Should we screen less frequently for chlamydia and gonorrhoea in gay and bisexual men who have sex with men? Findings from a global crowdsourcing exercise with experts

Abstract

Objectives: Many countries recommend 3-monthly chlamydia/gonorrhoea screening for gay, bisexual and other men who have sex with men (GBMSM). Evidence about the limited impact of frequent, asymptomatic gonorrhoea/chlamydia screening on population prevalence, coupled with concerns about overburdened health services and antimicrobial resistance (from frequent treatment), calls into question current approaches to asymptomatic screening. We explored sexual health professionals/experts’ arguments in favour/against reducing asymptomatic screening using Polis (www.Pol.is), an online, crowdsourcing tool for understanding what large groups think. Methods: Recruited via global peak bodies/networks, 99 ..