Review Article

Extragenital Infections Caused by Chlamydia trachomatis and Neisseria gonorrhoeae: A Review of the Literature

Table 1

Characteristics of studies reporting extragenital infections due to N. gonorrhoeae and C. trachomatis among women.

AuthorStudy yearLocationSettingTime periodRiskSampleGonorrheaChlamydia
UrogenitalRectalPharyngealUrogenitalRectalPharyngeal

Jones et al. [33]1985Indiana (US)STD clinic1985Women686/1,22328.00%5.20%3.20%
Ostergaard et al. [38]1997DenmarkSTD clinic1995-1996Women1963.60%3.10%1.50%
Linhart et al. [35]2008Tel Aviv, IsraelSex worker outreach2008Women3005.00%9.00%6.30%
van der Helm et al. [49]2009NetherlandsSTD clinic2006-2007Women9362.00%9.00%
Barry et al. [24]2010California (US)STD clinic2007-2008Women1,3081.80%1.70%5.40%4.70%
Giannini et al. [28]2010Ohio (US)STD clinic, children’s hospital2003–2007Women1,9495.6–9.3%2.9–13.4%2.5–6.8%
Hunte et al. [30]2010Florida (US)STD clinic2007Women978.20%13.40%16.50%17.50%
Raychaudhuri and Birley [41]2010United KingdomGenitourinary clinic2005–2008Women12027.50%35.80%
Sethupathi et al. [42]2010United KingdomGenitourinary clinic2006–2008Women15211.90%12.50%
Peters et al. [39]2011NetherlandsSTD clinic2007-2008Women4,2991.10%1.70%0.80%10.00%8.70%1.90%
Javanbakht et al. [31]2012California (US)STD clinic2008–2010Women2,0843.30%3.00%12.00%14.60%
Koedijk et al. [22]2012NetherlandsSTD clinic2006–2010Women207,1341.00%1.20%1.20%10.40%9.30%2.70%
Mayer et al. [36]2012US (4 cities)HIV clinic2004–2006Women (HIV+)1191.00%1.00%2.00%3.00%2.00%2.00%
Diaz et al. [26]2013SpainSTD clinic2006–2010Women3180.90%3.10%29.60%
Shaw et al. [43]2013United KingdomGenitourinary clinic2013Women2,8080.50%0.60%0.30%6.70%7.10%1.30%
van Liere et al. [45]2013NetherlandsSTD clinic2010-2011Women1,3211.30%0.90%2.30%5.40%4.80%1.40%
Dimech et al. [102]2014AustraliaSurveillance system2008–2010Women415,0696.7—10%5.20%1.70%
Jenkins et al. [32]2014Illinois (US)Emergency room2012-2013Women3011.00%0.70%6.30%0.70%
Ladd et al. [34]2014US (multiple cities)Mail2009–2011Women2052.50%11.10%
Peters et al. [40]2014South AfricaPrimary care clinic2011-2012Women60410.00%2.50%0.00%16.00%7.10%0.20%
van Liere et al. [46]2014NetherlandsSTD clinic2012-2013Women66311.20%8.40%
van Liere et al. [47]2014NetherlandsSTD clinic2010–2012Women1,3211.30%0.90%2.30%5.40%4.80%1.40%
Bazan et al. [23]2015Ohio (US)STD clinic2012-2013Women3317.00%6.00%13.00%13.00%
Danby et al. [25] 2016Pennsylvania (US)STD clinic2014-2015Women1752.90%2.30%2.30%10.30%11.40%1.70%
Dukers-Muijrers et al. [19]2015NetherlandsSTD clinic2010–2013Women7,4190.60%0.70%2.70%10.20%6.50%1.40%
Garner et al. [27]2015United KingdomSexual health clinic2010Women6490.80%1.10%0.60%13.30%6.60%2.50%
Gratrix et al. [29]2015CanadaSTD clinic2012Women30559.40%12.60%
Musil et al. [37]2015AustraliaSexual health clinic2013-2014Women5677.00%57.00%
Trebach et al. [44]2015Maryland (US)STD clinic2011–2013Women4,4022.80%3.00%2.10%10.00%8.60%2.60%
van Liere et al. [48]2015NetherlandsSTD clinic2011-2012Women11,1130.90%9.50%
van Liere et al. [45]2013NetherlandsSTD clinic2010-2011Women (“swingers”)4611.08%6.72%
Ding and Challenor [50]2014United KingdomSTD clinic2012-2013Women97100%77.3%
Cosentino et al. [51]2012Pennsylvania (US)HIV clinic 2009-2010Women2722.6%7.7%
Bachmann et al. [52]2010USSTD clinic, HIV clinic2003–2007Women9920.30%23.10–54.30%8.20%27.40%5.60–19.20%1.90%

Note. STD: sexually transmitted diseases; US: United States.