A New Approach to Gonorrhea Control

Potterat, John J.; King, Richard

doi:10.1001/jama.1981.03310310020015

Cited by 24 publications

(1 citation statement)

References 12 publications

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“…18 The high yield of asymptomatic male partners suggested that partner notification efforts should include partners of women with PID or positive screening tests for gonorrhea. 19 …”

Section: Control Program Implementationmentioning

confidence: 99%

Gonorrhea Control, United States, 1972–2015, A Narrative Review

Peterman¹,

OʼConnor²,

Bradley³

et al. 2016

Sexual Trans Dis

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Gonorrhea is the second most commonly reported infection. It can lead to pelvic inflammatory disease, ectopic pregnancy, and infertility. Rates of gonorrhea decreased after the National Gonorrhea Control Program began in 1972, but stabilized in the mid 1990’s. The emergence of antimicrobial resistant strains increases the urgency for enhanced gonorrhea control efforts. In order to identify possible approaches for improving gonorrhea control, we reviewed historic protocols, reports, and other documents related to the activities of the National Gonorrhea Control Program using Centers for Disease Control and Prevention records and the published literature. The Program was a massive effort that annually tested up to 9.3 million women, and treated up to 85,000 infected partners and 100,000 additional exposed partners. Reported gonorrhea rates fell by 74% between 1976 and 1996, then stabilized. Testing positivity was 1.6–4.2% in different settings in 1976. In 1999–2008, the test positivity of a random sample of 14–25 year-olds was 0.4%. Gonorrhea testing rates remain high, however, partner notification efforts decreased in the 1990’s as attention shifted to HIV and other STDs. The decrease and subsequent stabilization of gonorrhea rates was likely also influenced by changes in behavior, such as increases in condom use in response to AIDS. Renewed emphasis on partner treatment might lead to further decreases in rates of gonorrhea.

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“…18 The high yield of asymptomatic male partners suggested that partner notification efforts should include partners of women with PID or positive screening tests for gonorrhea. 19 …”

Section: Control Program Implementationmentioning

confidence: 99%

Gonorrhea Control, United States, 1972–2015, A Narrative Review

Peterman¹,

OʼConnor²,

Bradley³

et al. 2016

Sexual Trans Dis

View full text Add to dashboard Cite

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Untreated Gonococcal and Chlamydial Infection in a Probability Sample of Adults

Turner

Rogers

Miller

et al. 2002

JAMA

197

142

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Innovations in sexually transmitted disease partner services

Hogben

Niccolai²

2009

Curr Infect Dis Rep

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Recent increases in reported cases of several sexually transmitted diseases (STDs) speak to the urgent need for innovative methods of control and prevention, including improved partner notification. We review interviewing techniques and targeted geographic implementation, enhanced counseling for patient referral, and social network innovations. We also discuss expedited partner therapy: the provision of medications or prescriptions for sex partners who can then be treated prior to a clinical examination. Though the legality of this practice varies from state to state, a growing number of studies have shown its effectiveness, and local jurisdictions are encouraged to consider its feasibility. Another innovative method is use of the Internet to locate sex partners, reflecting trends in how people meet sex partners, and use of the same "venue" for treatment and prevention. We conclude with discussion of newly released recommendations for integrated HIV and STD partner services.

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A New Approach to Gonorrhea Control

Cited by 24 publications

References 12 publications

Gonorrhea Control, United States, 1972–2015, A Narrative Review

Gonorrhea Control, United States, 1972–2015, A Narrative Review

Untreated Gonococcal and Chlamydial Infection in a Probability Sample of Adults

Innovations in sexually transmitted disease partner services

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