Characteristics Associated With Disseminated Gonococcal Infections vs Uncomplicated Gonorrhea: A California Case-control Study, 2021-2022

Kelly A Johnson; Roshani Fernando; Rosalyn Plotzker; Nicole O Burghardt; Robert E Snyder; Wyatt Hanft; Kurtis Mohr; Lizzete Alvarado; Gwenyth Crise; Eric C Tang; Kathleen Jacobson

doi:10.1093/cid/ciaf311

Characteristics Associated With Disseminated Gonococcal Infections vs Uncomplicated Gonorrhea: A California Case-control Study, 2021-2022

Clin Infect Dis. 2026 Mar 17;82(3):e612-e615. doi: 10.1093/cid/ciaf311.

Authors

Affiliations

¹ Division of Communicable Disease Control, Center for Infectious Diseases, California Department of Public Health, Sexually Transmitted Diseases (STD) Control Branch, Richmond, California, USA.
² Department of Medicine, Division of Infectious Diseases, University of California San Francisco, San Francisco, California, USA.
³ Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA.

Abstract

Odds of disseminated versus uncomplicated gonorrhea increased among people not prioritized for routine uncomplicated gonorrhea screening, including men who only had sex with female partners (odds ratio [OR] 10.8; 95% confidence interval [CI], 4.8-24.1), people using substances (OR 10.0; 95% CI, 5.4-18.6), and older people (OR 1.09 per year; 95% CI, 1.07-1.11).

Keywords: STD control; disseminated gonococcal infection; public health practice; sexually transmitted infections; uncomplicated gonorrhea.

MeSH terms

Adolescent
Adult
California / epidemiology
Case-Control Studies
Female
Gonorrhea* / diagnosis
Gonorrhea* / epidemiology
Gonorrhea* / microbiology
Humans
Male
Middle Aged
Neisseria gonorrhoeae
Risk Factors
Sexual Partners
Young Adult

Abstract

MeSH terms

Grants and funding