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1994-08-27
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Document 0760
DOCN M9480760
TI An outbreak of a penicillin-sensitive strain of gonorrhoea in Sydney
men.
DT 9410
AU Rowbottom JH; Tapsall JW; Plummer DC; Bodsworth NJ; MacDonald MA;
Chambers IW; Kaldor JM; National Centre in HIV Epidemiology and Clinical
Research,; University of New South Wales, Sydney, Australia.
SO Genitourin Med. 1994 Jun;70(3):196-9. Unique Identifier : AIDSLINE
MED/94314309
AB OBJECTIVE--To describe an outbreak of gonorrhoea caused by penicillin
sensitive Wild type 1B2-Wt/1B2(FS), in homosexual men in Sydney. DESIGN
AND SETTING--The study sample comprised all gonococcal isolates referred
to the Gonococcal Reference Laboratory (GRL), New South Wales, Australia
between 1 January 1990 and 30 June 1992. Demographic data on Wt/1B2(FS)
were sought by review of all request forms accompanying specimens to the
GRL. Detailed review was undertaken of the clinical records of all men
with gonorrhoea which had been differentiated by auxotype and serotype
(A/S) from two large STD clinics in Sydney. MEASUREMENTS AND MAIN
RESULTS--The first isolation of Wt/1B2(FS) was made in April 1990 and by
the end of July 1992, 140 such isolates were identified in 131 patients.
The male:female ratio was 130:1 suggesting male homosexual transmission,
which was confirmed in 55 of 57 evaluable cases. There was a higher
proportion of pharyngeal and anal infections among Wt/1B2(FS) isolates
compared with all other male gonorrhoea. Demographic information showed
that 60% of men with Wt/1B2(FS) were under the age of 30, and 80% lived
in Central or Eastern Sydney. CONCLUSIONS--An outbreak of a penicillin
sensitive strain of gonorrhoea has occurred in Sydney, primarily among
gay men living in the inner city. The extent to which the outbreak
represents an increase in the risk of HIV transmission is unclear.
DE Adolescence Adult Age Factors Aged Anus/MICROBIOLOGY *Disease
Outbreaks Female Gonorrhea/DRUG THERAPY/*EPIDEMIOLOGY Homosexuality
Human Male Middle Age Neisseria gonorrhoeae/ISOLATION & PURIF New
South Wales/EPIDEMIOLOGY Penicillins/*THERAPEUTIC USE
Rectum/MICROBIOLOGY Urethra/MICROBIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).