Sexually Transmitted Infection and Chemsex Also Highly Prevalent Among Male Sex Workers Outside Amsterdam, The Netherlands
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Letters to the Editor Source Type: research

Additional Considerations for the Implementation of Same-Day Screening and Treatment of Sexually Transmitted Infections
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Letters to the Editor Source Type: research

Pubic Hair Grooming and Sexually Transmitted Infections: A Clinic-Based Cross-Sectional Survey
Conclusions We found no association between recent grooming and genital STIs. Anal grooming was associated with rectal STIs in gay and bisexual men. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Evaluation of the National Sexually Transmitted Disease Curriculum: Reach, Utilization, and Engagement
Conclusions The NSTDC is a free, guideline-based, online curriculum with novel dual functionality that has achieved extensive reach with a broad array of health professionals who engage deeply with the material. The wide usage of NSTDC demonstrates the need for high-quality, unbiased, free content in user-focused formats. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

From Resistance-Guided to Risk-Guided Antimicrobial Therapy in Mycoplasma genitalium
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Commentary Source Type: research

Changing Epidemiology of Gonorrhea in Adelaide, South Australia
Conclusions This study demonstrates the changing epidemiology of gonorrhea in Adelaide from a largely men who have sex with men profile toward an increase in young heterosexual gonorrhea. This could be seen as a harbinger for future increases in heterosexually transmitted HIV and other sexually transmitted infections in Australia. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

A Secondary Mixed Methods Analysis of a Pay-it-Forward Gonorrhea/Chlamydia Testing Program Among Men Who Have Sex With Men in China
Conclusions Quantitative and qualitative results suggest that this pay-it-forward program may increase gonorrhea/chlamydia testing by reducing cost barriers, leveraging generosity and reciprocity, and mobilizing community altruism. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Factors Associated With Early Resumption of Condomless Anal Sex Among Men Who Have Sex With Men After Rectal Chlamydia Treatment
Conclusions Resuming condomless receptive anal sex early after treatment may facilitate onward transmission and promote antimicrobial resistance for STIs. Although azithromycin remains a treatment option, this analysis highlights the need for new health promotion messages regarding early resumption of sex and continued surveillance for antimicrobial resistance. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Cervicitis: Balancing the Goals of Empiric Therapy and Antimicrobial Stewardship to Improve Women's Health
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Editorial Source Type: research

Reconsidering Presumptive Neisseria gonorrhoeae Treatment For Women With Cervicitis
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Commentary Source Type: research

Do Prescriptions for Expedited Partner Therapy for Chlamydia Get Filled? Findings From a Multi-Jurisdictional Evaluation, United States, 2017–2019
Conclusions Less than half of EPT prescriptions were filled, even when medication was free. Whenever possible, EPT should be provided as drug-in-hand. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

The Influence of Screening, Misclassification, and Reporting Biases on Reported Chlamydia Case Rates Among Young Women in the United States, 2000 Through 2017
Conclusions Reported chlamydia case rates may be substantially lower than true chlamydia case rates because of incomplete reporting, imperfect diagnostic tests, and partial screening coverage. Because the magnitude of these biases has declined over time, the differences between reported and adjusted case rates have narrowed, revealing a sharp decline in adjusted case rates even as reported case rates have risen. The decline in adjusted case rates suggests that the rise in reported case rates should not be interpreted strictly as increasing chlamydia incidence, as the observed rise can be explained by improvements in scre...
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Extragenital Gonorrhea and Chlamydia Positivity and the Potential for Missed Extragenital Gonorrhea With Concurrent Urethral Chlamydia Among Men Who Have Sex With Men Attending Sexually Transmitted Disease Clinics—Sexually Transmitted Disease Surveillance Network, 2015–2019
Conclusions Extragenital GC and CT were common among MSM. Without extragenital screening of MSM with urethral CT, extragenital GC would have been undetected and undertreated in approximately 13% of these men. Undertreatment could potentially select for antimicrobial resistance. These findings underscore the importance of extragenital screening in MSM. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Transactional Sex and Incident Chlamydia and Gonorrhea Among Black Men Who Have Sex With Men in Atlanta, Georgia
Conclusions Economic and social vulnerabilities may motivate engagement in high-risk sexual behaviors through commodified sex, potentially increasing the burden of STIs among BMSM. In this investigation, the relationship between transactional sex and chlamydia/gonorrhea was not homogenous across BMSM with diverse sexual identities in Atlanta, suggesting that within select sexual networks, transactional sex may drive STI risks. Delivering accessible and targeted STI screening for marginalized BMSM should be prioritized for STI and HIV prevention. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Erratum - Prevalence of Curable Sexually Transmitted Infections in Pregnant Women in Low- and Middle-Income Countries From 2010 to 2015: A Systematic Review
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Errata Source Type: research

