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Extragenital chlamydia infection among active-duty women in the United States Navy

Military Medical Research 2019年第3期6卷 208-215页

作者： Robert Deiss Morgan Byrne Sara MEchols Stephanie MCammarata Lynda Potswald Eduardo Gomez jennifer acurry Eric Garges Grace Macalino Brian KAgan Mary FBavaro Infectious Disease Clinical Research Program Department ofPreventive Medicine and BiostatisticsUniformed Services Universityof the Health Sciences11300Rockville PikeRockvilleMD20850USA The Henry M.Jackson Foundation for the Advancement of MilitaryMedicine Inc6720A Rockledge DriveBethesdaMD20817USA Division of Infectious Diseases Naval Medical Center San Diego34800Bob Wilson DriveSte201San DiegoCA92134USA 32nd StreetBranch Medical Clinic Naval Medical Center San Diego2450CravenStSan DiegoCA92104USA Division of Tropical Medical Health Department of Preventive Medicine and BiostatisticsUniformedServices University of the Health Sciences4301Jones Bridge RoadBethesdaMD20814-4799USA Marimac Insight LLCSimpsonvilleMDUSA.

Background: Pharyngeal and anorectal reservoirs of gonorrhea(GC) and chlamydia(CT) are increasingly recognized among heterosexual women. While a number of studies performed at sexually transmitted disease(STD) clinics have found a high prevalence of extragenital GC/CT infection, such screening is typically not offered during routine primary care visits for women. We sought to define the prevalence of and factors associated with extragenital GC/CT among women in the U.S. ***: We recruited servicewomen stationed in San Diego, California, between the ages of 18 and 25 who presented for an annual physical exam between January and September, 2017. Nucleic acid amplification testing was performed on swabs collected at endocervical, oropharyngeal and anorectal sites to assess the presence of GC/CT. An anonymous behavioral questionnaire was also administered to characterize sexual risk. Descriptive statistics were used to compare women with and without a prior history of any sexually transmitted infection(STI)(self-report) along with a current GC/CT diagnosis. This study was approved by the Institutional Review Board of the Uniformed Services University of Health ***: Of the 75 patients who were approached, 60 subjects were enrolled in the study, including white 20(33.3%), black/African American 18(31.0%), Hispanic/Latina 13(21.7%) and Asian/Pacific Islander 9(15.5%) women. Among all the women, six(10.0%) were diagnosed with CT infection, all via endocervical exam. Of these, five(8.3%) had concurrent anorectal infection, including two cases(3.3%) accompanied by pharyngeal infection. Of the subjects, 15(25.0%) reported anal intercourse in their most recent sexual encounter, most of which was condomless(13/15, 86.7%). A high number of women who reported sex with a casual male partner(19/45, 42.2%) reported rarely or never using condoms;last, 41.7% consuming at least 3 drinks on a typical drinking day, and one-third of the reported drinking more than once

关键词： Chlamydia Military Risk behavior Sexually transmitted infection

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