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October 28, 1974

The High Frequency of Pharyngeal Gonococcal Infection in a Prenatal Clinic Population

JAMA. 1974;230(4):568-570. doi:10.1001/jama.1974.03240040038028

In a prospective study to determine the relative frequency of isolation of Neisseria gonorrhoeae from the throat, rectum, and urogenital tract in a pregnant population, 31 episodes of gonococcal infection at one or more sites were found in 29 pregnant patients (4.0% of 723 prenatal clinic patients). The throat was the only positive culture site in 11 of the 31 gonococcal infections. Cultures obtained on the first prenatal clinic visit detected only 71% of the gonococcal infections. Pharyngeal gonococcal infection occurred in 7 of 19 patients who denied the practice of fellatio. All patients were cured with the antibiotic regimens used. These data suggest that when selecting sites for culture of N gonorrhoeae in pregnant women, at least the pharynx be cultured in addition to the endocervix, and that patients be reexamined systematically during the entire course of pregnancy.

(JAMA 230:568-570, 1974)