Chapter 12 – Sexually Transmissible Infections (STIs)

Gonorrhoea

Gonorrhoea is a less common cause of lower genital tract pathology (urethritis, cervicitis) and upper genital tract pathology (PID, epididymo-orchitis) and can infect the pharyngeal mucosa and anorectal mucosa. In 2017, 28, 364 cases of gonorrhoea were notified in the Australian population, and 74% of infections were in men.(21)

Between 2013-2017 gonorrhoea notification rates increased by 115% in major cities and by 39% in regional areas but have remained stable in remote areas.(22) Rates of gonorrhoea are higher in Aboriginal and Torres Strait Islander people, with 30% of notifications occurring in the 15-19 year age group as compared to 9% in the non-Indigenous population.(22) Gonorrhoea rates are highest in remote and very remote areas.

While it is uncommon in the general community, N. gonorrhoea is more prevalent in urban men who have sex with men (MSM).Β  In gay and bisexual men, rates of gonorrhoea were 1.6 times higher in those who were HIV-positive than HIV-negative.(23) Further, the Gay Community Periodic Surveys demonstrate increased rates of comprehensive STI testing in the last 12 months in gay and bisexual men, rising from 40% in 2013 to 51% in 2017. It is felt that ... Buy now

History

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Examination

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Investigations

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Management

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Contact tracing

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