Document 0545
 DOCN  M9440545
 TI    PPNG at St Thomas' Hospital--a changing provenance.
 DT    9404
 AU    Sherrard J; Barlow D; Department of Genitourinary Medicine, St Thomas'
       Hospital,; London, UK.
 SO    Int J STD AIDS. 1993 Nov-Dec;4(6):330-2. Unique Identifier : AIDSLINE
       MED/94137867
 AB    Between 1986 and 1992, 15% of all cases of penicillinase-producing
       Neisseria gonorrhoeae (PPNG) notified in the UK were seen at our central
       London clinic. During this time the geographical provenance of PPNG has
       changed. Africa and SE Asia have been supplanted by the Caribbean as the
       predominant source, with 21.4% of all cases being directly imported from
       there in 1992. If all gonococcal infections acquired outside the UK had
       been assumed to be PPNG, together with those occurring in patients with
       family origins in Africa or SE Asia, some 60% of cases of PPNG could
       have been predicted before laboratory confirmation of resistance. There
       is little evidence that PPNG has become endemic in the United Kingdom.
 DE    Adult  Africa  Asia, Southeastern  Caribbean Region  *Emigration and
       Immigration  Female  Gonorrhea/DRUG THERAPY/*EPIDEMIOLOGY  Human
       London/EPIDEMIOLOGY  Male  Neisseria gonorrhoeae/ENZYMOLOGY
       Penicillinase/METABOLISM  JOURNAL ARTICLE

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