{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:41:28Z","timestamp":1777927288597,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T00:00:00Z","timestamp":1576454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Gonorrhoea is a major public health problem globally. Increasing incidence in many particularly developed countries and the emergence of resistance to the extended-spectrum cephalosporin ceftriaxone, the last option for empiric first-line monotherapy, are of serious concern. This paper evaluates the results of the 2018\u201319 International Union against Sexually Transmitted Infections European Collaborative Clinical Group survey on the diagnosis and treatment of gonorrhoea in Europe. Although high quality clinical care was reported in many European settings, in several countries the testing, diagnostics, antimicrobial treatment, and follow-up of gonorrhoea patients were evidently suboptimal. Increased adherence to evidence-based European and\/or nationally-adapted management guidelines is essential in controlling the increasing incidence of gonorrhoea in many European settings and the spread of ceftriaxone-resistant, multidrug-resistant, and extensively drug-resistant gonorrhoea.<\/jats:p>","DOI":"10.1177\/0956462419879278","type":"journal-article","created":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T23:50:19Z","timestamp":1576540219000},"page":"69-76","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Adherence to the 2012 European gonorrhoea guideline in the WHO European Region according to the  2018\u201319 International Union against Sexually Transmitted Infections European Collaborative Clinical  Group gonorrhoea survey"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1710-2081","authenticated-orcid":false,"given":"M","family":"Unemo","sequence":"first","affiliation":[{"name":"Department of Laboratory Medicine, Faculty of Medicine and Health, World Health Organization Collaborating Centre for Gonorrhoea and other Sexually Transmitted Infections, \u00d6rebro University, \u00d6rebro, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9340-1417","authenticated-orcid":false,"given":"E","family":"Clarke","sequence":"additional","affiliation":[{"name":"Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Boiko","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, Faculty of Medicine and Health, World Health Organization Collaborating Centre for Gonorrhoea and other Sexually Transmitted Infections, \u00d6rebro University, \u00d6rebro, Sweden"},{"name":"Department of Functional and Laboratory Diagnostics, I. Horbachevsky Ternopil State Medical University, Ternopil, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Patel","sequence":"additional","affiliation":[{"name":"University of Liverpool, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Genitourinary Medicine, Southampton Medical School, University of Southampton, Southampton, UK"},{"name":"Solent NHS Trust, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"on behalf of the ECCG Core Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,16]]},"reference":[{"key":"bibr1-0956462419879278","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.18.228486"},{"key":"bibr2-0956462419879278","unstructured":"European Centre for Disease Prevention and Control. Disease data from ECDC Surveillance Atlas \u2013 gonorrhoea, https:\/\/www.ecdc.europa.eu\/en\/gonorrhoea\/surveillance-and-disease-data\/disease-data-atlas (accessed 21 August 2019)."},{"key":"bibr3-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1111\/apm.12975"},{"key":"bibr4-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1177\/0956462413476269"},{"key":"bibr5-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1177\/0956462412473383"},{"key":"bibr6-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1177\/0956462412472837"},{"key":"bibr7-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00010-14"},{"key":"bibr8-0956462419879278","doi-asserted-by":"crossref","unstructured":"Unemo M, Lahra MM, Cole M, et\u00a0al. The WHO Global Gonococcal Antimicrobial Surveillance Programme (WHO GASP): a review of new data and evidence to inform international collaborative actions and research efforts.\n                      Sex Health\n                      . Epub ahead of print 23 August 2019. DOI: 10.1071\/SH19023.","DOI":"10.1071\/SH19023"},{"key":"bibr9-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-018-3528-4"},{"key":"bibr10-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002344"},{"key":"bibr11-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-017-2707-z"},{"key":"bibr12-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30310-9"},{"key":"bibr13-0956462419879278","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr6404a1","volume":"64","author":"Workowski KA","year":"2015","journal-title":"MMWR Recomm Rep"},{"key":"bibr14-0956462419879278","unstructured":"Romanowski B, Robinson J, Wong T. Gonococcal infections chapter. In: Canadian guidelines on sexually transmitted infections. Ottawa: Public Health Agency of Canada, www.phac-aspc.gc.ca\/std-mts\/sti-its\/cgsti-ldcits\/assets\/pdf\/section-5-6-eng.pdf (2013, accessed 21 August 2019)."},{"key":"bibr15-0956462419879278","unstructured":"Australasian Sexual Health Alliance (ASHA). Gonorrhoea. In: Australian STI management guidelines for use in primary care. ASHA, www.sti.guidelines.org.au\/sexually-transmissible-infections\/gonorrhoea#management (2016, accessed 21 August 2019)."},{"key":"bibr16-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2011.011267"},{"key":"bibr17-0956462419879278","volume-title":"WHO guidelines for the treatment of Neisseria gonorrhoeae","author":"World Health Organization (WHO)","year":"2016"},{"key":"bibr18-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.00504-16"},{"key":"bibr19-0956462419879278","doi-asserted-by":"publisher","DOI":"10.3201\/eid2404.171873"},{"key":"bibr20-0956462419879278","doi-asserted-by":"publisher","DOI":"10.3201\/eid2402.171756"},{"key":"bibr21-0956462419879278","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2017.22.42.17-00659"},{"key":"bibr22-0956462419879278","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2018.23.21.1800264"},{"key":"bibr23-0956462419879278","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2018.23.47.1800617"},{"key":"bibr24-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkz129"},{"key":"bibr25-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.02624-18"},{"key":"bibr26-0956462419879278","doi-asserted-by":"publisher","DOI":"10.3201\/eid2507.190172"},{"key":"bibr27-0956462419879278","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2019.24.10.1900147"},{"key":"bibr28-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1512757"},{"key":"bibr29-0956462419879278","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2018.23.27.1800323"},{"key":"bibr30-0956462419879278","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(18)30340-2"},{"key":"bibr31-0956462419879278","unstructured":"Fifer H, Saunders J, Soni S, et\u00a0al. 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