title: Chlamydia and gonorrhea screening using urine-based nucleic acid amplification testing among males entering New York City jails: a pilot study.
abstract: This article describes a pilot screening program to detect Chlamydia trachomatis (Ct) and Neisseria gonorrhoeae (Ng) sexually transmitted infections (STIs) in adolescent and adult males newly incarcerated in New York City jails using urine-based nucleic acid amplification technology (NAAT). Between December 8 and 22, 2003, 2,417 males were tested; 162 (6.7%) were found positive for Ct and/or Ng STIs, with 138 (86.8%) exhibiting no STI signs or symptoms and 102 (63%) treated prior to jail release. Younger age, positive urine leukocyte esterase test, and ≥11 recent sex partners were predictors of STI. Urine-based screening and treatment was feasible in this setting and identified STI that would otherwise have been undetected. Jails may thus be important venues for targeted male STI screening.
authors.affiliation: New York City Department of Health and Mental Hygiene, NY, USA.
authors.forename: Woodman B
authors.initials: WB
authors.lastname: Franklin
authors.forename: Monica
authors.initials: M
authors.lastname: Katyal
authors.forename: Reena
authors.initials: R
authors.lastname: Mahajan
authors.forename: Farah M
authors.initials: FM
authors.lastname: Parvez
mesh_terms: D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology / Q000652:urine; D006069:Gonorrhea / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology / Q000652:urine; D006801:Humans; D008297:Male; D009519:New York City; D021141:Nucleic Acid Amplification Techniques; D010865:Pilot Projects; D011330:Prisons / Q000706:statistics & numerical data*; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D016482:Urinalysis