Magazine article Clinical Psychiatry News

Increased Testing of Anus and Throat Warranted as Gonorrhea Incidence Rises

Magazine article Clinical Psychiatry News

Increased Testing of Anus and Throat Warranted as Gonorrhea Incidence Rises

Article excerpt

SAN FRANCISCO -- As the incidence of gonorrhea continues to increase, physicians need to be doing more testing for the venereal disease in the anus and the throat, particularly in gay men, said the chief of the sexually transmitted diseases control branch for the state of California.

Gonorrhea incidence in the United States as a whole and in California specifically had been declining for 3 decades before starting to climb in about the year 2000, Dr. Gail Bolan said at a meeting on HIV management sponsored by the University of California, San Francisco.

A recent study in San Francisco of males who have sex with males reported that if only urine and urethral screening were performed in those men, about 65% of gonorrhea cases would be missed, Dr. Bolan noted.

The study found that 85% of the rectal infections were asymptomatic, indicating the possibility that these infections may be an important factor fueling the incidence increase (Clin. Infect. Dis. 2005;41:67-74).

The study also reported that 53% of chlamydial infections were at nonurethral sites, Dr. …

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