Gonorrhea in San Francisco Kyle T Bernstein Chief, Epidemiology, Research and Surveillance STD Prevention and Control Services San Francisco Department of Public Health Gonorrhea Control in Region XI: Optimizing Strategies to Reduce Morbidity Phoenix, AZ January 14, 2010
Gonorrhea in San Francisco. Kyle T Bernstein Chief, Epidemiology, Research and Surveillance STD Prevention and Control Services San Francisco Department of Public Health Gonorrhea Control in Region XI: Optimizing Strategies to Reduce Morbidity Phoenix, AZ January 14, 2010. - PowerPoint PPT Presentation
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Gonorrhea in San Francisco
Kyle T BernsteinChief, Epidemiology, Research and Surveillance
STD Prevention and Control ServicesSan Francisco Department of Public Health
Gonorrhea Control in Region XI: Optimizing Strategies to Reduce Morbidity
Gonorrhea Among FemalesBy Census TractSan Francisco, 2008
Number of cases
41 to 5324 to 4113 to 24
6 to 130 to 6
Gonorrhea Among Men Who Have Sex with MenBy Census TractSan Francisco, 2008
Number of cases
8 to 206 to 83 to 62 to 30 to 2
Gonorrhea Among Heterosexual MenBy Census TractSan Francisco, 2008
Approach
Screen, Treat, Treat, Screen
• Screening for MSM and adolescents• Quick and appropriate treatment of index
patient• Quick and appropriate treatment of partners• Rescreening in 3-6 months
Screening for MSM and Adolescents
• SFSTD supports dual GC/CT screening at STD clinic, jails, Magnet, sex worker clinic, and primary care clinics– Annual urogenital screening for females
• <26 years old• Pregnant• IUD insertion
– Rectal and pharyngeal screening for MSM/transmen/transwomen every 3-6 months
• Diagnostic testing supported for patients with symptoms or who are contacts to GC
• Sexual Health Promotion Team targets MSM and adolescents geographically to promote screening
Quick and Appropriate Treatment of Index
• Surveillance staff verify treatment of reported GC cases
• Cefpodoxime 400mg + azithromycin 1 gram PO x 1
• Mosaic penA PCR for GC
• Review of current treatment protocols– Transition to Ceftriaxone
Quick and Appropriate Treatment of Partners
• Patient-delivered partner therapy (PDPT)– Available to all patients tested at STD-supported
clinical sites– Also available through InSpot– Evaluation of PDPT at STD clinic