Focused interviewing in gonorrhea control

To develop an operational approach to the identification of high risk gonorrhea transmitters, three groups of women infected with Neisseria gonorrhoeae (recent repeaters, routine discoveries, and women with pelvic inflammatory disease) were offered intensive casefinding services during an 18-month period. Approximately three contacts per case were investigated, and 27.4% of the contacts were infected. Of infected contracts, 61% were asymptomatic. Asymptomatic, remote contacts to these women appear to be important in the continuing transmission of gonorrhea. The interviewing approach used reflected that employed in syphilis (thorough, detailed, and long) rather than the more casual interviews usually employed for gonorrhea patients. During this period, gonorrhea morbidity declined 22%. Further exploration of a targeted approach to gonorrhea epidemiology is indicated.