Oropharyngeal gonorrhoea: rate of co-infection with sexually transmitted infection, antibiotic susceptibility and treatment outcome. International journal of STD & AIDS [Int J STD AIDS] Journal article | | Title | Oropharyngeal gonorrhoea: rate of co-infection with sexually transmitted infection, antibiotic susceptibility and treatment outcome. | | Author(s) | Manavi K, Zafar F, Shahid H | | Institution | Department of Genitourinary Medicine, Whittall Street Clinic, Whittall Street, Birmingham B4 6DH, UK. | | Source | Int J STD AIDS 2009 Nov 2. | | Abstract | The aim of the present study was to investigate the rate of co-infections with other sexually transmitted infections (STIs), antibiotic susceptibility and management of oropharyngeal gonorrhoea diagnosed in a busy genitourinary medicine clinic. The method involved a retrospective study on consecutive patients diagnosed with oropharyngeal gonorrhoea. A total of 131 patients were diagnosed with oropharyngeal gonorrhoea over the study period. The median age of the infected patients was 28 (interquartile range: 22, 35) years. Ninety (69%) of patients were younger than 24 years. Thirty patients (23%) had only oropharyngeal infection. Twenty-two (17%) patients had resistance to at least one antibiotic. Antibiotic resistance among oropharyngeal gonococci isolates was above 5% between 2000 and 2009. Test-of-cure (TOC) was carried out for only 63 (48%) of patients; none had positive culture. Among 46 isolates treated with cefixime 400 mg/stat, 27 (59%) had TOC; all were negative. Repeat TOC was not carried out for any of the patients. In conclusion, successful management of oropharyngeal gonorrhoea consists of counselling, partner notification and TOC after treatment with appropriate antibiotic. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19884359 |
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