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