To the Editor: From 2000 to 2009, national and New South Wales gonorrhoea notification rates were reasonably stable, but since 2010 have shown a marked rise.1 In a recent inner Sydney clinic-based study, most infections were in men who have sex with men (MSM), and chlamydia co-infection was common.2
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- 1. Australian Government Department of Health and Ageing. National Notifiable Diseases Surveillance System. http://www9.health.gov. au/cda/source/rpt_3.cfm (accessed Jul 2013).
- 2. Templeton DJ, Manokaran N, O’Connor CC. Prevalence and predictors of chlamydia co-infection among patients infected with gonorrhoea at a sexual health clinic in Sydney. Sex Health 2012; 9: 392-394.
- 3. Whiley DM, Goire N, Lahra MM, et al. The ticking timebomb: escalating antibiotic resistance in Neisseria gonorrhoeae is a public health disaster in waiting. J Antimicrob Chemother 2012; 67: 2059-2061.
- 4. Madeddu D, Grulich A, Richters J, et al. Estimating population distribution and HIV prevalence among homosexual and bisexual men. Sex Health 2006; 3: 37-43.
- 5. Botham SJ, Ressler KA, Maywood P, et al. Men who have sex with men, infectious syphilis and HIV coinfection in inner Sydney: results of enhanced surveillance. Sex Health 2013; 10: 291-298. doi: 10.1071/SH12142.
- 6. Hughes G, Nichols T, Peters L, et al. Repeat infection with gonorrhoea in Sheffield, UK: predictable and preventable? Sex Transm Infect 2013; 89: 38-44.
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