Pathogenesis and Management of Gonorrhea

Gonorrhea is one of the oldest recorded diseases of mankind. Over the past 15 years it has reached epidemic proportions, afflicting principally the most sexually active 15-30 years old age group at a rate of 121000yr. The reasons for such high rates are multifactorial. Increased promiscuity among sexually active adults, the propensity of gonorrhea to remain asymptomatic, the unique epidemiology of the disease and increased antibiotic resistance have all played important roles. Gonorrhea rates have always been particularly high in the Armed Forces, and presently remain 6 times that of a matched U.S. civilian cohort.