{"id":"https://openalex.org/W4412759809","doi":"https://doi.org/10.1136/bmjph-2025-002661","title":"To whom should we prescribe doxy-PEP? A retrospective review of public health surveillance data for bacterial STI diagnoses among gay, bisexual, and other men who have sex with men in Ottawa, Canada","display_name":"To whom should we prescribe doxy-PEP? A retrospective review of public health surveillance data for bacterial STI diagnoses among gay, bisexual, and other men who have sex with men in Ottawa, Canada","publication_year":2025,"publication_date":"2025-07-01","ids":{"openalex":"https://openalex.org/W4412759809","doi":"https://doi.org/10.1136/bmjph-2025-002661","pmid":"https://pubmed.ncbi.nlm.nih.gov/40756175","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12314957"},"language":"en","primary_location":{"id":"doi:10.1136/bmjph-2025-002661","doi":"https://doi.org/10.1136/bmjph-2025-002661","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-002661","pdf_url":"https://bmjpublichealth.bmj.com/content/3/2/e002661.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://bmjpublichealth.bmj.com/content/3/2/e002661.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046212899","display_name":"Patrick O\u2019Byrne","orcid":"https://orcid.org/0000-0002-0587-1409","observed_orcids":["https://orcid.org/0000-0002-0587-1409"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I4210143003","display_name":"Ottawa Public Health","ror":"https://ror.org/03q29n119","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210143003"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Patrick O\u2019Byrne","raw_affiliation_strings":["Ottawa Public Health, Ottawa, Ontario, Canada","School of Nursing, University of Ottawa, Ottawa, Ontario, Canada"],"raw_orcid":"https://orcid.org/0000-0002-0587-1409","affiliations":[{"raw_affiliation_string":"Ottawa Public Health, Ottawa, Ontario, Canada","institution_ids":["https://openalex.org/I4210143003"]},{"raw_affiliation_string":"School of Nursing, University of Ottawa, Ottawa, Ontario, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002431099","display_name":"Dara Spatz Friedman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210143003","display_name":"Ottawa Public Health","ror":"https://ror.org/03q29n119","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210143003"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Dara Spatz Friedman","raw_affiliation_strings":["Ottawa Public Health, Ottawa, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ottawa Public Health, Ottawa, Ontario, Canada","institution_ids":["https://openalex.org/I4210143003"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5065163188","display_name":"Lauren Orser","orcid":"https://orcid.org/0000-0001-7732-2866","observed_orcids":["https://orcid.org/0000-0001-7732-2866"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I4210143003","display_name":"Ottawa Public Health","ror":"https://ror.org/03q29n119","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210143003"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Lauren Orser","raw_affiliation_strings":["Ottawa Public Health, Ottawa, Ontario, Canada","School of Nursing, University of Ottawa, Ottawa, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ottawa Public Health, Ottawa, Ontario, Canada","institution_ids":["https://openalex.org/I4210143003"]},{"raw_affiliation_string":"School of Nursing, University of Ottawa, Ottawa, Ontario, Canada","institution_ids":["https://openalex.org/I153718931"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5046212899"],"corresponding_institution_ids":["https://openalex.org/I153718931","https://openalex.org/I4210143003"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.18669176,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"3","issue":"2","first_page":"e002661","last_page":"e002661"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.8461999893188477,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.8461999893188477,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10428","display_name":"Reproductive tract infections research","score":0.12770000100135803,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11860","display_name":"HIV, Drug Use, Sexual Risk","score":0.009999999776482582,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/doxycycline","display_name":"doxycycline","score":0.8569999933242798},{"id":"https://openalex.org/keywords/post-exposure-prophylaxis","display_name":"post-exposure prophylaxis","score":0.9169999957084656},{"id":"https://openalex.org/keywords/bacterial-sexually-transmitted-infections","display_name":"bacterial sexually transmitted infections","score":0.9879999756813049},{"id":"https://openalex.org/keywords/men-who-have-sex-with-men","display_name":"men who have sex with men","score":0.9470000267028809},{"id":"https://openalex.org/keywords/gonorrhea","display_name":"gonorrhea","score":0.9449999928474426},{"id":"https://openalex.org/keywords/chlamydia","display_name":"chlamydia","score":0.9990000128746033},{"id":"https://openalex.org/keywords/syphilis","display_name":"syphilis","score":1.0},{"id":"https://openalex.org/keywords/sti-prevention","display_name":"STD prevention","score":0.8339999914169312},{"id":"https://openalex.org/keywords/number-needed-to-treat","display_name":"number needed to treat","score":0.9449999928474426},{"id":"https://openalex.org/keywords/overuse-of-antibiotics","display_name":"antibiotic overuse","score":0.6840000152587891},{"id":"https://openalex.org/keywords/cdc-guidelines","display_name":"CDC guidelines","score":0.652999997138977},{"id":"https://openalex.org/keywords/ottawa","display_name":"Ottawa","score":0.34700000286102295}],"concepts":[{"id":"https://openalex.org/C2776939746","wikidata":"https://www.wikidata.org/wiki/Q853451","display_name":"Men who have sex with men","level":4,"score":0.6398134231567383},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.6393277645111084},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5550214052200317},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5513080954551697},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.38783276081085205},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3539040982723236},{"id":"https://openalex.org/C2776983459","wikidata":"https://www.wikidata.org/wiki/Q41083","display_name":"Syphilis","level":3,"score":0.13394969701766968},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.11635830998420715},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.07434996962547302},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1136/bmjph-2025-002661","doi":"https://doi.org/10.1136/bmjph-2025-002661","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-002661","pdf_url":"https://bmjpublichealth.bmj.com/content/3/2/e002661.