Guidance

Guidance for the detection of gonorrhoea in England

• From: Public Health England
• Part of: Gonorrhoea: guidance, data and analysis and Sexually transmitted infections (STIs): surveillance, data, screening and management
• Published: 13 August 2014

Guidance on detecting gonorrhoea, including dual nucleic acid amplification tests (NAATs) for chlamydia and gonorrhoea.

Documents

Guidance for the detection of gonorrhoea in England

Ref: PHE publications gateway number: 2014260 PDF, 346KB, 26 pages

Gonorrhoea positive predictive value (PPV) estimate toolkit

MS Excel Spreadsheet, 54.7KB

Gonorrhoea testing and management template service specification

MS Word Document, 749KB

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Details

In light of the findings of a report on the use of dual NAATs for chlamydia and gonorrhoea in the National Chlamydia Screening Programme (NCSP), PHE has published revised guidance for the detection of gonorrhoea in England, including guidance on the use of dual NAATs for chlamydia and gonorrhoea.

The guidance aims to inform the commissioning and clinical delivery of gonorrhoea testing in England by recommending best practice. It highlights that in almost all settings the use of a supplementary NAAT is required to confirm the result, even in settings where prevalence is high, and the need to ensure effective and robust care pathways and management.

There are 2 supplementary documents to support the testing guidance:

1. a tool which supports decision-making on gonorrhoea testing by estimating positive predictive values (PPVs) by clinical setting type in each local authority in England - this uses a statistical algorithm which was developed by quantifying the relationship between the prevalence of gonorrhoea in GUM clinic and community-based settings, using areas where data for both are available

2. a gonorrhoea testing service specification template for commissioners

The guidance can be used by local government and partners to deliver effective, evidence-based services for the detection and management of gonorrhoea.

Document information

Published: 13 August 2014

From: Public Health England

Part of: Gonorrhoea: guidance, data and analysis Sexually transmitted infections (STIs): surveillance, data, screening and management