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P063 Staff, Associate Specialist and Specialty (SAS) Doctors’ National Audit on the Management of Gonorrhoea in the UK
  1. Helen Mullan1,
  2. Carlos Oroz2,
  3. Jane Richards3,
  4. John Lee4
  1. 1Central London Community Healthcare NHS Trust, London, UK
  2. 2Chalmers Sexual Health Centre, Edinburgh, UK
  3. 3Newcastle Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
  4. 4Josephine Butler Centre, Wakefield, UK

Abstract

Background/introduction The British Society for Sexual Health and HIV (BASHH) revised United Kingdom national guideline for the management of gonorrhoea in adults, 2011, identified five auditable outcome measures. The UK National Guideline for Gonorrhoea Testing, Clinical Effectiveness Group, BASHH, 2012, suggested a further three.

Aim(s)/objectives The aim was to audit national management of gonorrhoea against the standards recommended in these two documents. Only SAS doctors were eligible to participate.

Methods SAS doctors, whose details were registered on the SAS database, were invited to contribute. All clinics were asked to designate a Local Co-ordinator who would register that clinic and allocate patients to the other participating doctors. Results for the individual clinics were sent to the Local Co-ordinator for dissemination. All information was submitted via a secure online link. Data from forty patients was requested.

Results 3233 cases were submitted from 78 centres by 168 doctors. 68% cases were male and 44% were MSM. 83% received first line treatment. 97% were tested or treated for CT. 41% offered written information on GC. Culture attempted in 86% of those GC NAAT positive. Sensitivity testing performed on 94% culture positive. Supplementary testing performed on 61% throat and 60% rectal NAAT reactive. TOC performed on 61%; 41% of these within 2 weeks. Partner notification was done in 92% cases.

Discussion/conclusion 83% patients received first-line treatment. A reason was provided for 11% treated with other regimens. The number offered written information was low at 41%. Results about supplementary testing were inconsistent. The results for the other outcomes were satisfactory.

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