Gonorrhoea notifications and nucleic acid amplification testing in a very low-prevalence Australian female population

Abstract

Objectives: To examine whether the rapid increase of gonorrhoea notifications in Victoria, Australia, identified by nucleic acid amplification test (NAAT) is supported by similar changes in diagnoses by culture, which has higher specificity, and to determine the proportion of tests positive among women tested. Design, setting and participants: Retrospective analysis of Medicare reporting of dual NAATs in Victoria, Victorian Department of Health gonorrhoea notifications, and gonorrhoea culture data at the Melbourne Sexual Health Centre (MSHC), among women, 2008 to 2013. Main outcome measures: Gonorrhoea notifications and testing methods. Results: Gonorrhoea cases identified by NAAT increased ..