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February 17, 1975

Screening Asymptomatic Male Patients For Gonorrhea

Author Affiliations

Pioneer, Calif

JAMA. 1975;231(7):701-702. doi:10.1001/jama.1975.03240190011005

To the Editor.—  The first few drops of urine, voided onto a dry swab and inoculated on Thayer-Martin medium, may be utilized to screen nonsymptomatic male patients for gonorrhea. It is now apparent that the female of the species is not the only "hidden reservoir" of gonorrhea. The male sexual contact of a person with gonococcal infection is also often an asymptomatic carrier, and routine screening of nonsymptomatic males admitted to a venereal disease clinic reveals 5% to 10% positive for Neisseria gonorrhoeae.The recommended procedure for securing an intraurethral specimen from the male without discharge has been use of a platinum loop or preferably a calcium-alginate-tipped, wire, urethrogenital swab. The loop or swab is then used to inoculate Thayer-Martin medium.1 Either procedure generally requires presence of a physician, and the latter method is painful. An alternate procedure is urine culture of the sediment from a centrifuged specimen of