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DC Field | Value | Language |
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dc.contributor.author | Tsoumanis, Achilleas | - |
dc.contributor.author | HENS, Niel | - |
dc.contributor.author | Kenyon, Chris Richard | - |
dc.date.accessioned | 2019-02-11T12:43:16Z | - |
dc.date.available | 2019-02-11T12:43:16Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | SEXUALLY TRANSMITTED DISEASES, 45(9), p. 615-622 | - |
dc.identifier.issn | 0148-5717 | - |
dc.identifier.uri | http://hdl.handle.net/1942/27700 | - |
dc.description.abstract | BackgroundNeisseria gonorrhoeae (gonorrhea) could become untreatable in the near future. Indeed, while the treatment of symptomatic gonorrhea in core groups, such men who have sex with men (MSM), is crucial for gonorrhea control programs, screening for and treating asymptomatic gonorrhea/Chlamydia trachomatis(chlamydia) in MSM may contribute to antibiotic resistance in gonorrhea. In this systematic review, we aim to assess if there is evidence that screening MSM for gonorrhea/chlamydia is associated with a decline in the prevalence of these infections. Methods We conducted a systematic review in PubMed and Web of Science for relevant studies including uncontrolled observational studies and reported the results following the PRISMA guidelines. The change in estimated prevalences for chlamydia and gonorrhea across the different time points for 3 anatomical sites (oral, urethral and anal) were collected and examined. Results Twelve studies met our entry criteria. We were able to statistically assess the change in prevalence in 10 of 12 studies. In 3 studies, there was a significant increase in chlamydia prevalence, whereas for gonorrhea, 2 studies reported a significant increase and 2 others a decrease. Our review provides little evidence that screening for gonorrhea and chlamydia in MSM has an effect on the prevalence of these infections. No evidence was found that more frequent screening reduces prevalence more effectively than annual screening. Conclusions Our study was not able to provide evidence that screening for chlamydia and gonorrhea lowers the prevalence of these infections in MSM. Randomized controlled trials are required to assess the risks and benefits of gonorrhea/chlamydia screening in high- and low-risk MSM. | - |
dc.description.sponsorship | This work was in part supported by the FWO Scientific Research Community on Network Statistics for Sexually Transmitted Infections Epidemiology grant number W0.025.14N. N.H. gratefully acknowledges support from the University of Antwerp scientific chair in Evidence-Based Vaccinology, financed in 2009-2017 by a gift from Pfizer. | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.title | Is Screening for Chlamydia and Gonorrhea in Men Who Have Sex With Men Associated With Reduction of the Prevalence of these Infections? A Systematic Review of Observational Studies | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 622 | - |
dc.identifier.issue | 9 | - |
dc.identifier.spage | 615 | - |
dc.identifier.volume | 45 | - |
local.format.pages | 8 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | [Tsoumanis, Achilleas; Hens, Niel] Univ Antwerp, Ctr Hlth Econ Res & Modeling Infect Dis, Vaccine & Infect Dis Inst VAXINFECTIO, Antwerp, Belgium. [Hens, Niel] Univ Antwerp, Epidemiol & Social Med ESOC, Antwerp, Belgium. [Hens, Niel] UHasselt Hasselt Univ, I BioStat, Ctr Stat, Hasselt, Belgium. [Kenyon, Chris Richard] Inst Trop Med, Sexually Transmitted Infect, HIV STI Unit, Antwerp, Belgium. [Kenyon, Chris Richard] Univ Cape Town, Div Infect Dis & HIV Med, Rondebosch, South Africa. | - |
local.publisher.place | PHILADELPHIA | - |
local.type.refereed | Refereed | - |
local.type.specified | Review | - |
dc.identifier.doi | 10.1097/OLQ.0000000000000824 | - |
dc.identifier.isi | 000442382100011 | - |
item.fullcitation | Tsoumanis, Achilleas; HENS, Niel & Kenyon, Chris Richard (2018) Is Screening for Chlamydia and Gonorrhea in Men Who Have Sex With Men Associated With Reduction of the Prevalence of these Infections? A Systematic Review of Observational Studies. In: SEXUALLY TRANSMITTED DISEASES, 45(9), p. 615-622. | - |
item.fulltext | With Fulltext | - |
item.validation | ecoom 2019 | - |
item.contributor | Tsoumanis, Achilleas | - |
item.contributor | HENS, Niel | - |
item.contributor | Kenyon, Chris Richard | - |
item.accessRights | Open Access | - |
crisitem.journal.issn | 0148-5717 | - |
crisitem.journal.eissn | 1537-4521 | - |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
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tsoumanis2018.pdf | Peer-reviewed author version | 2.98 MB | Adobe PDF | View/Open |
Tsoumanis et al. 2018.pdf Restricted Access | Published version | 671.68 kB | Adobe PDF | View/Open Request a copy |
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