In a study of 6721 pharyngeal gonorrhoea culture results taken by 43 clinicians, there was a significant difference in the detection rate by individual clinician (0%–10%, median: 1.3%, P = 0.05). The detection rate was associated with the frequency with which clinicians reported inducing a gag reflex when taking pharyngeal swabs (P < 0.05).
In this study detection rates for pharyngeal gonorrhoea differed significantly between clinicians and were associated with the frequency with which clinicians reported inducing a gag reflex when taking pharyngeal swabs.
From the *Melbourne School of Population Health, University of Melbourne, Australia; †Melbourne Sexual Health Centre, Alfred Hospital, Australia; and ‡Department of Epidemiology and Preventive Medicine, Monash University, Australia
The authors thank Afrizal and Jun Kit Sze for their assistance in data extraction, all the clinicians from Melbourne Sexual Health Centre who kindly completed surveys for this study, and staff at the Microbiologic Diagnostic Unit.
M.C. and C.F. came up with the concept for this study. All authors contributed to the design of the study. J.H. and M.R. performed the statistical analyses. All authors contributed to the writing and checking of the manuscript.
Correspondence: Marcus Y. Chen, PhD, Melbourne Sexual Health Centre, 580 Swanston St, Carlton, Victoria 3053, Australia. E-mail: email@example.com.
Received for publication October 6, 2009, and accepted February 2, 2010.