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Sexually transmitted disease surveillance 1999 supplement : Gonococcal Isolate Surveillance Project (GISP) annual report, 1999
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October 2000
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Alternative Title:Gonococcal Isolate Surveillance Project (GISP) annual report, 1999;GISP 1999 surveillance supplement;
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Description:"Gonorrhea is the second most frequently reported communicable disease in the United States. Gonorrhea rates in the United States declined 72% during 1975-1997. However, in 1999, the reported rate of gonococcal infections in the United States (133.2 cases per 100,000 persons) increased by 1.2% compared with the 1998 rate (131.6 cases per 100,000 persons) and 9.2% compared with 1997 (122.0 cases per 100,000 persons) (Figure 1).1 Gonorrhea rates remain high in the southeastern states, among minorities, and among adolescents of all racial and ethnic groups. The health impact of gonorrhea is largely related to its role as a major cause of pelvic inflammatory disease, which frequently leads to infertility or ectopic pregnancy. In addition, recent data suggest that gonorrhea facilitates HIV transmission. Control of gonorrhea has been complicated by the development of resistance to antimicrobial agents. The appearance of penicillinase-producing Neisseria gonorrhoeae (PPNG) and chromosomally mediated penicillin- and tetracycline-resistant N. gonorrhoeae (CMRNG) in the 1970s eventually led to the abandonment of these drugs as therapies for gonorrhea. The currently recommended primary therapies for gonorrhea are two broad-spectrum cephalosporins, ceftriaxone and cefixime, and two fluoroquinolones, ciprofloxacin and ofloxacin. However, fluoroquinolone-resistant N. gonorrhoeae have been reported from many parts of the world, including the United States." -- p. 1.
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Content Notes:Division of STD Prevention, prepared by ... Susan A. Wang ... [et al.].
"October 2000."
Also available via the Internet.
Includes bibliographical references (p. 8-10).
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