A study of high-risk, gay men found that urine screening alone misses a significant number of sexually transmitted infections, according to an abstract presented at the annual meeting of the Pediatric Academic Societies (Washington, D.C.; May 4-7). Nongenital chlamydia and gonorrhea (CT/GC) infections may contribute to the burden of infections in this high-risk population and might be missed by a genital (urine screen). A strategy employing triple screening (urine, throat, and rectum samples) may greatly enhance detection of infected individuals. The U.S. Centers for Disease Control and Prevention recommends routine laboratory screening for common sexually transmitted diseases for all sexually active men who have sex with men, with test selection based on types of reported intercourse. However, detailed, accurate sexual histories of youth are not always taken, especially in primary care settings. The researchers analyzed clinical information and GC/CT nucleic acid amplification tests on urine, pharyngeal, and rectal specimens from a young, urban population of 118 men who have sex with men (aged 14 years to 24 years) presenting for care at a community-based, high-risk youth center between March 1 and Oct. 30, 2012. Thirty-six screened patients were positive at one or more sites for gonorrhea, chlamydia, or both. CT […]