67% Increase of Gonorrhea Case Reports in NH

NH Division of Public Health Services AlertsThe NH DHHS issued a health alert on August 19, regarding a 67% increase of gonorrhea case reports in New Hampshire.

Key Points and Recommendations:

• Be aware of the increase of reported gonorrhea cases in New Hampshire and improve STD screening practices: 

  • For all of your patients, take a thorough sexual history to determine patient risk and need for STD screening.
  • For high risk patients, perform annual gonorrhea screening.
  • For all sexually active females aged <25 years, screen annually for C. trachomatis and N. gonorrhoeae.  
  • For patients who request other STD testing, include gonorrhea testing.
  • For all patients diagnosed with gonorrhea, perform an HIV test.
  • For patients who report non-vaginal intercourse, conduct site-specific screening for gonorrhea.
  • For patients who report sexual contact with a gonorrhea-infected partner within 60 days of symptom onset, evaluate, test and presumptively treat with dual therapy.

• Be aware of national emergence of antibiotic resistant Neisseria gonorrhoeae, and that the preferred therapy for treatment of gonorrhea is now ceftriaxone 250 mg intramuscular once AND azithromycin 1 g orally once.

• For consultation, the NH Division of Public Health Services Public Health Nurse is available 24/7 at 603-271-4496 and the National Network of STD Clinical Prevention Training Centers (NNPTC) has an online system to provide clinical consultation about STDs, called the STD Clinical Consultation Network (STDCCN). More information can be found at: https://www.stdccn.org/.

Download the full DHHS alert