{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:42:19Z","timestamp":1777927339679,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,12,20]],"date-time":"2020-12-20T00:00:00Z","timestamp":1608422400000},"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":[[2021,3]]},"abstract":"<jats:p>In 2019 the British Association for Sexual Health and HIV (BASHH) guidelines for the management of gonorrhoea were updated. Epidemiological treatment was reserved for sexual contacts presenting within 14\u2009days of exposure only. The aim of this evaluation was to review the potential implications of the new guidelines on the management of gonorrhoea contacts. For this retrospective service evaluation, all gonorrhoea contacts presenting to two UK sexual health services in 2018 were identified using the Genitourinary Medicine Clinic Activity Dataset (GUMCAD) code Partner notification: gonorrhoea contact (PNG). Demographics, clinical characteristics and outcome data were collected from the electronic patient records. The 2019 guidelines were retrospectively applied to evaluate impact. For 436 patients seen as gonorrhoea contacts, gonorrhoea prevalence was 36% (159\/436), and chlamydia prevalence 19% (83\/429). Gonorrhoea prevalence varied with sexual risk: women 57% (61\/107), heterosexual men 20% (28\/143), men who have sex with men (MSM) 38% (69\/183, p\u2009&lt;\u2009.001); and with time since exposure: prevalence 43% (114\/267) in those presenting within 14\u2009days, 28% (42\/149) after 14\u2009days (p\u2009=\u2009.003). Epidemiological treatment of contacts presenting within 14\u2009days would result in the treatment of 73% (114\/156) of confirmed cases, with 37% (153\/416) contacts unnecessarily treated. The BASHH gonorrhoea guideline changes represent an opportunity to improve antibiotic stewardship by reducing unnecessary treatment of gonorrhoea negative contacts.<\/jats:p>","DOI":"10.1177\/0956462420967575","type":"journal-article","created":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T01:36:45Z","timestamp":1608514605000},"page":"344-351","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Unintended consequences: the potential impacts of the British Association for Sexual Health and HIV (BASHH) 2019 gonorrhoea guidelines"],"prefix":"10.1177","volume":"32","author":[{"given":"Rachel","family":"Burton","sequence":"first","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5437-090X","authenticated-orcid":false,"given":"Sarah","family":"Duncan","sequence":"additional","affiliation":[{"name":"Newcastle upon Tyne Hospitals NHS Foundation Trust, New Croft Clinic, Newcastle, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Wardle","sequence":"additional","affiliation":[{"name":"Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster Royal Infirmary, Doncaster, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandni","family":"Patel","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, Solihull Hospital, Solihull, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9340-1417","authenticated-orcid":false,"given":"Emily","family":"Clarke","sequence":"additional","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,20]]},"reference":[{"key":"bibr1-0956462420967575","doi-asserted-by":"publisher","DOI":"10.3390\/antibiotics7030060"},{"key":"bibr2-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00010-14"},{"key":"bibr3-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2011.011267"},{"key":"bibr4-0956462420967575","unstructured":"Fifer H, Saunders J, Soni S, et\u00a0al. British Association for Sexual Health and HIV national guideline for the management of infection with\n                      Neisseria gonorrhoeae\n                      2019, https:\/\/www.bashhguidelines.org\/media\/1208\/gc-2019.pdf (accessed 10 August 2020)."},{"key":"bibr5-0956462420967575","unstructured":"Centers for Disease Control and Prevention. 2015 Sexually transmitted diseases treatment guidelines: gonococcal infections, https:\/\/www.cdc.gov\/std\/tg2015\/gonorrhea.htm (accessed 10 August 2020)."},{"key":"bibr6-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1177\/0956462412472837"},{"key":"bibr7-0956462420967575","unstructured":"World Health Organization. WHO guidelines for the treatment of\n                      Neisseria gonorrhoeae\n                      , https:\/\/www.who.int\/reproductivehealth\/publications\/rtis\/gonorrhoea-treatment-guidelines\/en\/ (2016, accessed 10 August 2020)."},{"key":"bibr8-0956462420967575","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8122182"},{"key":"bibr9-0956462420967575","unstructured":"Department of Health and Social Care, Public Health England, Integrated sexual health services: a suggested national service specification, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/731140\/integrated-sexual-health-services-specification.pdf (2018, accessed 10 August 2020)."},{"key":"bibr10-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1177\/0956462419879270"},{"key":"bibr11-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1177\/0956462419879278"},{"key":"bibr12-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-018-03949-8"},{"key":"bibr13-0956462420967575","unstructured":"2019 BASHH national audit. Timelines to be seen, test results and treatment for chlamydia, https:\/\/www.bashh.org\/bashh-groups\/national-audit-group\/ (accessed 19 March 20)."},{"key":"bibr14-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2016-052882"},{"key":"bibr15-0956462420967575","unstructured":"House of Commons Health and Social Care Committee. Sexual health, https:\/\/publications.parliament.uk\/pa\/cm201719\/cmselect\/cmhealth\/1419\/1419.pdf (2019, accessed 19 March 2020)."},{"key":"bibr16-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.00473-17"},{"key":"bibr17-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-018-3186-x"},{"key":"bibr18-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.02244-18"},{"key":"bibr19-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1177\/2042098614554919"},{"key":"bibr20-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1177\/030006059602400301"},{"key":"bibr21-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1071\/SH19165"},{"key":"bibr22-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw142"},{"key":"bibr23-0956462420967575","unstructured":"Ministry of Housing, Communities & Local Government. The English Indices of Deprivation 2019 (IoD2019), https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/835115\/IoD2019_Statistical_Release.pdf (accessed 10 August 2020)."},{"key":"bibr24-0956462420967575","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2018.23.27.1800323"},{"key":"bibr25-0956462420967575","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1512757"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420967575","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462420967575","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420967575","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:41:26Z","timestamp":1777675286000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462420967575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,20]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1177\/0956462420967575"],"URL":"https:\/\/doi.org\/10.1177\/0956462420967575","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,20]]}}}