{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:29:14Z","timestamp":1787840954748,"version":"build-2784847793"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,6,4]],"date-time":"2017-06-04T00:00:00Z","timestamp":1496534400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The relentless emergence and spread of strains of <jats:italic>Neisseria gonorrhoeae<\/jats:italic> that are resistant to many antimicrobial agents has led to frequent changes in treatment guidelines, with a consequent risk that prescribers may not be aware of current guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine the proportion of patients with gonorrhoea who were treated with a regimen consistent with the New Zealand Sexual Health Society (NZSHS) guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We audited the treatment given to adult patients with laboratory\u2010proven gonorrhoea in Auckland, New Zealand, during the first 6 months of 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Treatment compliant with the current <jats:styled-content style=\"fixed-case\">NZSHS<\/jats:styled-content> guidelines was administered in only 65% (458\/706) episodes overall. Guideline\u2010compliant treatment was much more likely to be prescribed for patients who presented to a sexual health clinic (89%) than for patients who presented to either a general practice or other community clinic (52%) or to a hospital (56%) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Overall, 52 of 706 (7%) episodes were not treated with any antimicrobial regimen by the service that diagnosed the patients\u2019 gonorrhoea, 13 of 62 (21%) episodes in patients who presented to a hospital, 34 of 403 (8%) episodes in patients who presented to a general practice or other community clinic and 5 of 241 (2%) episodes in patients who presented to a sexual health clinic (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Low levels of compliance with treatment guidelines increase the risk that antibiotic\u2010resistant strains of <jats:italic>N. gonorrhoeae<\/jats:italic> will spread within the Auckland region. Improved compliance with treatment guidelines, particularly in patients who present either to general practice or to hospitals, is necessary to maintain the efficacy of current treatment regimens.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.13433","type":"journal-article","created":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T07:22:46Z","timestamp":1490599366000},"page":"640-648","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Treatment of gonorrhoea in Auckland, New Zealand: marked variation in prescriber adherence to treatment guidelines"],"prefix":"10.1111","volume":"47","author":[{"given":"Rose","family":"Forster","sequence":"first","affiliation":[{"name":"Auckland Sexual Health Service Auckland District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Pathology University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlo","family":"Upton","sequence":"additional","affiliation":[{"name":"Department of Microbiology Labtests  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rick","family":"Franklin","sequence":"additional","affiliation":[{"name":"Auckland Sexual Health Service Auckland District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9381-7623","authenticated-orcid":false,"given":"Mark","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Pathology University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00010-14"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-007776"},{"key":"e_1_2_7_4_1","unstructured":"BrittNS SteedME SatterwhiteCA ShiremanTI. 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