted disease clinics from 2015 to 2016. Primary outcomes of interest were 1) anatomic site-specific C trachomatis and N gonorrhoeae testing and positivity among women attending selected U.S. sexually transmitted disease clinics who reported receptive anal intercourse and 2) the proportion of rectal infections that would have remained undetected if only genital sites were tested. RESULTS: Overall, 7.4% (3,743/50,785) of women reported receptive anal intercourse during the 2 years. Of the 2,818 women tested at both the genital and rectal sites for C trachomatis, 292 women were positive (61 genital only, 60 rectal only, and 171 at both sites). Of the 2,829 women tested at both the genital and rectal sites for N gonorrhoeae, 128 women were positive (31 genital only, 23 rectal only, and 74 at both sites). Among women tested at both anatomic sites, the proportion of missed C trachomatis infections would have been 20.5% and for N gonorrhoeae infections, 18.0%. CONCLUSION: Genital testing alone misses approximately one fifth of C trachomatis and N gonorrhoeae infections in women reporting receptive anal intercourse in our study population. Missed rectal infections may result in ongoing transmission to other sexual partners and reinfection.

UR - http://www.scopus.com/inward/record.url?scp=85056406547&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056406547&partnerID=8YFLogxK

U2 - 10.1097/AOG.0000000000002804

DO - 10.1097/AOG.0000000000002804

M3 - Article

C2 - 30095784

AN - SCOPUS:85056406547

VL - 132

SP - 692

EP - 697

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 3

ER -