title: Evaluation of self-collected versus clinician-collected swabs for the detection of Chlamydia trachomatis and Neisseria gonorrhoeae pharyngeal infection among men who have sex with men.
abstract: We evaluated self-sampling to detect pharyngeal Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infection among men who have sex with men attending a San Francisco STD clinic. The prevalence of pharyngeal NG and CT infection was 6.7% (32/480) and 1.3% (6/480), respectively. The percent agreement between self-collected and clinician-collected NG and CT specimens using nucleic acid amplification testing was 96.6% with a κ of 0.766 (95% confidence interval: 0.653-0.879) and 99.4% with a κ of 0.766 (95% confidence interval: 0.502-1.000), respectively. Acceptability was high among participants.
authors: San Francisco Department of Public Health, STD Prevention and Control Services, San Francisco, CA 94103, USA. jana.h.freeman@gmail.com
authors: Alexandra H
authors: AH
authors: Freeman
authors: Kyle T
authors: KT
authors: Bernstein
authors: Robert P
authors: RP
authors: Kohn
authors: Susan
authors: S
authors: Philip
authors: Leah M
authors: LM
authors: Rauch
authors: Jeffrey D
authors: JD
authors: Klausner
mesh_terms: D002690:Chlamydia Infections / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D006069:Gonorrhea / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D021141:Nucleic Acid Amplification Techniques / Q000379:methods; D010342:Patient Acceptance of Health Care; D010608:Pharyngeal Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology; D010614:Pharynx / Q000382:microbiology; D010819:Physician's Role; D015995:Prevalence; D012495:San Francisco / Q000453:epidemiology; D012648:Self Care / Q000379:methods* / Q000523:psychology; D013048:Specimen Handling / Q000379:methods*