Background The Centers for Disease Control and Prevention (CDC) recommends that sexually active women 25 years or younger be tested yearly for Chlamydia trachomatis. An ongoing screening program among college students attending a university gave students the opportunity to be screened for C trachomatis (CT) and Neisseria gonorrhoeae (GC).
Methods Male and female college students attending Johns Hopkins University were offered screening for chlamydia and gonorrhoea by the Health and Wellness Center. From February 2009 to December 2010, 1114 male urines and female vaginal specimens were submitted to the STD Research Laboratory for CT and GC screening using the Gen-Probe Aptima Combo2 assay. Results were returned to the Johns Hopkins University Student Health and Wellness Center which treated the infected students. 10 students were also tested for Trichomonas vaginalis (TV) with Gen-Probe ATV Analyte Specific Reagent assay (ASR).
Results As of 31 December 2010, there were 284 (25.5%) males and 830 (75%) females tested, between the ages 17−48 yr. 810 (72.7%) were White, 76 (6.8%), Black, 146 (13.1%). Asian/Pacific Islander, 5 (0.44%) were American Indian, and Other/unknown 78 (7.0%). 71 (6.4%) students were Hispanic and 120 (10.8%) indicated they were symptomatic. The overall prevalence of CT and GC was 1.6% (18/1114) and 0.2% (2/1114), respectively. All TV results were negative. 8/284 (2.8%) males and 10/830 (1.2%) females were CT positive. 5/18(27.8%) were symptomatic (3 females, 2 males) and 7/8 were between 18 and 29 yrs of age (there was one 34 yr. old Black male). Among the 18 CT positive students, 13 were White, 1 Black, 2 Asian/Pacific Islander, 2 were other/unknown; 4 were Hispanic and 14 non-Hispanic. Both GC positive female students were asymptomatic; one was 19, and one was 25 yrs old. Both were non-Hispanic with one being Asian and one White.
Conclusions This ongoing screening program of male and female students from the Johns Hopkins University Student Health and Wellness Center demonstrated a low prevalence of CT and GC among students, attending the Center. Targeted, innovative screening programs may improve outreach to populations with higher prevalences.
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