{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T18:42:09Z","timestamp":1768070529531,"version":"3.49.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2012,9,1]],"date-time":"2012-09-01T00:00:00Z","timestamp":1346457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p> National surveillance data from 2006 to 2010 of the Dutch sexually transmitted infection (STI) centres were used to analyse current practices on testing extragenital sites for chlamydia and gonorrhoea in men who have sex with men (MSM) and women. In MSM, 76.0% and 88.9% were tested at least at one extragenital site (pharyngeal and\/or anorectal) for chlamydia and gonorrhoea, respectively; for women this was 20.5% and 30.2%. Testing more than one anatomic site differed by STI centre, ranging from 2% to 100%. In MSM tested at multiple sites, 63.0% and 66.5% of chlamydia and gonorrhoea diagnoses, respectively, would have been missed if screened at the urogenital site only, mainly anorectal infections. For women tested at multiple sites, the proportions of missed chlamydia and gonorrhoea diagnoses would have been 12.9% and 30.0%, respectively. Testing extragenital sites appears warranted, due to the numerous infections that would have been missed. Adding anorectal screening to urogenital screening for all MSM visiting an STI centre should be recommended. Since actual testing practices differ by centre, there is a need for clearer guidelines. Routine gonorrhoea and chlamydia screening at multiple sites in STI centres should be investigated further as this might be a more effective approach to reduce transmission than current practice. <\/jats:p>","DOI":"10.1258\/ijsa.2012.011378","type":"journal-article","created":{"date-parts":[[2012,10,2]],"date-time":"2012-10-02T09:43:20Z","timestamp":1349171000000},"page":"626-631","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":61,"title":["The value of testing multiple anatomic sites for gonorrhoea and chlamydia in sexually transmitted infection centres in the Netherlands, 2006\u20132010"],"prefix":"10.1177","volume":"23","author":[{"given":"F D H","family":"Koedijk","sequence":"first","affiliation":[{"name":"Centre for Infectious Disease Control, RIVM National Institute of Public Health and the Environment, PO Box 1, 3720 BA Bilthoven"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J E A M","family":"van Bergen","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control, RIVM National Institute of Public Health and the Environment, PO Box 1, 3720 BA Bilthoven"},{"name":"STI AIDS Netherlands, Amsterdam, Keizersgracht 392, 1016 GB Amsterdam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N H T M","family":"Dukers-Muijrers","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Public Health Service South Limburg, PO Box 2022, 6160 HA Geleen"},{"name":"Department of Medical Microbiology, School of Public Health and Primary Care (CAPHRI), Maastricht University Medical Center (MUMC+), PO Box 5800, 6202 AZ Maastricht"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A P","family":"van Leeuwen","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Municipal Health Service Amsterdam, PO Box 2200, 1000 CE Amsterdam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C J P A","family":"Hoebe","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Public Health Service South Limburg, PO Box 2022, 6160 HA Geleen"},{"name":"Department of Medical Microbiology, School of Public Health and Primary Care (CAPHRI), Maastricht University Medical Center (MUMC+), PO Box 5800, 6202 AZ Maastricht"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M A B","family":"van der Sande","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control, RIVM National Institute of Public Health and the Environment, PO Box 1, 3720 BA Bilthoven"},{"name":"Academic Medical Centre Utrecht, University of Utrecht, Utrecht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,9,1]]},"reference":[{"key":"bibr-IJSA-11-378C1","doi-asserted-by":"publisher","DOI":"10.1258\/095646205774763270"},{"key":"bibr-IJSA-11-378C2","doi-asserted-by":"publisher","DOI":"10.1586\/14787210.4.2.235"},{"key":"bibr-IJSA-11-378C3","first-page":"1","volume":"47","author":"Centers for Disease Control and Prevention (CDC)","year":"1998","journal-title":"MMWR Recomm Rep"},{"key":"bibr-IJSA-11-378C4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)90002-2"},{"key":"bibr-IJSA-11-378C5","doi-asserted-by":"publisher","DOI":"10.1086\/430704"},{"key":"bibr-IJSA-11-378C6","unstructured":"Nederlandse Vereniging voor Dematologie en Venereologie. 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