Gonococcal infection: diagnostics and therapy tactics according to russian and foreign clinical recommendations

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Abstract

The article discusses current approaches to management of adult patients suffering from the gonococcal infection according to federal (national) clinical recommendations of the Russian Society of Dermatovenerologists and Cosmetologists (2013), European Guideline on the Diagnoses and Treatment of Gonorrhoeae in Adults (2012) and Sexually Transmitted Diseases Treatment Guidelines (CDC, 2010). The article describes indications for gonococcal infection examinations and diagnostics methods presented in Russian and foreign recommendations. The article describes the treatment regimen based on N. gonorrhoeae antibacterial resistance monitoring results.

About the authors

M. R. Rakhmatulina

State Research Center of Dermatovenereology and Cosmetology, Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: rahmatulina@cnikvi.ru
Russian Federation

References

  1. Рахматулина М.Р., Соколовский Е.В., Фриго Н.В. Российское общество дерматовенерологов и косметологов, Федеральные клинические рекомендации по ведению больных гонококковой инфекцией (Национальные клинические рекомендации) http://193.232.7.120/feml/clinical_ref/0001371449S/HTML/#1
  2. Bignell C., Unemo M. European Guideline on the Diagnoses and Treatment of Gonorrhoeae in Adults http://www.iusti.org/regions/Europe/pdf/2012/Gonorrhoea_2012.pdf
  3. Sexually Transmitted Diseases Treatment Guidelines, 2010 http://www.cdc.gov/std/treatment/2010/gonococcal-infections.htm
  4. World Health Organization (WHO), Department of Reproductive Health and Research: Global action plan to control the spread and impact of antimicrobial resistance in Neisseria gonorrhoeae. Geneva: WHO; 2012: 1-36. Available at: http://www.who.int/reproductivehealth/publications/rtis/9789241503501 (Accessed: March 30, 2014).
  5. CDC. Sexually Transmitted Diseases Surveillance 2012. Atlanta: US Department of Health and Human Services; 2013; avaliable at: http://www.cdc.gov/std/stats11/figs/21.gif
  6. Kirkcaldy R.D. Neisseria gonorrhoeae antimicrobial resistance among men who have sex with men and men who have sex exclusively with women: the Gonococcal Isolate Surveillance Project, 2005-2010 / R.D. Kirkcaldy, A. Zaidi, E.W. Hook, K.K. Holmes, O. Soge, C. del Rio, G. Hall, J. Papp, G. Bolan, H.S. Weinstock. Ann Intern Med 2013. Mar 5; 158 (5 Pt 1): 321-8.
  7. Рахматулина М.Р., Барышков К.В., Абудуев Н.К. Особенности клинических проявлений гонококковой инфекции и тактика терапии заболевания с учетом антибиотико-чувствительности N. gonorrhoeae в Архангельской области. Вестник дерматологии и венерологии. 2014; (6): 100-106
  8. Moran J.S., Levine W.C. Drugs of choice for the treatment of uncomplicated gonococcal infections. Clin Infect Dis 1995; 20 Suppl 1: S47-S65
  9. Newman L.M., Moran J.S., Workowski K.A. Update on the management of gonorrhea in adults in the United States. Clin Infect Dis 2007; 44 Suppl 3: S84-101

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Copyright (c) 2015 Rakhmatulina M.R.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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