TABLE 4

Summary of Sexually Transmitted Diseases Screening Guidelines for MSM

• HIV serology, if HIV negative or not tested within the previous year
• Syphilis serology
• Test for urethral infection with Neisseria gonorrheae and Chlamydia trachomatis using NAATs in men who have had insertive anal intercourse during the preceding year
• Test for rectal infection with N gonorrheae and Ctrachomatis in men who have had receptive anal intercourse during the preceding year, using either preferred NAATs (for laboratories that have met regulatory requirements for an off-label procedure) or culture for N gonorrheae and enzyme immunoassay or direct fluorescent antibody assay for C trachomatis
• Test for pharyngeal infection with N gonorrheae in men who have acknowledged practicing receptive oral intercourse during the preceding year using NAATs (for those laboratories that have met regulatory requirements for an off-label procedure) or culture; testing for Ctrachomatis pharyngeal infection is not recommended98
  • NAAT, nucleic acid amplification test.