Evaluation of clinical management of gonorrhoea using enhanced surveillance in South East Queensland

Field, Emma, Heel, Karen, Palmer, Cheryn, Vally, Hassan, Beard, Frank and McCall, Brad (2010) Evaluation of clinical management of gonorrhoea using enhanced surveillance in South East Queensland. Sexual Health, 7 4: 448-452. doi:10.1071/SH09111

Author Field, Emma
Heel, Karen
Palmer, Cheryn
Vally, Hassan
Beard, Frank
McCall, Brad
Title Evaluation of clinical management of gonorrhoea using enhanced surveillance in South East Queensland
Journal name Sexual Health   Check publisher's open access policy
ISSN 1448-5028
Publication date 2010
Sub-type Article (original research)
DOI 10.1071/SH09111
Volume 7
Issue 4
Start page 448
End page 452
Total pages 5
Collection year 2011
Language eng
Formatted abstract
Background: Gonorrhoea is the second most common notifiable sexually transmissible infection (STI) in Queensland. Notifications have been increasing since 2002. Enhanced surveillance was undertaken in this study in order to evaluate clinical management and add to understanding of the epidemiology of gonorrhoea and in South East Queensland. Methods: Information on clinical management and an enhanced surveillance form were faxed to clinicians who notified gonorrhoea in the Brisbane Southside Population Health Unit area from 2003 to 2008. Ceftriaxone was recommended for treatment of gonorrhoea cases, as was simultaneous treatment for chlamydia, testing for other STIs and management of sexual contacts. Enhanced surveillance focussed on collecting more detailed epidemiological and clinical management information. Results: A total of 909 enhanced surveillance forms were returned (response rate 72.2%). The use of ceftriaxone increased significantly over the study period from 31.3% in 2003 to 68.4% in 2008 (P < 0.05). However, there remained a considerable proportion of cases that did not receive ceftriaxone (31.6% in 2008). Simultaneous treatment for chlamydia was reported for 70.5% of cases and did not increase over the study period. A high proportion of males were not screened for high risk co-infection such as HIV (49.6%) and syphilis (51.7%). Contact tracing was initiated for 76.5% of cases and did not increase during the study period. Conclusions: Continued education of clinicians on treatment guidelines is needed. Screening of other STIs such as HIV in males with gonorrhoea and increasing contact tracing were identified as aspects of clinical management for future improvement. Overall this study provides useful insights into the clinical management of gonorrhoea in South East Queensland.
© CSIRO 2010.

Keyword Neisseria gonorrhoeae
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
Centre for Military and Veterans' Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 05 Dec 2010, 00:01:17 EST