Increased gonorrhea and chlamydia testing did not increase case detection in an HIV clinical cohort 1999 - 2007

Post Date: 
2011-10-15
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Countries: 
Publication: 
Sexually Transmitted Infections
Summary: 
Objectives: Since 2003, U.S. organizations have recommended universal screening, rather than targeted screening, of HIV-infected persons for gonorrhea (NG) and Chlamydia (CT). Our objective was to determine whether wider testing resulting from these guidelines would produce an increase in NG/CT diagnoses.
 
Methods: We studied 3,283 patients receiving HIV care 1999–2007 in the Johns Hopkins Hospital HIV clinic. The two primary outcomes were: 1) the occurrence of any NG/CT testing in each year of care and 2) the occurrence of any positive result(s) in years of testing. The proportion of all patients in care who were diagnosed with NG/CT was defined as the number of patients with positive results divided by the number of patients in care. Trends were analyzed with repeated measures logistic regression.
Citation: 
Berry SA, Ghanem KG, Page KR, Gange S, Thio CL, Moore RD, Gebo KA. Increased gonorrhea and chlamydia testing did not increase case detection in an HIV clinical cohort 1999 - 2007. Sex Transm Infect. 2011 Oct;87(6):469-75. PMID: 21745834
Collaborators: 

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD