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Epidemiology and clinical presentation of gonorrhoea in England and Wales: findings from the Gonococcal Resistance to Antimicrobials Surveillance Programme 2001-2006.
Sex Transm Infect. 2009 Sep; 85(5):317-21.ST

Abstract

OBJECTIVE

To analyse the enhanced data for gonorrhoea cases in England and Wales collected by the Gonococcal Resistance to Antimicrobials Surveillance Programme (GRASP) to better inform health policy and targeted interventions.

METHODS

GRASP data obtained annually from sentinel genitourinary medicine (GUM) clinics between June to August during 2001-6 were analysed.

RESULTS

A total of 12 282 cases of gonorrhoea were reported during the study period, with a decline over time primarily in heterosexual patients of black ethnicity. 73% of women, 47% of heterosexual men and 22% of men who have sex with men (MSM) were aged under 25. Most infected women reported a single sexual partner in the previous 3 months, whereas most heterosexual men and MSM reported two or more partners. A history of gonorrhoea was reported by 42% of MSM, 30% of heterosexual men and 20% of women. Excluding HIV, women were more likely than men to have a concurrent STI at diagnosis, most commonly chlamydia (50% vs 27% p<0.0005). Rectal gonococcal infections were reported in 35% and HIV co-infection in 31% of MSM. Compared to HIV negative MSM, those co-infected with HIV were older (median 35 years vs 28 years) and were more likely to attend a London site (70% vs 52%, p<0.0005); have a concurrent sexually transmitted infection (STI) (28% vs 20%, p = 0.002); have a history of gonorrhoea (66% vs 36%, p<0.0005) and have more sexual partners (average 6.8 vs 4.3).

CONCLUSION

Gonorrhoea is concentrated within specific groups who are at high risk of repeat infections and concurrent STIs including HIV. Targeted interventions of proved effectiveness are urgently required.

Authors+Show Affiliations

Sexually Transmitted Bacteria Reference Laboratory, Health Protection Agency Centre for Infections, London NW9 5EQ, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19383598

Citation

Delpech, V, et al. "Epidemiology and Clinical Presentation of Gonorrhoea in England and Wales: Findings From the Gonococcal Resistance to Antimicrobials Surveillance Programme 2001-2006." Sexually Transmitted Infections, vol. 85, no. 5, 2009, pp. 317-21.
Delpech V, Martin IM, Hughes G, et al. Epidemiology and clinical presentation of gonorrhoea in England and Wales: findings from the Gonococcal Resistance to Antimicrobials Surveillance Programme 2001-2006. Sex Transm Infect. 2009;85(5):317-21.
Delpech, V., Martin, I. M., Hughes, G., Nichols, T., James, L., & Ison, C. A. (2009). Epidemiology and clinical presentation of gonorrhoea in England and Wales: findings from the Gonococcal Resistance to Antimicrobials Surveillance Programme 2001-2006. Sexually Transmitted Infections, 85(5), 317-21. https://doi.org/10.1136/sti.2008.034843
Delpech V, et al. Epidemiology and Clinical Presentation of Gonorrhoea in England and Wales: Findings From the Gonococcal Resistance to Antimicrobials Surveillance Programme 2001-2006. Sex Transm Infect. 2009;85(5):317-21. PubMed PMID: 19383598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemiology and clinical presentation of gonorrhoea in England and Wales: findings from the Gonococcal Resistance to Antimicrobials Surveillance Programme 2001-2006. AU - Delpech,V, AU - Martin,I M C, AU - Hughes,G, AU - Nichols,T, AU - James,L, AU - Ison,C A, AU - ,, Y1 - 2009/04/20/ PY - 2009/4/23/entrez PY - 2009/4/23/pubmed PY - 2009/11/13/medline SP - 317 EP - 21 JF - Sexually transmitted infections JO - Sex Transm Infect VL - 85 IS - 5 N2 - OBJECTIVE: To analyse the enhanced data for gonorrhoea cases in England and Wales collected by the Gonococcal Resistance to Antimicrobials Surveillance Programme (GRASP) to better inform health policy and targeted interventions. METHODS: GRASP data obtained annually from sentinel genitourinary medicine (GUM) clinics between June to August during 2001-6 were analysed. RESULTS: A total of 12 282 cases of gonorrhoea were reported during the study period, with a decline over time primarily in heterosexual patients of black ethnicity. 73% of women, 47% of heterosexual men and 22% of men who have sex with men (MSM) were aged under 25. Most infected women reported a single sexual partner in the previous 3 months, whereas most heterosexual men and MSM reported two or more partners. A history of gonorrhoea was reported by 42% of MSM, 30% of heterosexual men and 20% of women. Excluding HIV, women were more likely than men to have a concurrent STI at diagnosis, most commonly chlamydia (50% vs 27% p<0.0005). Rectal gonococcal infections were reported in 35% and HIV co-infection in 31% of MSM. Compared to HIV negative MSM, those co-infected with HIV were older (median 35 years vs 28 years) and were more likely to attend a London site (70% vs 52%, p<0.0005); have a concurrent sexually transmitted infection (STI) (28% vs 20%, p = 0.002); have a history of gonorrhoea (66% vs 36%, p<0.0005) and have more sexual partners (average 6.8 vs 4.3). CONCLUSION: Gonorrhoea is concentrated within specific groups who are at high risk of repeat infections and concurrent STIs including HIV. Targeted interventions of proved effectiveness are urgently required. SN - 1472-3263 UR - https://www.unboundmedicine.com/medline/citation/19383598/Epidemiology_and_clinical_presentation_of_gonorrhoea_in_England_and_Wales:_findings_from_the_Gonococcal_Resistance_to_Antimicrobials_Surveillance_Programme_2001_2006_ L2 - https://sti.bmj.com/lookup/pmidlookup?view=long&amp;pmid=19383598 DB - PRIME DP - Unbound Medicine ER -