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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Infect+Dis+Obstet+Gynecol
2016 ; 2016
(ä): 5758387
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English Wikipedia
Extragenital Infections Caused by Chlamydia trachomatis and Neisseria
gonorrhoeae: A Review of the Literature
#MMPMID27366021
Chan PA
; Robinette A
; Montgomery M
; Almonte A
; Cu-Uvin S
; Lonks JR
; Chapin KC
; Kojic EM
; Hardy EJ
Infect Dis Obstet Gynecol
2016[]; 2016
(ä): 5758387
PMID27366021
show ga
In the United States, sexually transmitted diseases due to Chlamydia trachomatis
and Neisseria gonorrhoeae continue to be a major public health burden. Screening
of extragenital sites including the oropharynx and rectum is an emerging practice
based on recent studies highlighting the prevalence of infection at these sites.
We reviewed studies reporting the prevalence of extragenital infections in women,
men who have sex with men (MSM), and men who have sex only with women (MSW),
including distribution by anatomical site. Among women, prevalence was found to
be 0.6-35.8% for rectal gonorrhea (median reported prevalence 1.9%), 0-29.6% for
pharyngeal gonorrhea (median 2.1%), 2.0-77.3% for rectal chlamydia (median 8.7%),
and 0.2-3.2% for pharyngeal chlamydia (median 1.7%). Among MSM, prevalence was
found to be 0.2-24.0% for rectal gonorrhea (median 5.9%), 0.5-16.5% for
pharyngeal gonorrhea (median 4.6%), 2.1-23.0% for rectal chlamydia (median 8.9%),
and 0-3.6% for pharyngeal chlamydia (median 1.7%). Among MSW, the prevalence was
found to be 0-5.7% for rectal gonorrhea (median 3.4%), 0.4-15.5% for pharyngeal
gonorrhea (median 2.2%), 0-11.8% for rectal chlamydia (median 7.7%), and 0-22.0%
for pharyngeal chlamydia (median 1.6%). Extragenital infections are often
asymptomatic and found in the absence of reported risk behaviors, such as
receptive anal and oral intercourse. We discuss current clinical recommendations
and future directions for research.