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A recent Commentary in this journal1 encourages wider implementation of nucleic-acid amplification tests (NAATs) to detect gonorrhoea (GC). We have used GC NAATs (APTIMA Combo2; Gen-Probe Inc., San Diego, California, USA) since 2003, with high uptake, in a Liverpool chlamydia screening population and with referral of GC-positive patients to our local genitourinary medicine (GUM) clinic for management.2 We have now observed a doubling of female cases of GC and a reversal of the downward trend for male …
Competing interests: None declared