Erratum - Resistance Profile of Neisseria gonorrhoeae in KwaZulu-Natal, South Africa Questioning the Effect of the Currently Advocated Dual Therapy
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Errata Source Type: research

Frequency of Sexually Transmitted Infection/HIV Testing Among Commercially Insured Patients With International Classification of Disease Tenth Revision Specified Sex Partners
Conclusions The STI/HIV testing among patients with HRSB could improve. It is important for patients identified as HRSB to get tested and continue testing patients based on recommendations. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Study Source Type: research

Presence and Concentrations of Select Bacterial Vaginosis-Associated Bacteria Are Associated With Increased Risk of Pelvic Inflammatory Disease
In a vaginal 16S ribosomal RNA gene quantitative PCR study of 17 pelvic inflammatory disease (PID) cases and 17 controls who tested positive for Chlamydia trachomatis, women who additionally tested positive for Atopobium vaginae, Sneathia spp., Megasphaera spp., Eggerthella-like bacterium or Prevotella amnii were more likely to develop PID. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Note Source Type: research

Ingenol Mebutate Gel 0.05% in the Treatment of Anogenital Warts: A Prospective Controlled Trial Comparing It With Topical Podophyllin Solution 25%
Conclusion Ingenol mebutate 0.05% gel is effective as podophyllin 25% solution in treating AGWs, with further benefit of being much more rapid. However, high recurrence rate, sever pain, and LSR limit its use. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Diagnosis, Treatment, Follow-up, and Persistence of Trichomonas vaginalis in Women 45 Years and Older According to HIV Status: A 10-Year Retrospective Cohort
Conclusions The HIV status did not affect persistent T. vaginalis infection in women 45 years or older. Given over one third of women have a positive test within a year after the recommended treatment, our data support repeat testing in women 45 years and older treated for T. vaginalis. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

No Pathogen-Specific Sign or Symptom Predicts the Etiology of Monomicrobial Nongonococcal Urethritis in Men
Identifying pathogen-specific signs or symptoms of nongonococcal urethritis could improve syndromic management accuracy. We evaluated nongonococcal urethritis signs and symptoms in 220 men with single-pathogen infections (Chlamydia trachomatis, Mycoplasma genitalium, Trichomonas vaginalis, or Ureaplasma urealyticum) or idiopathic urethritis. No individual sign or symptom accurately predicted the infectious etiology. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Note Source Type: research

First Case of High-Level Azithromycin-Resistant Neisseria gonorrhoeae in North Carolina
We report on the first high-level azithromycin-resistant Neisseria gonorrhoeae isolate (minimum inhibitory concentration, ≥256 μg/mL) in North Carolina isolated from a pharyngeal swab of a 33-year-old HIV-negative man who has sex with men. In addition, the isolate was found to be susceptible to cefixime, ceftriaxone, and penicillin and resistant to tetracycline. By whole-genome sequencing, the strain was assigned as MLST ST9363, NG-MAST ST5035, and a novel NG-STAR sequence type, ST1993. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Case Report Source Type: research

High Prevalence of Vaginal and Rectal Mycoplasma genitalium Macrolide Resistance Among Female Sexually Transmitted Disease Clinic Patients in Seattle, Washington
Conclusions We observed a high prevalence of macrolide-resistant vaginal and rectal MG among a population of women at high risk for CT. This study highlights how the use of antimicrobials designed to treat an identified infection—in this case, CT—could influence treatment outcomes and antimicrobial susceptibility in other unidentified infections. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Trends in Reported Sexual Behavior and Y-Chromosomal DNA Detection Among Female Sex Workers in the Senegal Preexposure Prophylaxis Demonstration Project
Conclusions In a FSW PrEP demonstration project in Senegal, we found no evidence of risk compensation among FSWs on PrEP as measured by self-reported behavior or through Yc-DNA detection. Y-chromosomal DNA detection was frequently detected among FSWs reporting consistent condom use, highlighting limitations of self-reported sexual behavioral measures. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

