CDC advises at least yearly testing for urethral and rectal gonorrhea and Chlamydia of at-risk men who have sex with men, and for pharyngeal gonorrhea. Although the standard technique for analysis is culture, nucleic acid amplification (NAA) testing is normally more sensitive and favored by the majority of experts. NAA tests have not been cleared by the Food and Drug Administration (FDA) for the analysis of extragenital Chlamydia or gonorrhea and may not be advertise for that intention.
Though, under U.S. law, laboratories can offer NAA testing for identification of extragenital Chlamydia or gonorrhea after inner validation of the technique by a verification study. To determine sexually transmitted disease (STD) testing practices amongst community-based organizations serving MSM, CDC and the San Francisco Department of Public Health gathered data on rectal and pharyngeal gonorrhea and Chlamydia testing at screening sites run by six gay-focused community-based organizations in five U.S. cities during 2007.
This information summarizes the results of the study, which found that three organizations composed samples for NAA testing and three for culture. In total, around 30,000 tests were performed; 5.4% of rectal Gonorrhea, 8.9% of rectal Chlamydia, 5.3% of pharyngeal gonorrhea, and 1.6% of pharyngeal Chlamydia tests were positive. These results reveal that gay-focused community-based organizations can become aware of large numbers of gonorrhea and Chlamydia cases and might reach MSM not being tested somewhere else. Public health officials could think providing support to certain community-based organizations to ease testing and treatment of gonorrhea and Chlamydia.
Gay-focused community-based organizations give medical and social services and are directed and staffed by paid or unpaid community residents with a variety of skill levels, including some who may have medical, nursing, or analysis backgrounds. Funding and other capital are provided by personal and public sources. Many gay-focused community-based organizations in cities with large MSM, lesbian, and bisexual populations offer substitute venues to traditional public STD clinics and classified physicians by providing onsite STD screening and treatment services. Gay-focused community-based organizations normally do not require health insurance for access, are situated in neighborhoods with many MSM, and give culturally competent services for a historically stigmatized population.
Though, under U.S. law, laboratories can offer NAA testing for identification of extragenital Chlamydia or gonorrhea after inner validation of the technique by a verification study. To determine sexually transmitted disease (STD) testing practices amongst community-based organizations serving MSM, CDC and the San Francisco Department of Public Health gathered data on rectal and pharyngeal gonorrhea and Chlamydia testing at screening sites run by six gay-focused community-based organizations in five U.S. cities during 2007.
This information summarizes the results of the study, which found that three organizations composed samples for NAA testing and three for culture. In total, around 30,000 tests were performed; 5.4% of rectal Gonorrhea, 8.9% of rectal Chlamydia, 5.3% of pharyngeal gonorrhea, and 1.6% of pharyngeal Chlamydia tests were positive. These results reveal that gay-focused community-based organizations can become aware of large numbers of gonorrhea and Chlamydia cases and might reach MSM not being tested somewhere else. Public health officials could think providing support to certain community-based organizations to ease testing and treatment of gonorrhea and Chlamydia.
Gay-focused community-based organizations give medical and social services and are directed and staffed by paid or unpaid community residents with a variety of skill levels, including some who may have medical, nursing, or analysis backgrounds. Funding and other capital are provided by personal and public sources. Many gay-focused community-based organizations in cities with large MSM, lesbian, and bisexual populations offer substitute venues to traditional public STD clinics and classified physicians by providing onsite STD screening and treatment services. Gay-focused community-based organizations normally do not require health insurance for access, are situated in neighborhoods with many MSM, and give culturally competent services for a historically stigmatized population.
Source: www.cdc.gov
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