Evidence map›Paper›PMID 29659749›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2018

A Brief History of Evolving Diagnostics and Therapy for Gonorrhea: Lessons Learned.

Edward W Hook, Robert D Kirkcaldy

Open access · bronzeAbstract readHistorical ArticleReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021
    Guideline
  2. Trial
  3. Plasmids inClinical microbiology reviews · 2026
    Review
  4. Article
  5. Resistance Patterns ofAntibiotics (Basel, Switzerland) · 2025
    Article
  6. Antimicrobial susceptibilities ofCanada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Antimicrobial susceptibilities ofCanada communicable disease report = Releve des maladies transmissibles au Canada · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Antimicrobial susceptibilities ofCanada communicable disease report = Releve des maladies transmissibles au Canada · 2022
    Article
  17. The Natural History of Rectal Gonococcal and Chlamydial Infections: The ExGen Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Edward W HookDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham.
Robert D KirkcaldyDivision of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USUniversity of Alabama at Birmingham · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Progressively decreasing susceptibility of Neisseria gonorrhoeae to the antibiotics recommended for treatment has raised concerns about the public health threat of antibiotic resistant gonorrhea. This is not a new process, and the organism has reliably developed resistance to all modern antibiotics used for treatment since the dawn of the antibiotic era. The history of changing recommendations for gonorrhea therapy is complex, however, and has been influenced by diagnostic test methods and surveillance. Understanding the impact of these influences may provide insights into current approaches to address this reemerging public health challenge. We reviewed available methods for gonorrhea diagnosis, and public health recommendations for gonorrhea treatment. The literature review was supplemented by qualitative interviews with senior investigators whose research helped shape gonorrhea management strategies over the past 50 years. The process of development of antimicrobial resistance to the antibiotics widely used for treatment seems to be inexorable. Many currently voiced concerns are similar to those raised in the past. The public health threat of increasing antimicrobial resistance by N. gonorrhoeae has been amplified as a result of a smaller pipeline introducing new drugs for gonorrhea treatment. Improved methods for gonorrhea diagnosis have also repeatedly influenced appreciation of the burden of disease caused by N. gonorrhoeae. US Public Health Service leadership has also shaped and improved the management of this important public health problem.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialGonorrheaHistory, 20th CenturyHistory, 21st CenturyHumansMicrobial Sensitivity TestsNeisseria gonorrhoeaePublic HealthUnited StatesAnti-Bacterial Agents

Identifiers

PMID29659749
PMCPMC6452490
OpenAlexW2796358362

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.