期刊
ACTA DERMATO-VENEREOLOGICA
卷 92, 期 3, 页码 316-319出版社
ACTA DERMATO-VENEREOLOGICA
DOI: 10.2340/00015555-1275
关键词
TOC; test-of-cure; N. gonorrhoeae; PCR; NAAT
类别
资金
- Department of Microbiology at the University Hospital of North Norway, Tromso, Norway
Culture is commonly regarded as the gold standard for diagnosis of Neisseria gonorrhoeae. However, nucleic acid amplification tests (NAATs) have rapidly replaced culture for diagnostics in many settings. The aim of the present study was to investigate the appropriate time for test-of-cure (TOC) when NAATs are used for diagnosis of gonorrhoea. In total, 30 patients (28 men and 2 women) provided urethral, cervical, rectal or pharyngeal specimens for TOC. All included patients, except one who did not return for second TOC before day 19, tested negative within 2 weeks after treatment with cefixime 400 mg x 1. Antimicrobial susceptibility testing showed that 68% of the culture-positive strains were resistant to ciprofloxacin. Thus, the recommended empirical treatment with ciprofloxacin in Norway should be changed immediately. TOC can be performed 2 weeks after treatment when NAATs are used for diagnosis of gonorrhoea.
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