- European Centre for Disease Prevention and Control (ECDC) reports a 17% rise in gonorrhea cases from 2016 to 2017 across reporting European Union/European Economic Area (EU/EEA) countries.
- Gonorrhea is now the second most notified sexually transmitted infection (STI) in the EU/EEA after chlamydia.
Why this matters
- Consider pretravel consultations in high-risk patients (especially men who have sex with men [MSM], HIV-positive, and women of reproductive age).
- Encourage condom use, increased testing uptake/frequency.
- Report is based on gonorrhea case data collected by the European Sexually Transmitted Infection Surveillance Network, 2017.
- 89,239 confirmed cases were reported by 27 EU/EEA member states in 2017, representing a 17% increase over 2016.
- Crude notification rate: 22.2/100,000 population (22% increase vs 2016).
- 17 countries accounted for 77% of cases, with highest rates (>25/100,000 population): UK (75/100,000), Ireland (47/100,000), Denmark (33/100,000), Iceland (29/100,000), Norway (27/100,000), Sweden (25/100,000).
- MSM accounted, heterosexuals, unknown accounted for 47%, 45%, 9% of cases, respectively.
- Largest increases since 2008 noted among ages 25-34 (2.7-fold), 35-44 (2.6-fold), ≥45 (2.6-fold) years.
- 5-24 years accounted for 36% of 2017 cases.
- Among cases with known HIV status, 14% were HIV-positive; 22% of known MSM HIV status cases were HIV-positive.