Gonorrhoea or chlamydia in a US military HIV-positive cohort

Alicen B. Spaulding; Alan R Lifson; Erik R. Iverson; Anuradha Ganesan; Michael L. Landrum; Amy C. Weintrob; Brian K. Agan; Mary F. Bavaro; Robert J. O'Connell; Grace E. Macalino; M. Polis; J. Powers; E. Tramont; T. Lalani; S. Banks; N. Crum-Cianflone; H. Chun; M. Linfesty; C. Decker; S. Fraser; J. Hartzell; R. Rossner; P. Waterman; G. Wortmann; T. Warkentien; T. Whitman; M. Zapor; J. Okulicz; S. Merritt; G. Hsue; A. Johnson; Lynn E Eberly; M. Kortepeter; S. Peel; C. Eggleston

doi:10.1136/sextrans-2011-050173

Gonorrhoea or chlamydia in a US military HIV-positive cohort

Alicen B. Spaulding, Alan R Lifson, Erik R. Iverson, Anuradha Ganesan, Michael L. Landrum, Amy C. Weintrob, Brian K. Agan, Mary F. Bavaro, Robert J. O'Connell, Grace E. Macalino, M. Polis, J. Powers, E. Tramont, T. Lalani, S. Banks, N. Crum-Cianflone, H. Chun, M. Linfesty, C. Decker, S. FraserJ. Hartzell, R. Rossner, P. Waterman, G. Wortmann, T. Warkentien, T. Whitman, M. Zapor, J. Okulicz, S. Merritt, G. Hsue, A. Johnson, Lynn E Eberly, M. Kortepeter, S. Peel, C. Eggleston

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Abstract

Objectives: To investigate the epidemiology and risk factors of gonorrhoea (GC) or chlamydia (CT) coinfection in an HIV-positive US military cohort, focusing on the time after participants' knowledge of HIV diagnosis. Methods: The authors analysed data from 4461 participants enrolled in the US Military Natural History Study cohort for GC or CT infection ≥6 months after their HIV-positive test. Results: During a mean follow-up of 7.08 years, 482 (11%) participants acquired a GC or CT infection. Of these, 283 (6%) acquired a GC infection, 278 (6%) acquired a CT infection and 123 (3%) had multiple GC or CT infections during follow-up. Risk of GC or CT infection was significantly greater in those younger, male, African-American and with a history of GC or CT infection. Conclusions: Frequent GC and CT diagnoses observed among members of this HIV-positive cohort indicate substantial ongoing risk behaviours that raise concerns for HIV transmission and underscore the need for continued screening to help identify and treat these sexually transmitted infections in this population.

Original language	English (US)
Pages (from-to)	266-271
Number of pages	6
Journal	Sexually transmitted infections
Volume	88
Issue number	4
DOIs	https://doi.org/10.1136/sextrans-2011-050173
State	Published - Jun 2012

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Spaulding, A. B., Lifson, A. R., Iverson, E. R., Ganesan, A., Landrum, M. L., Weintrob, A. C., Agan, B. K., Bavaro, M. F., O'Connell, R. J., Macalino, G. E., Polis, M., Powers, J., Tramont, E., Lalani, T., Banks, S., Crum-Cianflone, N., Chun, H., Linfesty, M., Decker, C., ... Eggleston, C. (2012). Gonorrhoea or chlamydia in a US military HIV-positive cohort. Sexually transmitted infections, 88(4), 266-271. https://doi.org/10.1136/sextrans-2011-050173

Spaulding, AB, Lifson, AR, Iverson, ER, Ganesan, A, Landrum, ML, Weintrob, AC, Agan, BK, Bavaro, MF, O'Connell, RJ, Macalino, GE, Polis, M, Powers, J, Tramont, E, Lalani, T, Banks, S, Crum-Cianflone, N, Chun, H, Linfesty, M, Decker, C, Fraser, S, Hartzell, J, Rossner, R, Waterman, P, Wortmann, G, Warkentien, T, Whitman, T, Zapor, M, Okulicz, J, Merritt, S, Hsue, G, Johnson, A, Eberly, LE, Kortepeter, M, Peel, S & Eggleston, C 2012, 'Gonorrhoea or chlamydia in a US military HIV-positive cohort', Sexually transmitted infections, vol. 88, no. 4, pp. 266-271. https://doi.org/10.1136/sextrans-2011-050173

