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Recognition and treatment of active sexually transmitted diseases (STDs) is crucial for preventing HIV transmission. In this study, investigators used data from a large primary care clinic in Boston to evaluate patterns and results of STD testing among men who have sex with men (MSM).
During 2003 and 2004 combined, MSM accounted for nearly 22,000 visits to the clinic. Approximately 5100 of these visits (23%) included STD testing, and 582 led to the diagnosis of at least one STD. Urethral gonorrhea was the most commonly diagnosed STD (13.4% of those tested), followed by rectal gonorrhea (8.8%), syphilis (6.2%), and urethral chlamydia (5.7%). Syphilis was the only STD diagnosed more frequently among HIV-positive than HIV-negative MSM (12.6% vs…