What are the US Preventive Task Force (USPTF) recommendations for gonorrhea screening in males?

Updated: Sep 07, 2018
  • Author: Brian Wong, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

According to the latest US Preventive Task Force (USPTF) statement, there are insufficient data to assess the balance of benefits and harms of screening for gonorrhea in males. [37] However, when testing a male for gonococcal infection, NAAT assay testing of urine specimens is the recommended first-line method for diagnosing gonorrheal genitourinary infections. Evidence has shown that the first catch urine specimen is as good as, if not better than, urethral swabs specimens in the detection of genitourinary gonorrheal infections. [52] Urethral swab specimen collection is recommended in patients in whom CDC-recommended initial therapy has failed based on repeat positive NAAT assay results 7 days or more days after treatment and who are not believed to have been re-exposed to gonorrhea after the treatment course. The specimen should be sent for antibiotic susceptibility to evaluate for antimicrobial resistance.


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