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Additional Gonorrhea and Chlamydia Infections Found With Rapid Follow-Up Screening in Men Who Have Sex With Men With an Indication for HIV Postexposure Prophylaxis

de Vrieze, Nynke H.N. MD*; van Rooijen, Martijn S. MSc; Schim van de Loeff, Maarten MD, PhD†‡; de Vries, Henry J.C. PhD, MD†‡§

doi: 10.1097/OLQ.0000000000000151
Note

Sexually transmitted infection was found in 16.5% of the men who have sex with men with a postexposure prophylaxis indication. Chlamydia and gonorrhea screening was repeated after 14 days. Among those who were initially sexually transmitted infection negative, 4.1% had chlamydia or gonorrhea. In postexposure prophylaxis–indicated men who have sex with men, repeat chlamydia and gonorrhea screening is advised to diagnose infections not apparent at baseline screening.

Of the men who have sex with men with a postexposure prophylaxis indication after sexual exposure, 16.5% had a sexually transmitted infection. Among those who were initially sexually transmitted infection negative, 4.1% had chlamydia or gonorrhea after 14 days.

From the *Department of Dermatology/Allergology, University Medical Center Utrecht, Utrecht, the Netherlands; †STI Outpatient Clinic, Cluster of Infectious diseases, Public Health Service Amsterdam, Amsterdam, the Netherlands; ‡Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, the Netherlands; and §Department of Dermatology, Academic Medical Center, Amsterdam, the Netherlands.

Competing interests: None.

Funding: None.

Correspondence: Henry J.C. de Vries, PhD, MD, STI Clinic, Cluster Infectious Diseases, Public Health Service Amsterdam, 1000 CE Amsterdam, the Netherlands. E-mail: h.j.devries@amc.nl.

Received for publication March 18, 2014, and accepted May 14, 2014.

© Copyright 2014 American Sexually Transmitted Diseases Association