An audit on the management of gonorrhoea at the Whittall Street Clinic, Birmingham, UK

The aim of this study was to investigate the compliance of management of gonorrhoea with the national recommendations. The method used was a retrospective audit on consecutive cases of culturally proven gonorrhoea. In total, 131 men and 100 women were included. Four men and nine women were not treated with the appropriate antibiotic. Seven women had not received any treatment. Only 0.33 partners for each case of gonorrhoea were contacted. Uptake of HIV testing was 64%. Treatment failure was recorded among three of 33 patients with test of cure. Oro-pharyngeal swabs were obtained in 34% of the patients with a history of oral sex. In only three of the nine auditable standards targets were met. In conclusion, staff re-training, updated local protocols, routine offer of test of cure and methods to improve partner notification were implemented to improve the management of gonorrhoea.