Current profile and management of gonococcal infections: A population-based study in Western France - 09/03/21
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Highlights |
• | This population-based study of 245 patients with documented gonococcal infections in Western France in 2014–2016, found that:. |
• | Almost 50% of cases are diagnosed by a general practitioner;. |
• | The main clinical presentations include urethritis and pelvic inflammatory disease;. |
• | Antibacterial treatment was appropriate in 100% of urethritis cases, and<50% of pelvic inflammatory diseases. |
Abstract |
Objective |
To characterize the current profile of gonococcal infections in France, and to describe their management.
Patients and method |
A population-based retrospective study of all gonococcal infections documented by PCR in two French departments (Île-et-Vilaine, Morbihan), in 2014–2016. Cases were identified through hospital databases and the Rénago sentinel network.
Results |
We enrolled 245 patients (96 females, 149 males), with a median age of 25 years [interquartile range, 21–33]. The incidence rate was estimated at 4.54 per 100,000 inhabitants-year. Cases were diagnosed mostly by a general practitioner (n=122, 49.8%) or a gynecologist (n=45, 18.4%). The main clinical presentations included urethritis (n=59), pelvic inflammatory disease (n=40), cervicitis (n=12), and anorectitis (n=11). The main coinfections were Chlamydia trachomatis (n=40) and HIV (n=8). Ceftriaxone MIC was≤0.12mg/L in 146/147 patients with positive culture. Treatment was appropriate in 52/74 (70.2%) patients with available data.
Conclusions |
In France, general practitioners are at the front line in management of gonococcal infections.
Le texte complet de cet article est disponible en PDF.Keywords : Neisseria gonorrhea, General practitioner, Population-based study
Plan
Vol 51 - N° 2
P. 201-204 - mars 2021 Retour au numéro
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