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Screening for STDs in MSM
The following guidelines are adapted from King County Department of Health website. [Link]
HIV TESTING and STD SCREENING* RECOMMENDATIONS
Clinicians should ask all men if they've been sexually active with men, women, or both.
* Screening refers to testing in the absence of signs, symptoms or known exposure to an STD.
+ Existing data suggest that the Aptima Combo 2 test performs well on rectal and pharyngeal specimens and is more sensitive than culture. Laboratories performing the test must first perform an internal validation study. Clinicians should use caution in interpreting results of the Roche PCR (Roche Diagnostics) assay for gonorrhea, which is not specific, and the Becton Dickenson strand displacement assay, which has not been well studied and may be insensitive.
** Persons with early syphilis should be retested at 1, 3, 6, 9 and 12 months. Persons rescreening following an episode of urethral gonorrhea or chlamydial infection should be retested for urethral gonorrhea and chlamydia
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