infectious diseases
Gonorrhea
Screening for Gonorrhea
Asymptomatic patients considered at high risk of sexually transmitted infections (STIs) can be screened by NAAT of urine samples, thus not requiring invasive procedures to collect samples from genital sites. The following are based onCDC's Sexually Transmitted Infections (STI) Treatment Guidelines, 2021. Womenare screened annually if they are sexually active and < 25 years of age or if they are ≥ 25 years of age, sexually active, and have one or more of the following risk factors: Have a history of a prior STI Engage in high-risk sexual behavior (eg, have a new sex partner or multiple sex partners; engage in sex work; or use condoms inconsistently when not in a mutually monogamous relationship) Have a partner who has an STI or engages in high-risk behavior (eg, a sex partner who has concurrent partners) Have a history of incarceration Pregnant women who are < 25 years or who are ≥ 25 years with one or more of the risk factors are screened during their first prenatal visit and again during their 3rd trimester for women who are < 25 or at high risk. There is insufficient evidence for screeningheterosexual menwho are at low risk for infection. Men who have sex with menare screened at least annually if they have been sexually active within the previous year (for insertive intercourse, urine screen; for receptive intercourse, rectal swab; and for oral intercourse, pharyngeal swab), regardless of condom use. Those at increased risk (eg, with HIV infection, receive preexposure prophylaxis with antiretrovirals, have multiple sex partners, or whose partner has multiple partners) should be screened more frequently, at 3 to 6-month intervals. Transgender and gender diverse peopleare screened if they are sexually active on the basis of sexual practices and anatomy (eg, annual screening for all people with a cervix who are < 25 years old; if ≥ 25 years old, people with a cervix should be screened annually if at increased risk; rectal swab based on reported sexual behaviors and exposure). (See also the US Preventive Services Task Force’s summary of recommendations regardingscreening for gonorrhea.) 