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Volume 32, Number 8—August 2026

Research Letter

Antimicrobial Resistance in Extragenital Neisseria gonorrhoeae Infections, US Military Centers, 2022–2024

Jamie L. Dombach, John L. MacArthur, Chothika Mekonnen, Thi Hai Au La, Violet Nxedhlana, Michael H. Norris, Hunter J. Smith, Nathanial K. Copeland, and Edwin Kamau1Comments to Author 
Author affiliation: William Beaumont Army Medical Center, El Paso, Texas, USA (J.L. Dombach); Tripler Army Medical Center, Honolulu, Hawaii, USA (J.L. Dombach, J.L. MacArthur, C. Mekonnen, N.K. Copeland, E. Kamau); United States Military Academy, West Point, New York, USA (J.L. MacArthur); University of Hawai'i at Mānoa, Honolulu (T.H.A. La, M.H. Norris); University of Hawai'i at Manoa, Manoa, Hawaii, USA (V. Nxedhlana); Armed Forces Health Surveillance Center, Silver Spring, Maryland, USA (H.J. Smith); Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA (H.J. Smith, N.K. Copeland)

Main Article

Table

Characteristics of patients and specimens in study of antimicrobial resistance patterns in extragenital Neisseria gonorrhoeae infections, US military medical centers, 2022–2024*

Characteristic Encounter site
TAMC, n = 101 MAMC, n = 88
Age, y
Mean 27.0 26.6
Median (range)
 24.0 (17–64)
 24.0 (19–53)
Sex
M 84 (83.2) 68 (77.3)
F
 17 (16.8)
 20 (22.7)
Race
White 47 (46.5) 35 (39.8)
African American 30 (29.7) 34 (38.6)
Pacific Islander 9 (8.9) 9 (10.2)
Asian 4 (4.0) 0 (0.0)
American Indian 1 (1.0) 2 (2.3)
Other
 10 (9.9)
 8 (9.1)
Specimen source
Urine 70 (69.3) 55 (62.5)
Swab 31 (30.7) 33 (37.5)
Oropharyngeal 12 (38.7) 12 (36.4)
Rectal 8 (25.8) 9 (27.3)
Urethra 6 (19.4) 2 (6.1)
Endocervical 4 (12.9) 5 (15.2)
Vaginal 1 (3.2) 4 (12.1)
Genital 0 (0.0) 1 (3.0)

*Values are no. (%) except as indicated. TAMC, Tripler Army Medical Center; MAMC, Madigan Army Medical Center.

Main Article

1Current affiliation: Cepheid, Sunnyvale, California, USA.

Page created: June 28, 2026
Page updated: July 27, 2026
Page reviewed: July 27, 2026
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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