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Gonorrhoea is the most commonly reported notifiable disease in Australia. It is contagious and mainly spread by sexual intercourse. It predominantly affects mucosal and glandular structures of the genital tract and, less commonly, the rectum, oropharynx or conjunctivae. The causative organism is Neisseria gonorrhoeae, a fastidious, gram negative, kidney -shaped diplococcus.

B-lactamase (penicillinase) producing N gonorrhoeae (PPNG) is resistant to penicillin and is common in South East Asia and endemic in Australia. Spectinomycin and cephalosporins are effective in treating these infections. Spectinomycin-resistant PPNG strains have been reported but are not yet a problem. A high incidence of PPNG indicates poor STD control. Although the total number of cases of gonorrhoea in Australia has been falling for several years, the proportion of cases with PPNG infection is increasing.

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Tags: Men’s Health

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