Repeat infection with Neisseria gonorrhoeae among active duty U.S. Army personnel:a population-based case-series study

Bautista, Christian and Wurapa, Eyako and Sateren, Warren B. and Morris, Sara Margaret and Hollingsworth, Bruce Philip and Sanchez, Jose L. (2017) Repeat infection with Neisseria gonorrhoeae among active duty U.S. Army personnel:a population-based case-series study. International Journal of STD and AIDS, 28 (10). pp. 962-968. ISSN 1758-1052

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Abstract

Little information is known on the rate of repeat gonorrhea infection among U.S. military personnel. We analyzed all gonorrhea cases reported to the Defense Medical Surveillance System during 2006–2012 to determine the rate of repeat infection. During the seven-year study period, 17,602 active duty U.S. Army personnel with a first incident gonorrhea infection were reported. Among the 4987 women with a first gonorrhea infection, 14.4% had at least one repeat infection. Among the 12,615 men with a first gonorrhea infection, 13.7% had at least one repeat infection. Overall, the rate of repeat gonorrhea infection was 44.5 and 48.9 per 1000 person-years for women and men, respectively. Service members aged 17–19 years (hazard ratio [HR] for women = 1.51; HR for men = 1.71), African-American personnel (HR for women = 1.26; HR for men = 2.17), junior enlisted personnel (HR for women = 2.64; HR for men = 1.37), and those with one year or less of service (HR for women = 1.23; HR for men = 1.37) were at higher risk of repeat infection. The findings from this study highlight the need to develop targeted prevention initiatives including education, counseling, and retesting to prevent gonorrhea reinfections among U.S. Army personnel.

Item Type: Journal Article
Journal or Publication Title: International Journal of STD and AIDS
Uncontrolled Keywords: /dk/atira/pure/subjectarea/asjc/2700/2736
Subjects:
Departments: Faculty of Health and Medicine > Health Research
ID Code: 83165
Deposited By: ep_importer_pure
Deposited On: 25 Nov 2016 12:00
Refereed?: Yes
Published?: Published
Last Modified: 01 Jan 2020 10:05
URI: https://eprints.lancs.ac.uk/id/eprint/83165

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