ensure successful cure and to reduce risk of antimicrobial resistance5 Partner notification5 Partner notification should be carried out in patients with a confirmed diagnosis of gonorrhoea in accordance with national standards Test of cure A test of cure (TOC) should be carried out for all cases of gonorrhoea to monitor treatment failure Treatment failure8 Suspected cases of treatment failure should be reported to PHE using this link: STI screening8 Patients diagnosed with gonorrhoea are at high risk of other STIs and should be offered a full STI screen, including tests for syphilis and HIV (and chlamydia if not already performed) Referral The above steps can be performed by the service provider if they are competent to under the integrated sexual health services specification If the provider cannot meet the requirements for patients who test positive for gonorrhoea, then patients should be referred to a specialist service, usually a genitourinary medicine (GUM) clinic, for further management The provider should take steps to ensure there is a mechanism to minimise loss to follow-up for all patients, and in particular for those patients who are referred to a different service 3.3 Population Covered(Insert details of population area to be covered) 3.4 Any acceptance and exclusion criteria and thresholds A suitable testing algorithm should be in place to avoid high rates of false positive test results. The testing algorithm should give a minimum PPV of 90%. In almost all cases, because of low prevalence, this will require the use of a supplementary molecular test with a different nucleic acid target to confirm the result. 3.5 Interdependencies with other services Care pathways must be in place to ensure prompt and effective treatment of confirmed gonorrhoea, test of cure, partner notification and a full STI screen, according to national guidelines. If the service cannot meet these requirements, documented referral pathways to a specialist service for further management,
ensure successful cure and to reduce risk of antimicrobial resistance5 Partner notification5 Partner notification should be carried out in patients with a confirmed diagnosis of gonorrhoea in accordance with national standards Test of cure A test of cure (TOC) should be carried out for all cases of gonorrhoea to monitor treatment failure Treatment failure8 Suspected cases of treatment failure should be reported to PHE using this link: STI screening8 Patients diagnosed with gonorrhoea are at high risk of other STIs and should be offered a full STI screen, including tests for syphilis and HIV (and chlamydia if not already performed) Referral The above steps can be performed by the service provider if they are competent to under the integrated sexual health services specification If the provider cannot meet the requirements for patients who test positive for gonorrhoea, then patients should be referred to a specialist service, usually a genitourinary medicine (GUM) clinic, for further management The provider should take steps to ensure there is a mechanism to minimise loss to follow-up for all patients, and in particular for those patients who are referred to a different service 3.3 Population Covered(Insert details of population area to be covered) 3.4 Any acceptance and exclusion criteria and thresholds A suitable testing algorithm should be in place to avoid high rates of false positive test results. The testing algorithm should give a minimum PPV of 90%. In almost all cases, because of low prevalence, this will require the use of a supplementary molecular test with a different nucleic acid target to confirm the result. 3.5 Interdependencies with other services Care pathways must be in place to ensure prompt and effective treatment of confirmed gonorrhoea, test of cure, partner notification and a full STI screen, according to national guidelines. If the service cannot meet these requirements, documented referral pathways to a specialist service for further management,