Gonorrhea in the Obstetric and Gynecologic Clinic

Abstract
Eight hundred and seventy-five patients admitted to the obstetric and gynecologic clinics of a large voluntary hospital in an urban community were examined routinely for gonorrhea with smears and cultures of specimens from the urethra, cervix vagina, and, in 153 instances, from the anal canal. Seventy-two cases of gonorrhea were proved, for a rate of infection of 8.2%. The rate of infection in the obstetric group was 5.5%, and in the gynecologic group, 11.1%. An additional eight patients with positive smears but negative cultures make a total of 80 cases of diagnosed or presumptive gonorrhea, for a rate of 9.1%. The most frequently positive site was the cervix. In this series there was no increased yield by the additional use of the Novak curettage method as compared with obtaining specimens with the platinum loop.