Diagnosis and management of gonorrhoea
### What you need to know Gonorrhoea is of increasing concern for global sexual health. Continued stigmatisation of sexual health, particularly for those in marginalised communities, contributes to increasing incidence, greater complexity of cases, and the rise of multidrug resistant strains.1 Antimicrobial resistance (AMR) limits treatment options. Condoms are highly effective at preventing transmission, but their use has been declining across several groups, even prior to the arrival of HIV pre-exposure prevention.23 Here, we consider the challenges of diagnosis and holistic management of gonorrhoea in a global context as well as current and future treatment strategies. An estimated 82.4 million new gonorrhoea infections occurred globally in 2020, making gonorrhoea the second most commonly diagnosed bacterial sexually transmitted infection (STI) after chlamydia.4 Incidence of reported cases is highest in the World Health Organization (WHO) African region (adult incidence 36 per 1000
