title: Using a national guideline: an audit of the management of gonorrhoea in Newcastle upon Tyne.
abstract: The management of cases of gonorrhoea in the Genitourinary Medicine Department (GUM) of Newcastle upon Tyne in 1999 was audited. The sensitivity of microscopy in diagnosis was 90.4% for male urethral gonorrhoea and 26.6% for female genital gonorrhoea. The sensitivity of laboratory culture was 98.5%. Screening for Chlamydia trachomatis co-infection or treating for presumed co-infection was done in 98% of cases of gonorrhoea and the rates of co-infection were 36.4% in women and 8% in men. Effective first-line therapy was given to 95.4% of cases of genital gonorrhoea. Re-attendance for tests of cure within one month of treatment was achieved in 68.2%. Discussion of partner notification was documented in 94.3% of cases of genital gonorrhoea. In 65% of cases of gonorrhoea, there was documented attendance of sexual partners. The value of a national guideline with auditable targets is discussed.
authors.affiliation: Department of Genitourinary Medicine, Newcastle General Hospital, Newcastle upon Tyne, UK.
authors.forename: P G
authors.initials: PG
authors.lastname: Watson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002690:Chlamydia Infections / Q000382:microbiology / Q000628:therapy*; D002692:Chlamydia trachomatis; D015169:Colony Count, Microbial; D015897:Comorbidity; D004739:England; D005260:Female; D052776:Female Urogenital Diseases / Q000382:microbiology / Q000628:therapy*; D006069:Gonorrhea / Q000382:microbiology / Q000628:therapy*; D006801:Humans; D008297:Male; D052801:Male Urogenital Diseases; D008485:Medical Audit; D008875:Middle Aged; D017410:Practice Guidelines as Topic / Q000592:standards