Screening Recommendations

Screening Recommendations by the Division of Disease Control.


Women
  • Sexually active women under 25 years of age1
  • Sexually active women aged 25 years and older if at increased risk
  • Retest approximately 3 months after treatment

If screening for chlamydia, also screen for gonorrhea and HIV

Pregnant Women
  • All pregnant women under 25 years of age
  • Pregnant women, aged 25 and older if at increased risk
  • Retest during the 3rd trimester for women under 25 years of age or at risk
  • Pregnant women with chlamydial infection should have a test-of-cure 3-4 weeks after treatment and be retested within 3 months

If screening for chlamydia, also screen for gonorrhea.

All pregnant women regardless of risk should be screened for syphilis, hepatitis B and HIV with each pregnancy.

Men
  • Consider screening young men in high prevalence clinical settings5 or in populations with high burden of infection (e.g. MSM)

If screening for chlamydia, also screen for gonorrhea and HIV.

Men Who have Sex With Men (MSM)
  • At least annually for sexually active MSM at sites of contact (urethra, rectum) regardless of condom use
  • Every 3 to 6 months if at increased risk

If screening for chlamydia, also screen for gonorrhea, syphilis, hepatitis B, hepatitis C and HIV.

Persons with HIV
  • For sexually active individuals, screen at first HIV evaluation, and at least annually thereafter
  • More frequent screening for might be appropriate depending on individual risk behaviors and the local epidemiology

If screening for chlamydia, also screen for gonorrhea, syphilis, hepatitis B, hepatitis C and tuberculosis.

Women
  • Sexually active women under 25 years of age
  • Sexually active women age 25 years and older if at increased risk
  • Retest 3 months after treatment

If screening for gonorrhea, also screen for chlamydia and HIV.

Pregnant Women
  • All pregnant women under 25 years of age and older women if at increased risk
  • Retest 3 months after treatment

If screening for gonorrhea, also screen for chlamydia.

All pregnant women regardless of risk should be screened for syphilis, hepatitis B and HIV with each pregnancy

Men Who have Sex With Men (MSM)
  • At least annually for sexually active MSM at sites of contact (urethra, rectum, pharynx) regardless of condom use
  • Every 3 to 6 months if at increased risk

If screening for gonorrhea, also screen for chlamydia, syphilis, hepatitis B, hepatitis C and HIV.

Persons with HIV
  • For sexually active individuals, screen at first HIV evaluation, and at least annually thereafter
  • More frequent screening for might be appropriate depending on individual risk behaviors and the local epidemiology

If screening for gonorrhea, also screen for chlamydia, syphilis, hepatitis B, hepatitis C and tuberculosis.

Pregnant Women
  • All pregnant women at the first prenatal visit
  • Retest early in the third trimester and at delivery if at high risk
    • Women in South Central North Dakota are considered high risk.

If under 25 years of age or at increased risk, consider screening for chlamydia and gonorrhea.

All pregnant women regardless of risk should be screened for hepatitis B and HIV with each pregnancy.

Men Who have Sex With Men (MSM)
  • At least annually for sexually active MSM
  • Every 3 to 6 months if at increased risk

If screening for syphilis, also screen for chlamydia, gonorrhea, hepatitis B, hepatitis C and HIV.

Persons with HIV
  • For sexually active individuals, screen at first HIV evaluation, and at least annually thereafter
  • More frequent screening might be appropriate depending on individual risk behaviors and the local epidemiology

If screening for syphilis, also screen for chlamydia, gonorrhea, hepatitis B, hepatitis C and tuberculosis.

Women
  • All women aged 13-64 years (opt-out)
  • All women who seek evaluation and treatment for STDs
Pregnant Women
  • All pregnant women should be screened at first prenatal visit (opt-out)
  • Retest in the third trimester if at high risk

If under 25 years of age or at increased risk, consider screening for chlamydia and gonorrhea.

All pregnant women regardless of risk should be screened for syphilis and hepatitis B with each pregnancy.

Men
  • All men aged 13-64 (opt-out)
  • All men who seek evaluation and treatment for STDs
Men Who have Sex With Men (MSM)
  • At least annually for sexually active MSM if HIV status is unknown or negative and the patient himself or his sex partner(s) have had more than one sex partner since most recent HIV test

If screening for HIV, also screen for chlamydia, gonorrhea, syphilis, hepatitis B, hepatitis C.

Persons Who Inject Drugs (PWID)
  • At least annually for active PWID.

If screening for HIV, also screen for hepatitis B and hepatitis C.

People At High Risk
  • People at increased risk should be screened once and if negative, vaccinated. People at increased risk include:
    • Being born in Africa, Asia or other areas with high or moderate rates of hepatitis B. *Reference Map*
    • Unvaccinated people whose parents are from regions with high rates of hepatitis B.
    • People who live with someone with hepatitis B.
    • Sex partners of people with hepatitis B.
    • People on hemodialysis
    • People who receive chemotherapy or other types of immunosuppressive therapy
Pregnant Women
  • Test for HBsAg at first prenatal visit of each pregnancy regardless of prior testing; retest at delivery if at high risk.

If under 25 years of age or at increased risk, consider screening for chlamydia and gonorrhea.

All pregnant women regardless of risk should be screened for syphilis and HIV with each pregnancy.

Men Who have Sex With Men (MSM)
  • All MSM should be tested for HBsAg. If negative, persons should complete the HAV/HBV immunization series.

If screening for hepatitis B, also screen for chlamydia, gonorrhea, syphilis, hepatitis C and HIV.

Persons with HIV
  • Test for HBsAg and anti-HBc and/or anti-HBs

If screening for hepatitis B, also screen for chlamydia, gonorrhea, syphilis, hepatitis B, hepatitis C.

Women
  • Women born between 1945-1965
  • Other women If risk factors are present
Pregnant Women
  • Pregnant women born between 1945-1965
  • Other pregnant women if risk factors are present
Men
  • Men born between 1945-1965
  • Other men If risk factors are present
Men Who have Sex With Men (MSM)
  • MSM born between 1945-1965
  • Other MSM if risk factors are present
  • Annual HCV testing in MSM with HIV infection
Persons with HIV
  • Serologic testing at initial evaluation
  • Annual HCV testing in MSM with HIV infection


Risk Assessment

Take an HIV/STD/viral hepatitis risk assessment survey.