Targeting core groups for gonorrhoea control: feasibility and impact.
OBJECTIVE
We aimed to outline why core groups should be targeted in Neisseria gonorrhoeae control and suggest several important and timely interventions to target core groups while highly resistant strains are spreading.


METHODS
Core group definition, feasibility and impact of gonorrhoea core group interventions as well as gonorrhoea resistance development have been reviewed in the paper.


RESULTS
Core group interventions have proven effective in gonorrhoea control in the past but are compromised by the spread of highly resistant strains.


CONCLUSIONS
Worldwide functional Gonorrhoea Antimicrobial Surveillance Program, better screening and better treatment programmes are needed. Prevention through condom promotion aimed at core groups remains essential. More specific treatment guidance for low-income and middle-income countries without resistance data is required in the meantime to achieve a better use of antibiotics.
Centre de recherche du CHU de Québec, Québec, Canada Département de médecine sociale et préventive, Université Laval, Québec, Canada.
Katia
K
Giguère
Centre de recherche du CHU de Québec, Québec, Canada Département de médecine sociale et préventive, Université Laval, Québec, Canada Institut national de santé publique du Québec, Québec, Canada.
Michel
http://orcid.org/0000-0002-0246-4429
M
Alary
D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D003140:Communicable Disease Control / Q000458:organization & administration*; D017280:Condoms / Q000706:statistics & numerical data; D024881:Drug Resistance, Bacterial; D005240:Feasibility Studies; D006069:Gonorrhea / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D018451:Homosexuality, Male / Q000523:psychology; D006801:Humans; D008297:Male; D009344:Neisseria gonorrhoeae / Q000187:drug effects* / Q000472:pathogenicity*; D017063:Outcome Assessment, Health Care; D015995:Prevalence; D011634:Public Health; D040242:Risk Reduction Behavior; D018571:Sentinel Surveillance; D060386:Sex Workers / Q000523:psychology; D012747:Sexual Partners / Q000523:psychology; D047568:Unsafe Sex / Q000517:prevention & control / Q000706:statistics & numerical data
D000900:Anti-Bacterial Agents
ANTIMICROBIAL RESISTANCE; CONTROL PROGRAMS; INTERVENTION STUDIES; NEISSERIA GONORRHOEA