The Potential Impact of One-Time Routine HIV Screening on Prevention and Clinical Outcomes in the United States: A Model-Based Analysis
Conclusions Although routine HIV screening may contribute meaningfully to increased case detection in persons not captured by targeted testing programs in some settings, this strategy will have a limited impact on population-level outcomes. Our findings highlight the importance of a multipronged testing strategy with continued investment in risk-based screening programs. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Evaluation of BioPlex 2200 Syphilis Total With Automated Rapid Plasma Reagin: Experience From a Tertiary Medical Center
Conclusions Our results demonstrated that BioPlex Syphilis Total and Architect Syphilis TP performed similarly. The BioPlex RPR missed a small number of early syphilis reinfections, and its implementation should depend on the patient population that the laboratory serves. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Otosyphilis: A Review of the Literature
The number of cases of syphilis has increased in the United States and in many high-income nations. Otosyphilis is a less recognized complication of syphilis that can lead to irreversible sensorineural hearing loss. Different pathophysiological mechanisms have been proposed to explain hearing loss in otosyphilis. We review the literature on otosyphilis in adults and propose the need for future work in this field to identify better ways to diagnose, treat, and manage this disease. Patients with syphilis should be screened routinely for hearing loss, and all patients with new, sudden, or fluctuating sensorineural hearing los...
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Review Source Type: research

Identification of US Counties at Elevated Risk for Congenital Syphilis Using Predictive Modeling and a Risk Scoring System
Conclusions Given the dire consequences of CS, increasing prevention efforts remains important. The ability to predict counties at most elevated risk for CS based on county factors may help target CS resources where they are needed most. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Time to Serological Cure and Associated Factors Among Syphilis Patients With and Without HIV in a Sexually Transmitted Infections Center, Thailand
Conclusion Early syphilis was associated with faster time to serological cure. HIV patients with early syphilis took longer time to reach serological cure than did HIV-negative patients, whereas no such a difference was observed in late syphilis. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - April 22, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Erratum - Assessment of the Cost-Effectiveness of a Brief Video Intervention for Sexually Transmitted Disease Prevention
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Erratum Source Type: research

Characterization of Phthirus pubis With Ex Vivo Dermoscopy
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Photo Submission Source Type: research

For Human Papillomavirus Self-Sampling, Stated Willingness Does Not Correspond With Subsequent Uptake by Rural Malawian Women
Conclusions Our results suggest that evaluation of acceptability of self-collection should go beyond simply asking women if they would be willing to self-collect a vaginal sample. Given that half of this study's participants agreed to self-collect a sample when the opportunity was offered, regardless of their previously stated preferences, self-collection should be offered to everyone. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Vaginal Microbiota and Mucosal Immune Markers in Women With Vulvovaginal Discomfort
Conclusions Minimal differences in vaginal microbiota and inflammatory markers between women with IV, VVD or controls suggest no striking association between vaginal bacteria, fungi or inflammation and diagnosis in these women. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Mapping Geographical Patterns and High Rate Areas for Sexually Transmitted Infections in Portugal: A Retrospective Study Based on the National Epidemiological Surveillance System
Conclusions Wide spatial inequalities in STI notification rates were observed, which were predominantly concentrated in the 2 metropolitan areas of the country. Our findings can help guide more targeted interventions to reduce STIs incidence. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

A Multiregion Analysis of Shale Drilling Activity and Rates of Sexually Transmitted Infections in the United States
Conclusions Associations between shale drilling and chlamydia and gonorrhea in Texas may reflect increased risk in areas with higher drilling activity and a greater number of major metropolitan areas. Interstate differences highlight the need for local epidemiology to prioritize community health policies. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Chlamydia trachomatis Biovar Genotyping and Treatment of Lymphogranuloma Venereum
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Letter to the Editor Source Type: research

Chlamydia trachomatis Is Associated With Medically Indicated Preterm Birth and Preeclampsia in Young Pregnant Women
This study determined if prenatal C. trachomatis infection is associated with preterm birth (PTB) and preeclampsia subtypes. Methods A retrospective cohort study was conducted using 22,772 singleton pregnancies with a prenatal C. trachomatis diagnostic test. Spontaneous and medically indicated PTBs, and term and preterm preeclampsia were outcomes. Modified Poisson regression calculated relative risk (RR) and 95% confidence intervals (CI) with propensity score adjustments stratified by maternal ages (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Study Source Type: research

Detection of Three Sexually Transmitted Infections by Anatomic Site: Evidence From an Internet-Based Screening Program
Urogenital and rectal specimens collected from the “IWantTheKit” Internet-based sexually transmitted infection screening program were evaluated for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Of 881 paired specimens submitted from August 2013 to December 2016, 15.0% (n = 132) tested positive for 1 or more sexually transmitted infections, of which 50.8% (n = 67) were identified exclusively through rectal testing. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Note Source Type: research

