scholarly journals Sexually transmitted infection screening, prevalence and incidence among South African men and transgender women who have sex with men enrolled in a combination HIV prevention cohort study: the Sibanye Methods for Prevention Packages Programme (MP3) project

2020 ◽  
Vol 23 (S6) ◽  
Author(s):  
Jeb Jones ◽  
Travis H Sanchez ◽  
Karen Dominguez ◽  
Linda‐Gail Bekker ◽  
Nancy Phaswana‐Mafuya ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hiv Prevention ◽  
South African ◽  
Sexually Transmitted Infection ◽  
Transgender Women ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sex With Men

scholarly journals Rectal Trichomonas vaginalis infection in South African men who have sex with men

2018 ◽  
Vol 29 (14) ◽  
pp. 1444-1447 ◽  
Author(s):  
Charlotte M Hoffman ◽  
Lise Fritz ◽  
Oscar Radebe ◽  
Jan Henk Dubbink ◽  
James A McIntyre ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Sexually Transmitted Infection ◽  
Trichomonas Vaginalis ◽  
Genital Infection ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sex With Men

This study from South Africa highlights the importance of rectal Trichomonas vaginalis infection as a sexually transmitted infection among men who have sex with men (MSM). We report seven MSM presenting with rectal T. vaginalis infection. Two men presented with symptoms of proctitis; 5/7 had urethral coinfection with T. vaginalis. Rectal T. vaginalis infection should be considered in MSM in areas where genital infection is endemic.

Triple site sexually transmitted infection testing as a crucial component of surveillance for men who have sex with men: A prospective cohort study

2021 ◽  
pp. 095646242110474
Author(s):  
Roy Zucker ◽  
Michael Gaisa ◽  
Keith Sigel ◽  
Ilan Singer ◽  
Amos Adler ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Study Groups ◽  
Sexual Risk Taking ◽  
Syphilis Infection ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Crucial Component ◽  
Sex With Men

Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections are common among men who have sex with men (MSM). Many oropharyngeal and anorectal infections remain asymptomatic. We aimed to evaluate triple-site screening following PrEP introduction. We enrolled a prospective cohort study including 210 asymptomatic MSM during 2019–2020, analyzed by groups: HIV positive (HIV+), HIV−uninfected using PrEP (HIV−/PrEP+), or HIV-uninfected not using PrEP (HIV−/PrEP−). A self-administered questionnaire captured demographic information and sexual risk-taking behaviors. CT/NG testing results were compared between study groups and predictors of infection were evaluated. We included 59 HIV+, 70 HIV−/PrEP+, and 81 HIV−/PrEP− subjects. 30% ( n = 62) of participants tested positive for CT/NG. HIV−/PrEP+ group had highest proportion of infections ( n = 33, 47%) followed by HIV−/PrEP− ( n = 16, 22%) and HIV+ ( n=13, 20%; p < .001). Importantly, 98% (80/82) of pharyngeal/anorectal CT/NG infections were missed in genitourinary tract screening alone. PrEP use and previous syphilis infection were the strongest risk factor for CT/NG. Extra-genital asymptomatic CT/NG infections were prevalent among MSM. These data highlight the importance of routine extra-genital CT/NG testing in asymptomatic sexually active MSM. The study describes the consequences for three-site testing lack of implementation in the PrEP era.

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