Control of Neisseria gonorrhoeae infection in the United States : report of an external consultants’ meeting convened by the Division of STD Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), October 10-11, 2001
Corporate Authors:National Center for HIV, STD, and TB Prevention (U.S.). Division of STD Prevention.
Description:Gonorrhea is one of the most common reportable diseases in the United States. Untreated gonorrhea in women can result in pelvic inflammatory disease and subsequent infertility, ectopic pregnancy, and chronic pelvic pain. In addition, substantial evidence suggests that gonorrhea facilitates the transmission of HIV infection in both men and women. Following the implementation of a national gonorrhea program, rates of gonorrhea in the United States declined fairly steadily from 1975 to 1997. From1997 to 2001, the overall gonorrhea rate has increased by more than seven percent.
With recognition of this reversal in gonorrhea trends, the Centers for Disease Control and Prevention’s (CDC) Division of STD Prevention convened an experts’ consultation to discuss challenges and new directions for gonorrhea control. The meeting on October 10-11, 2001 involved 24 participants from CDC and 22 external consultants who had expertise in the biology and epidemiology of Neisseria gonorrhoeae, clinical services for gonorrhea, and gonorrhea prevention. The meeting was organized around three workgroups which addressed five areas: screening, partner services, prompt entry into health care, effective treatment, and behavior change. Workgroups developed recommendations for gonorrhea prevention activities and research priorities based on discussion in each of these areas. These were organized and sent back to meeting participants to rank in terms of priority (high, medium, or low). Priority rankings were to reflect perceived public health impact and feasibility.
This report presents the recommendations and priority rankings of the consultants and is organized according to the following topics: surveillance and screening, partner services, health care access and utilization, quality of care and effective treatment, and sexual behavior change and other interventions for high-risk networks. For each topic, the report contains a summary of workgroup discussion, general principles developed by the consultants, and recommendations for prevention and research activities. The principles are broad statements regarding the goals or general organization of gonorrhea prevention services. Recommendations provide more specific guidance for prevention and research activities. The recommendations are directed at a broad audience of organizations and persons working in STD prevention; some recommendations specifically identify activities appropriate for CDC or for local STD programs. Each principle or recommendation is followed by the average priority rating (low, medium, or high) given to it and the degree of consensus (low, moderate, or high) with regard to the rating. Specific areas of disagreement among the consultants are noted where appropriate.
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