Simultaneous Detection of Neisseria gonorrhoeae and Fluoroquinolone Resistance Mutations to Enable Rapid Prescription of Oral Antibiotics
Conclusion The NGRES quantitative polymerase chain reaction (qPCR) kit can be implemented in diagnostic testing for vaginal, urine, and anal Ng TMA-positive samples to enable rapid prescription of oral ciprofloxacin. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Partner Notification Among Persons With Early Syphilis in Shenzhen, China, 2011–2017: Implications for Practice and Policy
Conclusions There is a need to improve PN practices in China, which include developing operational guidelines of PN and to develop and evaluate novel PN ways like using Internet-based strategy. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

High Interest in Syphilis Pre-exposure and Post-exposure Prophylaxis Among Gay, Bisexual and Other Men Who Have Sex With Men in Vancouver and Toronto
Conclusions There is considerable interest in syphilis PrEP/PEP in gbMSM attending Toronto/Vancouver STI clinics. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Pre-exposure Prophylaxis Awareness and Use Among Cisgender Men Who Have Sex With Men and Use Methamphetamine in 3 Western US Cities
Conclusions These results highlight the need for continued efforts to educate and promote PrEP uptake among MSM, particularly those who use methamphetamine. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Predictors of Sexually Transmitted Infection Positivity Among Substance-Using Native American Adults
Conclusions Findings provide information for those working to reduce STIs in Native Communities to better identify and design programs for those at highest risk for STIs. Additional studies examining gender dynamics and sexual risk taking among native adults are warranted. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - March 13, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Self-Reported Sexually Transmitted Disease–Related Health Services Among Men Who Have Sex With Men in the United States, 2011 to 2017
From a nationally representative survey, 2011 to 2017, we found that 80.7% of sexually active men who have sex with men were insured and 82.0% had a usual place for care, but only 39.8% received sexual risk assessment and 45.8% received sexually transmitted disease screening, of whom 58.0% received extragenital sexually transmitted disease screening. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 8, 2020 Category: Sexual Medicine Tags: The Real World of STD Prevention Source Type: research

Anorectal and Urogenital Mycoplasma genitalium in Nigerian Men Who Have Sex With Men and Transgender Women: Prevalence, Incidence, and Association With HIV
Among 413 Nigerian men who have sex with men and transgender women, retrospective testing for Mycoplasma genitalium revealed mostly asymptomatic infections of the anorectum (prevalence, 36.8%; incidence, 18.4 cases/100 person-years) and urogenital tract (12.4%, 4.0 cases/100 person-years). Risk factors included HIV and increasing number of sex partners. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 8, 2020 Category: Sexual Medicine Tags: Note Source Type: research

Quinolone Resistance–Associated Mutations in Mycoplasma genitalium: Not Ready for Prime Time
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 8, 2020 Category: Sexual Medicine Tags: Editorial Source Type: research

Clearance of Mycoplasma genitalium Infection With Moxifloxacin in the Presence of Quinolone Resistance–Associated Mutations
We present 2 cases of Mycoplasma genitalium infection that were successfully treated with moxifloxacin despite the presence of quinolone resistance–associated mutations in these strains. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 8, 2020 Category: Sexual Medicine Tags: Note Source Type: research

An Assessment of Risk Factors for Herpes Simplex Virus Type 2 Infection in Malawian Women Using 2 Classifications for the HerpeSelect 2 Test
Conclusion HSV-2-focused interventions informed by identifying individuals likely to have or acquire HSV-2 must be aware that different target populations may emerge depending on which cutpoints are adopted. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 8, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Detection-Based Monetary Incentives to Improve Syphilis Screening Uptake: Results of a Pilot Intervention in a High Transmission Setting in Southern China
Conclusions Results of this detection-based P4P pilot study demonstrate the feasibility and preliminary effectiveness of this approach for improving syphilis case detection in resource-constrained clinical settings. A fully powered randomized trial is needed to inform the full utility of this approach for improving sexually transmitted disease detection globally. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 8, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research

Temporal Trends in the Incidence of Anogenital Warts: Impact of Human Papillomavirus Vaccination
Background Studies in countries with high human papillomavirus (HPV) vaccination coverage have demonstrated marked reductions in anogenital wart (AGW) incidence. Our goal was to assess the impact of HPV vaccination in a population with suboptimal coverage by comparing AGW incidence trends in the years before and after vaccine introduction. Methods We conducted a retrospective analysis of AGW incidence trends using an ecologic study design among 11- through 39-year-olds enrolled at Kaiser Permanente Northwest. We defined incidence as the proportion of persons who had a new AGW diagnosis for each calendar year in the pr...
Source: Sexually Transmitted Diseases - February 8, 2020 Category: Sexual Medicine Tags: Original Studies Source Type: research