| Evaluation of clinical management of gonorrhoea using enhanced surveillance in South East Queensland. | |
| | |
MedLine Citation:
|
PMID: 21062585 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Emma Field; Karen Heel; Cheryn Palmer; Hassan Vally; Frank Beard; Brad McCall |
Related Documents
:
|
18252815 - Management of infantile spasms in a regional centre before and after the united kingdom... 10785425 - 7-o-methyltetrahydroochnaflavone, a new biflavanone from ochna beddomei. 7789115 - The embarrassment of imperfection: galen's assessment of hippocrates' linguistic merits. 15907495 - The macroinfauna of the galician sandy beaches (nw spain) affected by the prestige oil-... 21031065 - Controversy: is there a role for adjuvants in the management of male pattern hair loss? 18229745 - Strategies for improving recycling behaviour within the cornwall national health servic... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Sexual health Volume: 7 ISSN: 1448-5028 ISO Abbreviation: Sex Health Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-11-10 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101242667 Medline TA: Sex Health Country: Australia |
Other Details:
|
Languages: eng Pagination: 448-52 Citation Subset: IM |
Affiliation:
|
Communicable Disease Branch, Queensland Health, Division of the Chief Health Officer, Fortitude Valley BC, Qld 4006, Australia. emmajfield@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Household-level correlates of condom use among a representative sample of Canadian adolescents.
Next Document: Seroprevalence of herpes simplex virus type 1 and type 2 among the Indigenous population of Cape Yor...