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:11127395","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12314957","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:12314957","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12314957","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"Text"},{"id":"pmid:40756175","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40756175","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ public health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:624b654e4a3048c3b426fff43e76f340","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/624b654e4a3048c3b426fff43e76f340","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMJ Public Health, Vol 3, Iss 2 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1136/bmjph-2025-002661","doi":"https://doi.org/10.1136/bmjph-2025-002661","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-002661","pdf_url":"https://bmjpublichealth.bmj.com/content/3/2/e002661.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4412759809.pdf","grobid_xml":"https://content.openalex.org/works/W4412759809.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W2149986546","https://openalex.org/W2774560050","https://openalex.org/W2787813267","https://openalex.org/W4311472374","https://openalex.org/W4362640977","https://openalex.org/W4398244575","https://openalex.org/W4399340013","https://openalex.org/W4401432865","https://openalex.org/W4401442970","https://openalex.org/W4406087954","https://openalex.org/W4408141307"],"related_works":["https://openalex.org/W7223089376","https://openalex.org/W4404514728","https://openalex.org/W4399340013","https://openalex.org/W4391686236","https://openalex.org/W7204146506","https://openalex.org/W4385971564","https://openalex.org/W4393903647","https://openalex.org/W4401432865","https://openalex.org/W4403886314","https://openalex.org/W4415263874"],"abstract_inverted_index":{"Introduction:":[0],"Increases":[1],"in":[2,63,74,97,176,233,274,289],"bacterial":[3,71],"sexually":[4],"transmitted":[5],"infections":[6,105,109,167,291],"(bac-STIs),":[7],"such":[8],"as":[9,36],"gonorrhoea,":[10],"chlamydia":[11,48],"and":[12,18,40,49,53,91,100,106,232,279],"syphilis,":[13],"have":[14,22,155,200,245],"affected":[15],"gay,":[16],"bisexual,":[17],"other":[19],"men":[20,25],"who":[21,118],"sex":[23],"with":[24,69,163,207,220,235,257],"(gbMSM).":[26],"A":[27],"new":[28],"strategy":[29],"to":[30,122,184,191,194,211,255,268],"prevent":[31,47,123,195,212],"bac-STIs":[32,146],"involves":[33],"giving":[34],"doxycycline":[35],"postexposure":[37],"prophylaxis":[38],"(doxy-PEP),":[39],"research":[41],"shows":[42],"that":[43,241],"this":[44,177],"intervention":[45],"can":[46],"syphilis":[50],"by":[51,55],"70%":[52],"gonorrhoea":[54],"33%-50%.":[56],"Consequently,":[57],"the":[58,75,102,114,130,171,180,223,236,246,262,294],"US":[59],"CDC":[60,237],"released":[61],"guidelines":[62],"2024":[64,94],"recommending":[65],"doxy-PEP":[66,121,175,188,242,267,281],"for":[67,95,293],"gbMSM":[68,96,135,152,193,256,270],"\u22651":[70,258],"STI":[72,84],"diagnosis":[73,260],"previous":[76],"12":[77,264],"months.":[78,265],"Methods:":[79],"We":[80,112],"reviewed":[81],"public":[82],"health":[83],"surveillance":[85],"data":[86],"between":[87],"1":[88,164],"January":[89],"2021":[90],"31":[92],"December":[93],"Ottawa,":[98],"Canada,":[99],"analysed":[101],"number":[103,115,182],"of":[104,108,116,151,174,277],"episodes":[107,141],"per":[110],"person.":[111],"estimated":[113],"individuals":[117],"would":[119,199,243,271,287],"need":[120],"a":[124,156,196,213,284],"single":[125],"bac-STI":[126,139,250,259],"episode.":[127],"Results:":[128],"During":[129],"study":[131,178],"period,":[132],"1819":[133],"unique":[134],"experienced":[136],"2834":[137],"positive":[138],"testing":[140],"(PTE),":[142],"during":[143],"which":[144],"3114":[145],"were":[147,161,189],"diagnosed.":[148],"Consistently,":[149],"three-quarters":[150],"did":[153],"not":[154],"subsequent":[157],"infection,":[158,165],"whether":[159],"they":[160],"diagnosed":[162],"2":[166],"or":[168],"\u22653.":[169],"Considering":[170],"average":[172,181],"effectiveness":[173],"population,":[179],"needed":[183],"treat":[185],"(NNT)":[186],"if":[187,253],"prescribed":[190],"all":[192,269],"first":[197,209],"PTE":[198,210,215,286],"been":[201],"60.":[202],"The":[203],"NNT":[204,224],"among":[205,218],"those":[206,219],"their":[208,221],"second":[214,285],"was":[216,225],"8;":[217],"second,":[222],"7.":[226],"Conclusions:":[227],"Based":[228],"on":[229],"these":[230],"data,":[231],"alignment":[234],"guidelines,":[238],"we":[239],"conclude":[240],"likely":[244,272],"most":[247],"balanced":[248],"population-level":[249],"prevention":[251],"effect":[252],"given":[254],"within":[261],"preceding":[263],"Providing":[266],"result":[273,288],"an":[275],"overuse":[276],"antibiotics,":[278],"providing":[280],"only":[282],"after":[283],"fewer":[290],"averted":[292],"same":[295],"proportion":[296],"treated.":[297]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2025-07-31T00:00:00"}
