Neisseria gonorrhoeae, a gram-negative diplococcus, is the causative agent for this disease.
Has been decreasing since ,1975; fewer than 119 cases/100,000 in 2015.
Most commonly reported communicable disease in United States; more than 330,000 reported cases in 2015>, which represents approximately one half of new infections.
Urban sexually transmitted disease (STD) clinics, 10% to 30% of cases.
Female family planning clinicg, 0.5% to 5% of cases.
Female private doctor’s office, of cases.
Of all female infections, 75% occur in age group 15 to 24 years.
By sexual contact
Most efficiently by vaginal or anal intercourse
Male to female: 80% to 90%
Female to male: 20% to 25%
Homosexual male: 10 times greater incidence
Lower socioeconomic status
Illicit drug use
No contraception or use of nonbarrier methods
Urethritis, 2 to 5 days
Cervicitis, 5 to 10 days