Childhood gonorrhoea in Auckland.

AIM To review the Auckland experience of childhood gonorrhoea, with particular regard to inter-agency management and medicolegal outcome. METHODS Retrospective review of medical records at a specialist child abuse assessment unit, and follow up with other agencies involved. RESULTS Twelve cases of genital gonorrhoea in pre-pubertal children in five years, in contrast to two cases in the preceding six years. Major problems in inter-agency coordination, and an inability to identify the source of the infection in most cases. CONCLUSIONS Gonorrhoea in the pre-pubertal child is an increasing problem, and is often poorly handled. Proposals for an inter-agency guideline are discussed.