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CROSS-SECTIONAL STUDY OF

PHARYNGEAL AND GENITAL


CHLAMYDIA AND GONORRHEA
INFECTIONS IN EMERGENCY
DEPARTMENT PATIENTS
JENKINS, W., NESSA, L., & CLARK, T.
Presented by: SECTION A - CARDIOVASCULAR GROUP

BACKGROUND

BACKGROUND OF THE STUDY

Chlamydia trachomatis (CT) and


Neisseria gonorrhoeae (GC) remain to
be the two most reported infections in
the USA.

BACKGROUND OF THE STUDY


The absence of routine screening may
be:
Hindering effective female infection
intervention
Aiding growing microbial resistance

BACKGROUND OF THE STUDY

There is also increasing data concerning:


Prevalence of extragenital infections
Potential pharyngeal-to-genital
transmission

OBJECTIVES

To identify the extent of oropharyngeal


CT/GC infection among ED patients.

OBJECTIVES

To determine if patient-provided
information concerning sexual risk factors
was predictive of infection status.

METHODS
CROSS-SECTIONAL STUDY DESIGN

METHODS
Data Gathering Period:
June 2013 March 2013

Location:
Memorial Medical Center

METHODS
Inclusion Criteria:
Age: 15 34
Time of Consultation: 10:00 16:00
With a low-acuity complaint
Not involved with visit-based clinical care

METHODS

Data Gathering Methods:


Sexual History Survey
Urine Sample
Oropharyngeal Swab

METHODS

Data Gathering Procedure:


Consent
Survey
Urine Test & Oropharyngeal Swab

METHODS

Sexual History Survey


Demographics
Sexual History
Infection Status

RESULTS

RESULTS
Demographics:
Females: 301
Males: 192
Reported Sexual Activity:
>85%

Mean Age: 25.2 years


White: 65.5%
Black: 33.5%

RESULTS

Patient Prevalence: 7.7%


No gender differences

RESULTS
Those with oral Infections (n = 10)
were most likely to:
Report a friend with an STD
Have anonymous sex in the past year
Belief of some chance of oral infection

RESULTS
4 participants had no corresponding
infection
66.7% of those affected with oral
infections were missing concordant
genital infection

CONCLUSIONS

CONCLUSIONS
Male and female Emergency Department
patients have similar likelihood of
infection
26.3% of those infected have an oral
infection

CONCLUSIONS
Majority of oral GC infections would not
be identified with urine based
screening
Emergency departments may be
important venues to identify oral
infections and provide male screening

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