title: Brief Report: Gonorrhea and Chlamydia Testing Increasing but Still Lagging in HIV Clinics in the United States.
abstract: Screening persons living with HIV for gonorrhea and chlamydia has been recommended since 2003. We compared annual gonorrhea/chlamydia testing to syphilis and lipid testing among 19,368 adults (41% men who have sex with men, 30% heterosexual men, and 29% women) engaged in HIV care. In 2004, 22%, 62%, and 70% of all patients were tested for gonorrhea/chlamydia, syphilis, and lipid levels, respectively. Despite increasing steadily [odds ratio per year (95% confidence interval): 1.14 (1.13 to 1.15)], gonorrhea/chlamydia testing in 2010 remained lower than syphilis and lipid testing (39%, 77%, 76%, respectively). Interventions to improve gonorrhea/chlamydia screening are needed. A more targeted screening approach may be warranted.
authors.affiliation: *Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; †Department of Medicine, University of California, San Diego School of Medicine, San Diego, CA; ‡Department of Medicine, Oregon Health and Science University, Portland, OR; §Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA; ‖Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN; and ¶Drexel University School of Medicine, Philadelphia, PA.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Berry
authors.forename: Khalil G
authors.initials: KG
authors.lastname: Ghanem
authors.forename: William Christopher
authors.initials: WC
authors.lastname: Mathews
authors.forename: Philip Todd
authors.initials: PT
authors.lastname: Korthuis
authors.forename: Baligh R
authors.initials: BR
authors.lastname: Yehia
authors.forename: Allison L
authors.initials: AL
authors.lastname: Agwu
authors.forename: Christoph U
authors.initials: CU
authors.lastname: Lehmann
authors.forename: Richard D
authors.initials: RD
authors.lastname: Moore
authors.forename: Sara L
authors.initials: SL
authors.lastname: Allen
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Gebo
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D002689:Chlamydia; D002690:Chlamydia Infections / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006069:Gonorrhea / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014481:United States / Q000453:epidemiology; D055815:Young Adult