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title = "Gonorrhoea or chlamydia in a US military HIV-positive cohort",

abstract = "Objectives: To investigate the epidemiology and risk factors of gonorrhoea (GC) or chlamydia (CT) coinfection in an HIV-positive US military cohort, focusing on the time after participants' knowledge of HIV diagnosis. Methods: The authors analysed data from 4461 participants enrolled in the US Military Natural History Study cohort for GC or CT infection ≥6 months after their HIV-positive test. Results: During a mean follow-up of 7.08 years, 482 (11%) participants acquired a GC or CT infection. Of these, 283 (6%) acquired a GC infection, 278 (6%) acquired a CT infection and 123 (3%) had multiple GC or CT infections during follow-up. Risk of GC or CT infection was significantly greater in those younger, male, African-American and with a history of GC or CT infection. Conclusions: Frequent GC and CT diagnoses observed among members of this HIV-positive cohort indicate substantial ongoing risk behaviours that raise concerns for HIV transmission and underscore the need for continued screening to help identify and treat these sexually transmitted infections in this population.",

author = "Spaulding, {Alicen B.} and Lifson, {Alan R} and Iverson, {Erik R.} and Anuradha Ganesan and Landrum, {Michael L.} and Weintrob, {Amy C.} and Agan, {Brian K.} and Bavaro, {Mary F.} and O'Connell, {Robert J.} and Macalino, {Grace E.} and M. Polis and J. Powers and E. Tramont and T. Lalani and S. Banks and N. Crum-Cianflone and H. Chun and M. Linfesty and C. Decker and S. Fraser and J. Hartzell and R. Rossner and P. Waterman and G. Wortmann and T. Warkentien and T. Whitman and M. Zapor and J. Okulicz and S. Merritt and G. Hsue and A. Johnson and Eberly, {Lynn E} and M. Kortepeter and S. Peel and C. Eggleston",

year = "2012",

month = jun,

doi = "10.1136/sextrans-2011-050173",

language = "English (US)",

volume = "88",

pages = "266--271",

journal = "Sexually transmitted infections",

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T1 - Gonorrhoea or chlamydia in a US military HIV-positive cohort

AU - Spaulding, Alicen B.

AU - Lifson, Alan R

AU - Iverson, Erik R.

AU - Ganesan, Anuradha

AU - Landrum, Michael L.

AU - Weintrob, Amy C.

AU - Agan, Brian K.

AU - Bavaro, Mary F.

AU - O'Connell, Robert J.

AU - Macalino, Grace E.

AU - Polis, M.

AU - Powers, J.

AU - Tramont, E.

AU - Lalani, T.

AU - Banks, S.

AU - Crum-Cianflone, N.

AU - Chun, H.

AU - Linfesty, M.

AU - Decker, C.

AU - Fraser, S.

AU - Hartzell, J.

AU - Rossner, R.

AU - Waterman, P.

AU - Wortmann, G.

AU - Warkentien, T.

AU - Whitman, T.

AU - Zapor, M.

AU - Okulicz, J.

AU - Merritt, S.

AU - Hsue, G.

AU - Johnson, A.

AU - Eberly, Lynn E

AU - Kortepeter, M.

AU - Peel, S.

AU - Eggleston, C.

PY - 2012/6

Y1 - 2012/6

N2 - Objectives: To investigate the epidemiology and risk factors of gonorrhoea (GC) or chlamydia (CT) coinfection in an HIV-positive US military cohort, focusing on the time after participants' knowledge of HIV diagnosis. Methods: The authors analysed data from 4461 participants enrolled in the US Military Natural History Study cohort for GC or CT infection ≥6 months after their HIV-positive test. Results: During a mean follow-up of 7.08 years, 482 (11%) participants acquired a GC or CT infection. Of these, 283 (6%) acquired a GC infection, 278 (6%) acquired a CT infection and 123 (3%) had multiple GC or CT infections during follow-up. Risk of GC or CT infection was significantly greater in those younger, male, African-American and with a history of GC or CT infection. Conclusions: Frequent GC and CT diagnoses observed among members of this HIV-positive cohort indicate substantial ongoing risk behaviours that raise concerns for HIV transmission and underscore the need for continued screening to help identify and treat these sexually transmitted infections in this population.

AB - Objectives: To investigate the epidemiology and risk factors of gonorrhoea (GC) or chlamydia (CT) coinfection in an HIV-positive US military cohort, focusing on the time after participants' knowledge of HIV diagnosis. Methods: The authors analysed data from 4461 participants enrolled in the US Military Natural History Study cohort for GC or CT infection ≥6 months after their HIV-positive test. Results: During a mean follow-up of 7.08 years, 482 (11%) participants acquired a GC or CT infection. Of these, 283 (6%) acquired a GC infection, 278 (6%) acquired a CT infection and 123 (3%) had multiple GC or CT infections during follow-up. Risk of GC or CT infection was significantly greater in those younger, male, African-American and with a history of GC or CT infection. Conclusions: Frequent GC and CT diagnoses observed among members of this HIV-positive cohort indicate substantial ongoing risk behaviours that raise concerns for HIV transmission and underscore the need for continued screening to help identify and treat these sexually transmitted infections in this population.

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VL - 88

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EP - 271

JO - Sexually transmitted infections

JF - Sexually transmitted infections

IS - 4

ER -

Gonorrhoea or chlamydia in a US military HIV-positive cohort

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