Abstract
Gonorrhea has been a public nuisance long before it was identified as a bacterium. Gonorrhea can be identified as one of the oldest known human diseases. References to a urethritis acquired from sexual contact can be read about in the Old Testament, and ancient Chinese writings (Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. Churchill Livingstone, Orlando, 2009). Its name is quite descriptive of its symptoms, as least in men. The name gonorrhea, is derived of “flow of seed,” was coined in 130 ad when it was noted that the purulent discharge of this disease appeared similar to semen. Not until as recently as 1879 was German physician Albert Neisser able to identify and describe the bacteria causing such nuisance, Neisseria gonorrhoeae (Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. Churchill Livingstone, Orlando, 2009). Despite a known cause, physicians had no true treatment for gonorrhea until the 1930s brought the advent of antibiotics; first with sulfonamides then penicillin in the 1940s. However, N. gonorrhoeae has continued to be a troublesome bug, growing resistant to multiple treatments, including penicillin. The medical community today must remain continuously vigilant, and stay ahead of resistance of this hardy and common bacterium.
This chapter will provide a discussion of the incidence, diagnosis, and treatment of gonorrheal infections with special emphasis paid to antibiotic resistance. The 2010 CDC treatment guidelines will be reviewed along with the 2012 updates.
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References
Mandell GL, Bennett E, Dolin R. Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. Orlando: Churchill Livingstone; 2009.
Centers for Disease Control and Prevention. Gonococcal infections. MMWR. 2010;17:49–55.
Centers for Disease Control and Prevention. Gonococcal Isolate Surveillance Project (GISP) [Internet]. 2012. Available from: http://www.cdc.gov/STD/gisp/default.htm.
Centers for Disease Control and Prevention. Cephalosporin susceptibility among Neisseria gonorrhoeae isolates—United States, 2000-2010. MMWR Wkly. 2011;60:873–7.
Hwang LSM. Chlamydia trachomatis infection in adolescents. Adv Pediatr. 2004;51:379–407.
Goldman L, Schafer A. Goldman’s Cecil medicine. St. Louis: W.B. Saunders; 2011.
Miller K. Diagnosis and treatment of Nessieria gonorrhoeae infections. Am Fam Physician. 2006;15:1779–84.
Creighton S. Gonorrhea. Am Fam Physician. 2012;85(6):642–3.
Renault CA, Hall C, Kent CK, Klausner JD. Use of NAATs for STD diagnosis of GC and CT in non-FDA-cleared anatomic specimens. Med Lab Obs. 2006;38(7):10; 12–6; 21–2.
Mayor MT, Roett AM, Uduhiri KA. Diagnosis and management of gonococcal infections. Am Fam Physician. 2012;86(10):931–8.
Centers for Disease Control and Prevention. Update to CDC’s sexually transmitted diseases treatment guidelines, 2010: oral cephalosporins no longer a recommended treatment for gonococcal infections. MMWR Wkly. 2012;61:590–4.
Peterman TA, Tian LH, Metcaf CA. High incidence of new sexually transmitted infections in the year following a sexually transmitted infection: a case for rescreening. Ann Intern Med. 2006;17:564–72.
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Thuener, J.E., Clouse, A.L. (2013). Gonorrhea. In: Skolnik, N., Clouse, A., Woodward, J. (eds) Sexually Transmitted Diseases. Current Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-499-9_4
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DOI: https://doi.org/10.1007/978-1-62703-499-9_4
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