Gonococcal infections.

1. Adolescents (15–19 years of age) and young adults (20–24 years of age) account for the majority of new cases of gonorrhea reported each year. Gonococcal infections in postpubertal females are commonly asymptomatic. Complications such as pelvic inflammatory disease (PID) and disseminated gonococcal infection (DGI) occur more often in females, probably because of delays in diagnosis and treatment. 2. A major difficulty in the treatment of gonococcal infections is the increasing incidence of multidrug-resistant strains. In August 2012, the Centers for Disease Control and Prevention (CDC) updated gonorrhea treatment guidelines and no longer recommends oral cephalosporins as routine treatment. (1)