Gonorrhea is a sexually transmitted infection (STI) caused by Neisseria gonorrhea bacteria. Urethral infections in men and uro-genital infections in women are the main presenting feature, but a broad spectrum of clinical presentations can occur, including systemic dissemination with fever and skin and joint involvement. Throat and ano-rectal infections also occur.
In 2018, a total of 4,209 cases was reported in Taiwan. The ratio of males to females was 13. The majority was cases with age group of 25 to 34 years-old (40%). The following was the age group of 15 to 24 years-old (30%). (See Figure 1)
Figure 1. Statistics on age groups of gonorrhea cases in Taiwan, 2007-2018
Prevention and Control
- To reduce gonorrhea transmission.
- To promote safe sex education for general population and STI screening for target population.
- To provide comprehensive case management, including correct diagnosis; effective treatment to avoid complications; health education and counseling.
- How is gonorrhea spread?
- You can get gonorrhea by having vaginal, anal, or oral sex with someone who has gonorrhea. A pregnant woman with gonorrhea can give the infection to her baby during childbirth.
- What is the treatment for gonorrhea?
- Recommended treatment for uncomplicated infections is a third-generation cephalosporin or a fluoroquinolone plus an antibiotic (e.g., doxycycline) effective against possible coinfection with Chlamydia trachomatis. Sex partner(s) should be referred and treated. No effective vaccine yet exists.
- Can gonorrhea be cured?
- Yes, gonorrhea can be cured with the right treatment. However, it is becoming harder to treat some gonorrhea, as drug-resistant strains of gonorrhea are increasing. If your symptoms continue for more than a few days after receiving treatment, you should return to a health care provider to be checked again.
- WHO - STIs
- STI (Sexually Transmitted Infections) Online
- Guideline on Antimicrobial Therapy of Sexually Transmitted Diseases in Taiwan.
- J Microbiol Immunol Infect 2010;43(1):81–83
- USCDC - STD treatment guideline 2015