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Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis in men having sex with men in Port-au-Prince, Haiti: A cross-sectional study

BMJ Open Mar 20, 2020

Louis FJ, Galbaud G, Leonard M, et al. - Researchers examined men having sex with men (MSM) in Haiti for the burden of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) and risk factors for infections. They conducted a cross-sectional study recruiting 216 MSM from seven health facilities in Port-au-Prince. Nucleic acid amplification test was performed using GeneXpert on all samples. Among the participants, CT and NG were prevalent in 11.1% and 16.2%, respectively. Ten of 216 (4.6%) participants exhibited CT NG co-infections. Rectal STI was reported in 39 MSM compared with 17 with genital infections. NG infection was significantly more frequent among participants between 18–24 and 30–34 years old vs those aged 35 years or older and among participants who never attended school or had some primary education vs those with secondary education or higher. CT infection was more frequent among people tested negative for HIV vs people living with HIV/AIDS. In view of these findings, they recommend undertaking periodic risk assessment and testing for STI in Haiti as part of a comprehensive strategy to improve the sexual health of key populations.

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