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Test-of-Cure After Treatment of Pharyngeal Gonorrhea in Durham, North Carolina, 2021-2022.

Publication ,  Journal Article
Jenks, JD; Hester, L; Ryan, E; Stancil, C; Hauser, Q; Zitta, J-P; Mortiboy, M; Rayner, M; Stevens, E; Carrico, S; Jenkins, R
Published in: Sex Transm Dis
October 1, 2022

BACKGROUND: In December 2020, the Centers for Disease Control and Prevention updated its treatment guidelines for gonococcal infection and, for the first time, recommended universal test-of-cure for all individuals treated for pharyngeal gonorrhea. After the release of these guidelines, data are lacking on rates of return for the test-of-cure, particularly in populations other than men who have sex with men. METHODS: We analyzed the demographic characteristics, clinical characteristics, rate of return for the recommended test-of-cure, and percent positivity for Neisseria gonorrhoeae on repeat pharyngeal specimens at a local public health department in Durham, NC. RESULTS: Of 101 individuals treated for pharyngeal gonorrhea between March 2021 and April 2022, 54.5% were men, 71.2% Black or African American, and 58.4% between the ages of 20 and 29 years. Most identified as either women who have sex with men (38.6%), men who have sex with men (24.8%), or men who have sex with women (22.8%). Of these individuals, 41 (40.6%) returned for a test-of-cure, with LGBTQ+ individuals more likely to return than men who have sex with women and women who have sex with men. Of those who returned for the test-of-cure, 4.9% of pharyngeal samples were equivocal and 2.4% positive for N. gonorrhoeae by nucleic acid amplification testing, likely reflecting false-positive tests. CONCLUSION: Despite recommendations to perform a test-of-cure 7 to 14 days after treatment of pharyngeal gonorrhea, rates of return continue to be low. Alternative strategies should be investigated to increase test-of-cure rates.

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Published In

Sex Transm Dis

DOI

EISSN

1537-4521

Publication Date

October 1, 2022

Volume

49

Issue

10

Start / End Page

677 / 681

Location

United States

Related Subject Headings

  • Young Adult
  • Sexual and Gender Minorities
  • Public Health
  • Pharyngeal Diseases
  • Nucleic Acids
  • North Carolina
  • Neisseria gonorrhoeae
  • Male
  • Humans
  • Homosexuality, Male
 

Citation

APA
Chicago
ICMJE
MLA
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Jenks, J. D., Hester, L., Ryan, E., Stancil, C., Hauser, Q., Zitta, J.-P., … Jenkins, R. (2022). Test-of-Cure After Treatment of Pharyngeal Gonorrhea in Durham, North Carolina, 2021-2022. Sex Transm Dis, 49(10), 677–681. https://doi.org/10.1097/OLQ.0000000000001679
Jenks, Jeffrey D., Lizeth Hester, Emily Ryan, Candy Stancil, Quinn Hauser, John-Paul Zitta, Marissa Mortiboy, et al. “Test-of-Cure After Treatment of Pharyngeal Gonorrhea in Durham, North Carolina, 2021-2022.Sex Transm Dis 49, no. 10 (October 1, 2022): 677–81. https://doi.org/10.1097/OLQ.0000000000001679.
Jenks JD, Hester L, Ryan E, Stancil C, Hauser Q, Zitta J-P, et al. Test-of-Cure After Treatment of Pharyngeal Gonorrhea in Durham, North Carolina, 2021-2022. Sex Transm Dis. 2022 Oct 1;49(10):677–81.
Jenks, Jeffrey D., et al. “Test-of-Cure After Treatment of Pharyngeal Gonorrhea in Durham, North Carolina, 2021-2022.Sex Transm Dis, vol. 49, no. 10, Oct. 2022, pp. 677–81. Pubmed, doi:10.1097/OLQ.0000000000001679.
Jenks JD, Hester L, Ryan E, Stancil C, Hauser Q, Zitta J-P, Mortiboy M, Rayner M, Stevens E, Carrico S, Jenkins R. Test-of-Cure After Treatment of Pharyngeal Gonorrhea in Durham, North Carolina, 2021-2022. Sex Transm Dis. 2022 Oct 1;49(10):677–681.

Published In

Sex Transm Dis

DOI

EISSN

1537-4521

Publication Date

October 1, 2022

Volume

49

Issue

10

Start / End Page

677 / 681

Location

United States

Related Subject Headings

  • Young Adult
  • Sexual and Gender Minorities
  • Public Health
  • Pharyngeal Diseases
  • Nucleic Acids
  • North Carolina
  • Neisseria gonorrhoeae
  • Male
  • Humans
  • Homosexuality, Male