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Gonorrhoea surveillance in Ghana, Africa
  1. C Duplessis1,
  2. N Puplampu2,
  3. E Nyarko3,
  4. J Carroll3,
  5. Dela Helena2,
  6. A Mensah3,
  7. A Amponsah3,
  8. JL Sanchez4
  1. 1 Naval Medical Research Center (NMRC), Biological Defense Research Directorate (BDRD), Silver Spring, Maryland USA
  2. 2 U.S. Naval Medical Research Unit No. 3 and Global Disease Detection Regional Center, (GDDRC), U.S. Centers for Disease Control and Prevention Adjacent to Abbassia Fever Hospital, Cairo, Egypt
  3. 3 Ghana Armed Forces, Ghana Africa
  4. 4 Armed Forces Health Surveillance Center (AFHSC) and Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. (HJF), Silver Spring, Maryland, USA
  1. Correspondence to Dr Christopher Duplessis, Naval Medical Research Center (NMRC), 814 Blakely Court Frederick Md 20712, Silver Spring, MD 20712, USA; chris.duplessis{at}

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Multidrug-resistant Neisseria gonorrhoeae necessitates surveillance. We implemented gonorrhoea surveillance in Ghana to characterise prevalence and resistance, hitherto undefined. Despite a paucity of data, gonorrhoea resistance may be predicted given contemporary indiscriminate antimicrobial usage, and stewardship, suspect antimicrobial compliance, increasing global travel and lack of laboratory infrastructure.

Gonorrhoea surveillance was executed from June 2012 to March 2013. The population encompassed a convenience sampling of patients presenting with sexually transmitted illness (STI) symptoms to participating clinics in Accra and Takoradi, Ghana. Participants provided a urine sample for NAAT testing for chlamydia and gonorrhoea. The LightMix kits to detect N gonorrhoeae (TIB MOLBIOL, Berlin, Germany) and Chlamydia trachomatis …

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