Overview
Rectal gonorrhea is an increasing concern, particularly among individuals with high-risk sexual behaviors 1. Prompt diagnosis and appropriate management are crucial for public health and addressing antibiotic resistance 1.Diagnosis
Behavioral questioning should be used to identify individuals at risk for gonococcal infection when deciding on diagnostic sampling 1.
Diagnostic testing for rectal gonorrhea is recommended for at-risk individuals 1.Management
Treatment recommendations are provided for primary care professionals 1.
The guideline includes advice on when to add surveillance testing for antibiotic resistance 1.
Guidance on appropriate follow-up care is provided 1.Key Recommendations
Behavioral questioning should be employed to guide diagnostic sampling decisions for gonorrhea 1. (Evidence: Expert opinion)
Targeted testing of at-risk groups is recommended for improved identification of infections 1. (Evidence: Expert opinion)
Clear advice on treatment and follow-up for gonorrhea is provided 1. (Evidence: Expert opinion)References
1 Jespers V, Stordeur S, Berghe WV, Mokrane S, Libois A, Kenyon C et al.. Diagnosis and treatment of gonorrhoea: 2019 Belgian National guideline for primary care. Acta clinica Belgica 2022. link