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- W2980496903 abstract "Background The majority of oropharyngeal Neisseria gonorrhoeae (N. gonorrhoeae) infections are asymptomatic, and many oropharyngeal N. gonorrhoeae infections could remain undetected, creating a reservoir for ongoing transmission and drug resistance. It is yet unknown what the optimal testing policy is for oropharyngeal N. gonorrhoeae infections in men who have sex with men (MSM), as data on routine universal screening are missing. Methods Surveillance data from all Dutch STI clinics between 2008–2017 were used (n=271,242 consultations). Oropharyngeal testing policy was defined as routine universal screening, that is ≥85% of MSM consultations included oropharyngeal testing per clinic per year, or as selective testing ( Results Routine universal screening was performed in 90% (n=238,619) of consultations. Oropharyngeal N.gonorrhoeae positivity was higher using routine universal screening (5.5%,95%CI 5.4–5.6, n=12,769) compared to selective testing (4.7%,95% CI 4.4–5.0, n=799, P Conclusion Selective testing missed two fifth of oropharyngeal N. gonorrhoeae infections in MSM, of which more than half would be oropharyngeal-only. Using independent risk factors as testing indicator is not specific. Therefore, routine universal oropharyngeal screening in MSM is feasible and warranted, as is currently advised in the Dutch guidelines. Disclosure No significant relationships." @default.
- W2980496903 created "2019-10-25" @default.
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- W2980496903 date "2019-07-01" @default.
- W2980496903 modified "2023-10-17" @default.
- W2980496903 title "P549 What is the optimal testing strategy for oropharyngealNeisseria gonorrhoeaein MSM visiting STI clinics?" @default.
- W2980496903 doi "https://doi.org/10.1136/sextrans-2019-sti.624" @default.
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