Resistance to Antimicrobials Surveillance Programme.
For many years Crede prophylaxis (1% silver nitrate) were used for gonococcal
infection, but this was ineffective for chlamydia and other bacteria.
The clinical and public health consequences of persistent gonococcal
infections will be like a trip back to the pre-antibiotic era.
infection (GC) is the second most commonly reported notifiable disease in the US.
The emergence of a resistant variant in an individual patient during treatment is alarming and may predict rapid emergence of gonococcal
resistance," he said.
The first case of gonococcal
perihepatitis in a male was reported by Kimball and Knee in 1970 (6).
Currently, CDC STD treatment guidelines recommend dual therapy with a cephalosporin antibiotic - Ceftriaxone is preferred - and either azithromycin or doxycycline to treat all uncomplicated gonococcal
infections among adults and adolescents in the United States.
Whiley DM, Limnios A, Moon NJ, Gehrig N, Goire N, Hogan T, et al: False-negative results, using Neisseria gonorrhoeae porA pseudogene PCR- a clinical gonococcal
isolate with an N.
Keeping this aspect in mind we carried out retrospective analysis of six year data to evaluate the gonococcal
infection rate in patients attending male and female STD clinic of the Regional STD Teaching, Training & Research Centre, Safdarjang Hospital, New Delhi, and analysed its association with other ulcerative (syphilis, chancroid, herpes, donovanosis), non ulcerative STIs [chlamydiasis, trichomoniasis, bacterial vaginosis (BV), candidiasis] and HIV infection.
In women, gonococcal
infections can cause long-term complications, such as infertility and chronic pelvic pain, as well as ectopic pregnancy.
Prevalence of chlamydial and gonococcal
infections among adults in the United States.
8) Literature from the United States identifies practitioners wanting to provide culturally appropriate health care to MSM need to include in their repertoire knowledge and screening for health issues such as anal carcinoma, sexually transmitted diseases such as HIV, chlamydia, gonococcal
infections, syphilis, as well as addressing high-risk sexual behaviours, substance use and abuse, and mental health, such as low self esteem, depression and suicide ideation.
Prof Ison, from the Health Protection Agency (HPA) in London, explained how some strains of the gonococcal
bacteria that cause the disease are now demonstrating decreased sensitivity to the current antibiotics used to treat them - ceftriaxone and cefixime.
Perceived risk of chlamydial and gonococcal
infection among sexually experienced young adults in the United States, Perspectives on Sexual and Reproductive Health, 2004, 36(6):258-264.
Septic arthitis & disseminated gonococcal