High Incidence of New Sexually Transmitted Infections in the Year following a Sexually Transmitted Infection: A Case for Rescreening

Chlamydia trachomatis are reinfected 3 to 4 months after treat-ment, suggesting the need for rescreening. There is little informa-tion on infections among men, infections with Neisseria gonor-rhoeae or Trichomonas vaginalis, or long-term follow-up. Objective: To determine the incidence of new sexually transmitted infections during the year after a visit to a sexually transmitted disease (STD) clinic and associated risk factors. Design: Secondary analysis of data from a randomized, controlled trial (RESPECT-2). Setting: 3 urban STD clinics. Patients: Sexually active patients enrolled in an HIV prevention counseling trial. Measurements: Patient characteristics at the initial visit; behaviors during follow-up; and new infections with C. trachomatis, N. gon-orrhoeae, or T. vaginalis (women only) detected during 4 sched