{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:22:50Z","timestamp":1761513770751,"version":"build-2065373602"},"reference-count":13,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"vor","delay-in-days":3470,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to describe oropharyngeal chlamydia (OCT) in gay and bisexually active men (GBM) attending a large urban sexual health clinic in Sydney and determine what proportion of cases would be missed if screening was not routine. Methods: Retrospective data were extracted for all GBM with a positive OCT result between 1 October 2012 and 31 April 2014. The control group consisted of patients who had a negative OCT result on their first visit during the study period, and each patient was only counted once. Results: A total of 74 of 2920 GBM (0.03, 95% CI: 0.02\u20130.03) were diagnosed with OCT. The 2920 GBM had a total of 11 226 OCT tests performed, demonstrating OCT test positivity of 0.006 (95% CI: 0.005\u20130.008). A total of 62 sexually transmissible infections (STIs) were diagnosed at other sites: 34 rectal chlamydia (CT), 12 throat gonorrohea (GC), 7 urine CT, 7 rectal GC, 1 infectious syphilis and 1 non-gonoccal urethritis (NGU) case. Of the 74 OCT cases, 56 (0.76, 95% CI: 0.64\u20130.85) were treated with Azithromycin; 51 (69%) as part of standard treatment for their STI co-infection (34 rectal CT, 12 throat GC, 7 urine CT, 7 rectal GC, 1 NGU case) and a further five (7%) were treated as contacts. The remaining 18 people (0.24, 95% CI: 0.15\u20130.36) would not have been treated unless they were tested specifically for OCT. Conclusion: Overall, two-thirds of the OCT cases received appropriate treatment and only a small number of cases would have been missed had routine screening not been performed. With an extremely low overall test positivity of 0.6%, screening for OCT at our service adds little to population level health control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh15209","type":"journal-article","created":{"date-parts":[[2016,2,17]],"date-time":"2016-02-17T18:04:41Z","timestamp":1455732281000},"page":"196-198","source":"Crossref","is-referenced-by-count":6,"title":["What would be missed if we didn\u2019t screen men who have sex with men for oral chlamydia trachomatis? A cross-sectional study"],"prefix":"10.1071","volume":"13","author":[{"given":"Priya","family":"Loomba","sequence":"first","affiliation":[{"name":"ASydney Sexual Health Centre, South East Sydney Local Health District, Sydney, NSW 2000, Australia."},{"name":"DCorresponding author. Email: Priya.Loomba@sesiahs.health.nsw.gov.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vickie","family":"Knight","sequence":"additional","affiliation":[{"name":"ASydney Sexual Health Centre, South East Sydney Local Health District, Sydney, NSW 2000, Australia."},{"name":"BThe Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"McNulty","sequence":"additional","affiliation":[{"name":"ASydney Sexual Health Centre, South East Sydney Local Health District, Sydney, NSW 2000, Australia."},{"name":"CSchool of Public Health and Community Medicine, University of NSW, Kensington, NSW 2052, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2016,2,18]]},"reference":[{"issue":"suppl 3","key":"2025102616004068700_R1","doi-asserted-by":"publisher","first-page":"S79","DOI":"10.1093\/cid\/cir696","article-title":"Sexually Transmitted Diseases in Men Who Have Sex With Men.","volume":"53","author":"Mayer","year":"2011","journal-title":"Clin Infect Dis"},{"key":"2025102616004068700_R2","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1136\/sti.2006.021915","article-title":"Incidence and risk factors for urethral and anal gonorrhoea and chlamydia in a cohort of HIV-negative homosexual men: the Health in Men Study.","volume":"83","author":"Jin","year":"2007","journal-title":"Sex Transm Infect"},{"key":"2025102616004068700_R3","first-page":"1","article-title":"Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings.","volume":"55","author":"Branson","year":"2006","journal-title":"MMWR Recommend Rep: Morb Mortal Wkly Rep"},{"key":"2025102616004068700_R4","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1071\/SH14003","article-title":"Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men 2014: a review of the evidence.","volume":"11","author":"Templeton","year":"2014","journal-title":"Sex Health"},{"key":"2025102616004068700_R5","unstructured":"STIs in Gay Men Action Group. Australian STI and HIV testing guidelines 2014 - for asymptomatic men who have sex with men 2014. 2014. Available from: http:\/\/stipu.nsw.gov.au\/wp-content\/uploads\/STIGMA_Testing_Guidelines_Final_v5.pdf. [verified 11 June 2015]."},{"key":"2025102616004068700_R6","unstructured":"Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Available from: http:\/\/www.cdc.gov\/std\/tg2015\/chlamydia.htm2015 [verified 2015 6 October 2015]."},{"key":"2025102616004068700_R7","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1097\/OLQ.0b013e3182495e2f","article-title":"Sentinel Surveillance for Pharyngeal Chlamydia and Gonorrhea Among Men Who Have Sex With Men-San Francisco, 2010.","volume":"39","author":"Park","year":"2012","journal-title":"Sex Transm Dis"},{"key":"2025102616004068700_R8","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1136\/sti.2008.032037","article-title":"Prevalence, incidence and risk factors for pharyngeal chlamydia in the community based Health in Men (HIM) cohort of homosexual men in Sydney, Australia.","volume":"84","author":"Templeton","year":"2008","journal-title":"Sex Transm Infect"},{"key":"2025102616004068700_R9","doi-asserted-by":"publisher","first-page":"344","DOI":"10.3109\/00365548.2011.553243","article-title":"Pharyngeal Chlamydia trachomatis is not uncommon any more.","volume":"43","author":"Karlsson","year":"2011","journal-title":"Scand J Infect Dis"},{"key":"2025102616004068700_R10"},{"key":"2025102616004068700_R11","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1086\/430704","article-title":"Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003.","volume":"41","author":"Kent","year":"2005","journal-title":"Clin Infect Dis"},{"key":"2025102616004068700_R12","doi-asserted-by":"crossref","first-page":"3502","DOI":"10.1128\/JCM.38.9.3502-3504.2000","article-title":"Comparison of a Ligase Chain Reaction-Based Assay and Cell Culture for Detection of Pharyngeal Carriage of Chlamydia trachomatis.","volume":"38","author":"Winter","year":"2000","journal-title":"J Clin Microbiol"},{"key":"2025102616004068700_R13","doi-asserted-by":"crossref","unstructured":"Goddard SL, Rajagopal P, Templeton DJ. Pharyngeal and anogenital chlamydia in men who have sex with men: temporal trends and characteristics among attended at a Sydney metropolitan sexual health clinic 2011\u20132014. 2015 World STI & HIV Congress; Brisbane, Australia. Available from: http:\/\/www.worldsti2015.com\/ehome\/index.php?eventid=91027&: ASHM; 2015. [verified 21 September 2015].","DOI":"10.1136\/sextrans-2015-052270.462"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/13\/2\/196\/868331\/sh15209.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/13\/2\/196\/868331\/sh15209.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:00:50Z","timestamp":1761508850000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/13\/2\/196\/109522\/What-would-be-missed-if-we-didn-t-screen-men-who"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,18]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,4,7]]}},"URL":"https:\/\/doi.org\/10.1071\/sh15209","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2016,2,18]]}}}