STI in times of PrEP: High prevalence of chlamydia, gonorrhea, and mycoplasma at different anatomic sites in men who have sex with men in Germany
BMC Infectious Diseases Feb 14, 2020
Jansen K, Steffen G, Potthoff A, et al. - Sexually transmitted infection (STI)-prevalence and risk factors were investigated amongst HIV- and HIV+ men who have sex with men (MSM) in Germany to plan effective interventions. From February to July 2018, a nationwide, cross-sectional study was performed. At 13 MSM-friendly STI-practices, researchers included 2,303 MSM [50.5% HIV+, median age 39 [18–79] years] who were screened for Chlamydia trachomatis, Mycoplasma genitalium, Neisseria gonorrhea, and Trichomonas vaginalis using self-collected rectal and pharyngeal swabs, and urine samples. The overall STI-prevalence of 30.1 was reported; 25.0% among HIV−/PrEP- MSM, 40.3% in HIV−/PrEP+ MSM, and 30.8% in HIV+ MSM. This suggests a high STI-prevalence in MSM in Germany. Independent risk factors for being tested positive for at least one STI were being HIV+, using PrEP, having > 5 sex partners, having condomless sex, and using party drugs.
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