{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:33:41Z","timestamp":1761514421678,"version":"build-2065373602"},"reference-count":10,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":2230,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,13]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gonorrhoea is usually managed in community sexual health or general practice, but a proportion of cases present to hospital settings. In this study, we examined how gonorrhoea was managed through a large hospital network and what the implications may be for public health management. Methods: A retrospective chart review was performed of the management of patients with Neisseria gonorrhoeae infection diagnosed at a large Australian healthcare network from January 2015 to May 2018. Documentation rates of five parameters of care were assessed: (1) the presence (or absence) of previous sexually transmissible infections (STIs); (2) recent travel; (3) discussion of HIV testing; (4) contact tracing; and (5) public health notification. Results: In all, 110 cases (48 male, 62 female) were analysed. Most cases were in the 15\u201339 years age group; 98 cases (89%) were symptomatic, and 12 (11%) were screening tests. The most common presenting syndromes were pelvic inflammatory disease (32%; 31\/98 symptomatic cases), urethritis (26%; 25\/98) and epididymo-orchitis (13%; 13\/98). None of the five parameters assessed were documented in most cases. Documentation was most likely to occur in patients admitted to hospital. When HIV testing was performed, no new cases of HIV were identified. Conclusion: Infections with gonorrhoea present on a regular basis to hospital practice, but overall management is suboptimal. Automated prompts for other recommended tests, including HIV testing when testing for other sexually transmissible diseases is ordered, may improve management. Better awareness of best practice is needed, which can be facilitated with ongoing education. However, the greatest benefit is likely achieved by linking patients back to community-based services, which are best placed to provide ongoing long-term care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh19018","type":"journal-article","created":{"date-parts":[[2019,7,10]],"date-time":"2019-07-10T21:19:36Z","timestamp":1562793576000},"page":"523-525","source":"Crossref","is-referenced-by-count":3,"title":["Management of gonorrhoea in a hospital network: are we following best practice?"],"prefix":"10.1071","volume":"16","author":[{"given":"Leong Shuen","family":"Loo","sequence":"first","affiliation":[{"name":"ASchool of Clinical Sciences at Monash Health, Monash University, 246 Clayton Road, Clayton, Vic. 3168, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Cisera","sequence":"additional","affiliation":[{"name":"BMonash Infectious Diseases, Monash Health, 246 Clayton Road, Clayton, Vic. 3168, Australia."},{"name":"CDepartment of Microbiology, Monash Health, 246 Clayton Road, Clayton, Vic. 3168, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony M.","family":"Korman","sequence":"additional","affiliation":[{"name":"ASchool of Clinical Sciences at Monash Health, Monash University, 246 Clayton Road, Clayton, Vic. 3168, Australia."},{"name":"BMonash Infectious Diseases, Monash Health, 246 Clayton Road, Clayton, Vic. 3168, Australia."},{"name":"CDepartment of Microbiology, Monash Health, 246 Clayton Road, Clayton, Vic. 3168, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2928-1291","authenticated-orcid":true,"given":"Ian","family":"Woolley","sequence":"additional","affiliation":[{"name":"ASchool of Clinical Sciences at Monash Health, Monash University, 246 Clayton Road, Clayton, Vic. 3168, Australia."},{"name":"BMonash Infectious Diseases, Monash Health, 246 Clayton Road, Clayton, Vic. 3168, Australia."},{"name":"DCorresponding author. Email: ian.woolley@monash.edu"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2019,7,11]]},"reference":[{"key":"2025102615522944800_R1","unstructured":"Department of Health and Human Services Victoria. Surveillance of notifiable conditions in Victoria. 2019. Available online at: https:\/\/www2.health.vic.gov.au\/public-health\/infectious-diseases\/infectious-diseases-surveillance\/interactive-infectious-disease-reports\/state-wide-surveillance-report [verified 19 April 2019]."},{"key":"2025102615522944800_R2","unstructured":"World Health Organization. Report on global sexually transmitted infection surveillance 2018. 2018. Available online at: https:\/\/www.who.int\/reproductivehealth\/publications\/stis-surveillance-2018\/en\/ [verified 19 April 2019]."},{"key":"2025102615522944800_R3","unstructured":"Public Health England\n          \n          2018\n          Update on investigation of UK case of Neisseria gonorrhoeae with high-level resistance to azithromycin and resistance to ceftriaxone acquired abroad.\n          Health Protect Rep\n          12\n          14\n          Available online at: \n          https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/701185\/hpr1418_MDRGC.pdf [verified 16 May 2019]."},{"key":"2025102615522944800_R4","unstructured":"Department of Health & Human Services. Multi-drug resistant gonorrhoea detected in Australia. 2018. Available online at: https:\/\/www2.health.vic.gov.au\/about\/news-and-events\/healthalerts\/multi-drug-resistant-gonorrhoea-detected-in-australia [verified 19 April 2019]."},{"key":"2025102615522944800_R5","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1093\/qjmed\/hcy223","article-title":"Prevalence of HIV indicator conditions in late presenting patients with HIV: a missed opportunity for diagnosis?","volume":"112","author":"Lin","year":"2019","journal-title":"QJM"},{"key":"2025102615522944800_R6"},{"key":"2025102615522944800_R7","unstructured":"Centers for Disease Control and Prevention. Gonococcal Infections. 2015. Available online at: https:\/\/www.cdc.gov\/std\/tg2015\/gonorrhea.htm [verified 19 April 2019]."},{"key":"2025102615522944800_R8","doi-asserted-by":"crossref","DOI":"10.33321\/cdi.2018.42.11","article-title":"Australian Gonococcal Surveillance Programme annual report, 2016.","volume":"42","author":"Lahra","year":"2018","journal-title":"Commun Dis Intell (2018)"},{"key":"2025102615522944800_R9","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.ypmed.2017.04.028","article-title":"An increase in sexually transmitted infections seen in US emergency departments.","volume":"100","author":"Pearson","year":"2017","journal-title":"Prev Med"},{"key":"2025102615522944800_R10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.12.016","article-title":"Emergency provider documentation of sexual health risk factors and its association with HIV testing: a retrospective cohort study.","author":"Niforatos","year":"2018","journal-title":"Am J Emerg Med"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/16\/5\/523\/799236\/sh19018.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/16\/5\/523\/799236\/sh19018.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T19:52:33Z","timestamp":1761508353000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/16\/5\/523\/101981\/Management-of-gonorrhoea-in-a-hospital-network-are"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,11]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,9,13]]}},"URL":"https:\/\/doi.org\/10.1071\/sh19018","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2019,7,11]]}}}