Sexually Transmitted Diseases Vol. 33; No. 10: P. 599-603 (11..06) - Monday, November 27, 2006
William E. Trick, MD; Romina Kee, MD, MPH; Dorothy Murphy- Swallow, RN, MSN; Mohamed Mansour, MD, PhD; Concetta Mennella, MD; John M. Raba, MD

The researchers interviewed adult male detainees and tested them for chlamydial or gonococcal infection during jail intake from June 24 through July 29, 2004. They supplemented the cross-sectional survey with a nested case-control study.

The investigators screened 5,634 (93 percent) of 6,028 detainees. Three hundred forty-eight (6.2 percent) had chlamydial or gonococcal urethral infection. The researchers completed and collected interviews for 35 percent. By multivariable analysis, they found that infected detainees were more likely to be <31 years old, have more than six sex partners in the previous 12 months, or have symptoms. Age less than 31 years or symptoms would have identified 73 percent of infected detainees while screening only 50 percent.

"A simple algorithm that included age and symptoms best identified detainees at increased risk for chlamydial or gonococcal urethral infection," the authors concluded.
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