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. 2022 Mar 21;60(4):e00211-21. doi: 10.1128/jcm.00211-21

TABLE 2.

Screening recommendations for C. trachomatis and N. gonorrhoeae by population group and anatomic site according to the CDCa

Population group for Screening Subpopulation for Screening Infection type Anatomic sites Frequency
Women All sexually active women <25 yrs of age and sexually active women >25 yrs of age at increased risk CT Urogenital
Rectal; considered based on exposure and shared decision making
Pharyngeal; none
Annual
Retest 3 mo following treatment
NG Urogenital
Rectal; considered based on exposure and shared decision making
Pharyngeal; considered based on exposure and shared decision making
Heterosexual men High-prevalence settings (e.g., STI clinic, correctional facilities, adolescent clinics, etc.) CT Urogenital; screening can be considered based on risk assessment
Rectal; none
Frequency not defined
NG Screening is not recommended
Men who have sex with men CT Urogenital
Rectal
Pharyngeal; none
Annual
Screening every 3 mo is indicated for those at increased risk and those taking HIV PrEP
NG Urogenital
Rectal
Pharyngeal
Transgender and gender-diverse persons Screening recommendations based on anatomy CT Urogenital (cervical/vagina/vaginoplasty)
Rectal; considered based on exposure and shared decision making
Pharyngeal; none
Annual for those <25 yrs of age with a cervix or those >25 yrs, with a cervix, and at increased risk
Undefined for rectal/pharyngeal screening
NG Urogenital (cervical/vagina/vaginoplasty)
Rectal; considered based on exposure and shared decision making
Pharyngeal; considered based on exposure and shared decision making
a

CT, Chlamydia trachomatis; NG, Neisseria gonorrhoeae; STI, sexually transmitted infection; PrEP, preexposure prophylaxis.