gonorrhea

Importance: Chlamydia and gonorrhea are among the most common sexually transmitted infections in the US. Infection rates are highest among adolescents and young adults of both sexes. Chlamydial and gonococcal infections in women are usually asymptomatic and may lead to pelvic inflammatory disease and its associated complications. Newborns of pregnant persons with untreated infection may develop neonatal chlamydial pneumonia or gonococcal or chlamydial ophthalmia. Infection in men may lead to urethritis and epididymitis. Both types of infection can increase risk of acquiring or transmitting HIV.

Objective: To update its 2014 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the benefits and harms of screening for chlamydia and gonorrhea in sexually active adolescents and adults, including pregnant persons.

Population: Asymptomatic, sexually active adolescents and adults, including pregnant persons.

Evidence assessment: The USPSTF concludes with moderate certainty that screening for chlamydia in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection has moderate net benefit. The USPSTF concludes with moderate certainty that screening for gonorrhea in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection has moderate net benefit. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for chlamydia and gonorrhea in men.

Recommendation: The USPSTF recommends screening for chlamydia in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection. (B recommendation) The USPSTF recommends screening for gonorrhea in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection. (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for chlamydia and gonorrhea in men. (I statement).

Author/s:

M. J., Mangione, C. M., Cabana, M., Caughey, A. B., Davis, E. M., Donahue, K. E., Doubeni, C. A., Krist, A. H., Kubik, Li, L., Ogedegbe, G., Pbert, Silverstein, Simon, M. A., Stevermer, J., Tseng, C., Wong, J. B.

Update to CDC's Treatment Guidelines for Gonococcal Infection, 2020

Carly Hughes — Sat, 16 Jan 2021 20:18:42 +0000

Date Added:

January 16, 2021

Journal/Publication:

Morbidity and Mortality Weekly Report

Publisher:

Center for Disease Control and Prevention

Publication Date:

December 18, 2020

Issue:

Volume:

Pages:

1911-1916

URL:

Update to CDC’s Treatment Guidelines for Gonococcal Infection, 2020

Type:

Meta-analyses, Reviews, and Guidelines, Public Health Announcements

Format:

Article

Keywords

gonorrhea

sexually transmitted infections

treatment

MeSH

gonorrhea

sexually transmitted diseases

Treatment

2020 CDC Guidance regarding treatment of gonococcal infections. James W. Mold, MD, MPH

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Not available

Author/s:

Syr, Sancta St., Lindley, Barbee, Workowski, Kimberly A., Bachmann, Laura, Pham, Cau, Schlanger, Karen, Torrone, Elizabeth

Disseminated Gonococcal Infection

Jeffrey Wilson — Thu, 18 Apr 2019 17:48:16 +0000

Date Added:

April 18, 2019

Journal/Publication:

New England Journal of Medicine

Publisher:

Massachusetts Medical Society

Publication Date:

April 18, 2019

Volume:

380

Pages:

1565

URL:

Disseminated Gonococcal Infection

Type:

Clinical Decision Aids

Format:

Web Page

DOI (1):

10.1056/NEJMicm1811120

Keywords

gonorrhea

neisseria gonorrhoeae

PMID (1):

30995376

MeSH

gonorrhea

neisseria gonorrhoeae

This is a diagnosis you should never miss because it is classic in appearance and easily treated and serious if missed. James W. Mold, MD, MPH

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A 20-year-old woman presented to the emergency department with a rash involving the arms, legs, trunk, and scalp, which had erupted that morning . . .

Author/s:

Florez-Pollack, Stephanie, Mauskar, Melissa M.

Sexually Transmitted Infections

Tracy Ashby — Thu, 11 Apr 2019 05:00:00 +0000

Date Added:

April 11, 2019

Journal/Publication:

American Family Physician

Publisher:

American Academy of Family Physicians

URL:

Sexually Transmitted Infections

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Web Page

Keywords

sexually transmitted infections

human papillomavirus

MeSH

sexually transmitted diseases

acquired immunodeficiency syndrome

hepatitis A

hepatitis

This is a set of links to all recent American Family Physician/AAFP articles about sexually transmitted disease. James W. Mold, MD, MPH

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This collection features the best content from AFP, as identified by the AFP editors, on sexually transmitted disease and related issues, including chlamydia, genital herpes, gonorrhea, human papillomavirus, and syphilis. New research may affect the interpretation and application of this material. Clinical judgment is advised. Note that AFP content published within the past 12 months is accessible to AAFP members and paid subscribers only.
Note: This topic collection does not include human immunodeficiency virus (see separate topic collection on HIV/AIDS) or hepatitis (see separate topic collection on Hepatitis and Other Liver Diseases).