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Pharyngeal Gonorrhoea in Women : An Important Reservoir for Increasing Neisseria gonorrhoea Prevalence in Urban Australian Heterosexuals?
Joint Authors
Uddin, Ruby N. N.
Lahra, Monica M.
Kundu, Ratan L.
Konecny, Pam
Lusk, M. Josephine
Garden, Frances L.
Source
Journal of Sexually Transmitted Diseases
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-26
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We aim to characterize sexual behavioral aspects of heterosexual Neisseria gonorrhoea (NG) acquisition in two Sexually Transmitted Diseases clinics in Sydney, Australia, in 2008–2012.
Of 167 NG cases, 102 were heterosexually acquired with a trend of increasing NG prevalence in heterosexuals from 1.1% (95% CI 0.6–2.1) in 2008 to 3.0% (95% CI 2.0–4.0) in 2012 (P=0.027).
Of heterosexual male cases, unprotected fellatio was the likely sexual activity for NG acquisition in 21/69 (30.4%) and commercial sex work (CSW) contact the likely source in 28/69 (40.6%).
NG prevalence overall in CSW (2.2%) was not significantly higher than in non-CSW (1.2%) (P=0.15), but in 2012 there was a significant increase in NG prevalence in CSW (8.6%) compared to non-CSW (1.6%) (P<0.001).
Pharyngeal NG was found in 9/33 (27.3%) female cases.
Decreased susceptibility to ceftriaxone (MIC ≥ 0.03 mg/L) occurred in 2.5% NG isolates, none heterosexually acquired.
All were azithromycin susceptible.
A significant trend of increasing prevalence of heterosexual gonorrhoea in an urban Australian STD clinic setting is reported.
We advocate maintenance of NG screening in women, including pharyngeal screening in all women with partner change who report fellatio, as pharyngeal NG may be an important reservoir for heterosexual transmission.
Outreach to CSW should be enhanced.
American Psychological Association (APA)
Lusk, M. Josephine& Uddin, Ruby N. N.& Lahra, Monica M.& Garden, Frances L.& Kundu, Ratan L.& Konecny, Pam. 2013. Pharyngeal Gonorrhoea in Women : An Important Reservoir for Increasing Neisseria gonorrhoea Prevalence in Urban Australian Heterosexuals?. Journal of Sexually Transmitted Diseases،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-512134
Modern Language Association (MLA)
Lusk, M. Josephine…[et al.]. Pharyngeal Gonorrhoea in Women : An Important Reservoir for Increasing Neisseria gonorrhoea Prevalence in Urban Australian Heterosexuals?. Journal of Sexually Transmitted Diseases No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-512134
American Medical Association (AMA)
Lusk, M. Josephine& Uddin, Ruby N. N.& Lahra, Monica M.& Garden, Frances L.& Kundu, Ratan L.& Konecny, Pam. Pharyngeal Gonorrhoea in Women : An Important Reservoir for Increasing Neisseria gonorrhoea Prevalence in Urban Australian Heterosexuals?. Journal of Sexually Transmitted Diseases. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-512134
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512134