{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:32:45Z","timestamp":1786739565814,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n \n Gonorrhea caused by\n Neisseria gonorrhoeae<\/jats:italic>\n is an sexually transmitted infection (STI), particularly observed among young people between 15 and 24 years of age. Gonorrhoea remains a significant public health problem due to its recent resurgence and the emergence of antibiotic resistance. Understanding the epidemiological patterns is crucial for effectively addressing the burden of the disease and developing targeted interventions.\n <\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n This was a single center and retrospective study conducted over 6 years from March 2018 to March 2024. The case records of 69 patients of gonorrhea (Group A [precoronavirus diseases 2019 (COVID-19);\n n<\/jats:italic>\n = 11] and Group B [post-COVID-19;\n n<\/jats:italic>\n = 58]) who attended STI clinic of a tertiary care center were analyzed. Gonorrhea had been diagnosed based on the clinical presentation and Gram-stained smear examination.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The average age of patients in Group A and B was comparable (31.1 and 31.3 respectively). Males outnumbered the females, but remarkably 36.2% female patients had gonorrhea. The frequency of sexual encounter per month was significantly higher in Group B (mean 3.76) as compared to Group A (1.36;\n P<\/jats:italic>\n = 0.0002). In Group B, seven patients were males who have sex with males (MSM). Marital status, educational, occupation, age of first sexual contact, and sexual orientation were comparable in both the groups. Pharyngeal and rectal involvement was seen in 2 and 1 patients, respectively. Five patients had reinfection and three patients had lack of response with suspected resistance to ceftriaxone. Partner screening was possible in only 8.6% of the patients in post-COVID-19 group.\n <\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n In this study, we found a higher number of gonorrhea patients (58) during the post-COVID-19 era. This may be attributable to higher number of partners, contact with commercial sex workers and increased frequency of sexual contact per month. Extragenital gonorrhea was also found in MSM patients. Decriminalization of homosexuality and easy access to digital media makes it easy to find partners online, but this has a hazardous impact due to casual sexual encounters, risky sexual behavior, condomless sex, increased number of sexual partner, and importantly difficulty in partner tracing.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Our study indicates, resurgence of gonorrhea in post-COVID-19 period and emergence of cases with lack of adequate treatment response, thereby, emphasizing the need for increased surveillance.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijstd.ijstd_15_25","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T14:01:12Z","timestamp":1779199272000},"page":"27-31","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Increased Post-Covid 2019 burden of gonorrhea at a tertiary care hospital in Delhi: Cause for concern"],"prefix":"10.4103","volume":"47","author":[{"given":"Deepika","family":"Pandhi","sequence":"first","affiliation":[{"name":"Department of Dermatology and STD, UCMS and GTB Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Dermatology and STD, UCMS and GTB Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharti","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Dermatology and STD, UCMS and GTB Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Singal","sequence":"additional","affiliation":[{"name":"Department of Dermatology and STD, UCMS and GTB Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"R1-20260626","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/s12875-024-02395-4","article-title":"Sexually transmitted infections, the epidemic that persists after the COVID-19 pandemic: An analysis of the primary care electronic health records covering about 5 million people in Catalonia","volume":"25","author":"Guiriguet","year":"2024","journal-title":"BMC Prim Care"},{"key":"R2-20260626","doi-asserted-by":"crossref","first-page":"548","DOI":"10.2471\/BLT.18.228486","article-title":"Chlamydia, gonorrhoea, trichomoniasis and syphilis: Global prevalence and incidence estimates, 2016","volume":"97","author":"Rowley","year":"2019","journal-title":"Bull World Health Organ"},{"key":"R4-20260626","doi-asserted-by":"crossref","first-page":"255","DOI":"10.15585\/mmwr.mm7312a2","article-title":"Ceftriaxone-resistant gonorrhea \u2013China, 2022","volume":"73","author":"Zhu","year":"2024","journal-title":"Morb Mortal Wkly Rep"},{"key":"R5-20260626","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1071\/SH22172","article-title":"Along trend of sexually transmitted diseases before and after the COVID-19 pandemic in China (2010-21)","volume":"20","author":"Xu","year":"2023","journal-title":"Sex Health"},{"key":"R7-20260626","doi-asserted-by":"crossref","first-page":"15","DOI":"10.4103\/ijstd.ijstd_74_23","article-title":"Risk factors associated with increasing prevalence of gonorrhea and the antimicrobial susceptibility profiles of Neisseria gonorrhoeae among adolescents:A decade-long, hospital-based study from India","volume":"45","author":"Sharma","year":"2024","journal-title":"Indian J Sex Transm Dis AIDS"},{"key":"R8-20260626","first-page":"e0154","article-title":"Novel gonorrhea strain in the United States of America leading to increase of sexually transmitted diseases load: Is it an outcome of inexorable process of developing antibiotic resistance?","volume":"6","author":"Oduoye","year":"2023","journal-title":"IJS Glob Health"},{"key":"R9-20260626","doi-asserted-by":"crossref","first-page":"329","DOI":"10.3201\/eid3002.231148","article-title":"Rebound of gonorrhea after lifting of COVID-19 preventive measures, England","volume":"30","author":"Fountain","year":"2024","journal-title":"Emerg Infect Dis"},{"key":"R10-20260626","first-page":"26","article-title":"Increasing incidence of gonorrhea at an urban STI clinic in the United States","volume":"107","author":"Vargas","year":"2024","journal-title":"R I Med J (2013)"},{"key":"R11-20260626","doi-asserted-by":"crossref","first-page":"e61","DOI":"10.1016\/j.sexol.2018.05.001","article-title":"Using smartphone apps to find sexual partners: A review of the literature","volume":"27","author":"Anzani","year":"2018","journal-title":"Sexologies"},{"key":"R12-20260626","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1136\/medhum-2024-012901","article-title":"Dating apps as health allies? Examining the opportunities and challenges of dating apps as partners in public health","volume":"50","author":"Garcia-Iglesias","year":"2024","journal-title":"Med Humanit"},{"key":"R15-20260626","first-page":"5","article-title":"Engaging with the law: Decriminalisation of homosexuality and the Johar Judgement, 2018","volume":"6","author":"Borah","year":"2018","journal-title":"Space Cult India"},{"key":"R16-20260626","doi-asserted-by":"crossref","first-page":"116","DOI":"10.4103\/ijstd.ijstd_80_23","article-title":"Anatomic site distribution of Neisseria gonorrhoeae in men who have sex with men attending a tertiary care hospital in North India","volume":"45","author":"Verma","year":"2024","journal-title":"Indian J Sex Transm Dis AIDS"},{"key":"R17-20260626","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1097\/OLQ.0000000000001777","article-title":"Asystematic review of kissing as a risk factor for oropharyngeal gonorrhea or chlamydia","volume":"50","author":"Charleson","year":"2023","journal-title":"Sex Transm Dis"}],"container-title":["Indian Journal of Sexually Transmitted Diseases and AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_15_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:30:04Z","timestamp":1786735804000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_15_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijstd.ijstd_15_25","relation":{},"ISSN":["2589-0557","2589-0565"],"issn-type":[{"value":"2589-0557","type":"print"},{"value":"2589-0565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-01-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}