Time trends in positive gonorrhoea diagnoses at the Christchurch Sexual Health Service (2012-2022): a data audit study.

Simple item page
dc.citation.issueNumber 4
dc.citation.volume21
dc.contributor.authorDenison HJ
dc.contributor.authorCreighton J
dc.contributor.authorDouwes J
dc.contributor.authorCoshall M
dc.contributor.authorYoung H
dc.contributor.editorTang W
dc.coverage.spatialAustralia
dc.date.accessioned2024-07-09T01:17:56Z
dc.date.available2024-07-09T01:17:56Z
dc.date.issued2024-06-27
dc.description.abstractBackground Gonorrhoea infections and antimicrobial resistance are rising in many countries, particularly among men who have sex with men, and an increasing proportion of infection is detected at extragenital sites. This study assessed trends in gonorrhoea diagnoses and antibiotic resistance at a sexual health service in New Zealand that followed national guidelines for specimen collection. Methods Routinely-collected data from Canterbury Health Laboratories of specimens taken at the Christchurch Sexual Health Service 2012–2022 were audited. Descriptive results included the number of patient testing events positive for gonorrhoea per year and site of infection (extragenital/urogenital). Annual test-positivity was calculated (number of positive patient testing events divided by total number of testing events) and the Cochran-Armitage Test for Trend was used to assess whether there was an association between test-positivity and year. Results Of 52,789 patient testing events, 1467 (2.8%) were positive for gonorrhoea (81% male). Half (49.3%) of people (57.9% of males, 12.2% of females) with a gonorrhoea infection had an extragenital infection in the absence of a urogenital infection. The number of extragenital infections increased at a faster rate than urogenital among males. Test-positivity increased from 1.3% in 2012 to 5.8% in 2022 (P < 0.001). Antimicrobial resistance was identified in many isolates. Ciprofloxacin resistance was high, but there were no cases of ceftriaxone resistance. Conclusions This study highlights the importance of extragenital sampling and maintaining bacterial culture methods for accurate diagnosis and treatment. The observation that gonorrhoea positivity rate and antimicrobial resistance rates are rising in New Zealand calls for urgent action.
dc.description.confidentialfalse
dc.format.paginationSH23182-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/38935836
dc.identifier.citationDenison HJ, Creighton J, Douwes J, Coshall M, Young H. (2024). Time trends in positive gonorrhoea diagnoses at the Christchurch Sexual Health Service (2012-2022): a data audit study.. Sex Health. 21. Number 4. (pp. SH23182-).
dc.identifier.doi10.1071/SH23182
dc.identifier.eissn1449-8987
dc.identifier.elements-typejournal-article
dc.identifier.issn1448-5028
dc.identifier.numberSH23182
dc.identifier.piiSH23182
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70120
dc.languageeng
dc.publisherCSIRO Publishing
dc.publisher.urihttps://www.publish.csiro.au/SH/SH23182
dc.relation.isPartOfSex Health
dc.rights(c) 2024 The Author/s
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHumans
dc.subjectGonorrhea
dc.subjectNew Zealand
dc.subjectMale
dc.subjectFemale
dc.subjectNeisseria gonorrhoeae
dc.subjectSexual Health
dc.subjectAnti-Bacterial Agents
dc.subjectAdult
dc.subjectDrug Resistance, Bacterial
dc.titleTime trends in positive gonorrhoea diagnoses at the Christchurch Sexual Health Service (2012-2022): a data audit study.
dc.typeJournal article
pubs.elements-id489464
pubs.organisational-groupCollege of Health
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