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. 2017 Jun 14;7(6):e015447. doi: 10.1136/bmjopen-2016-015447

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© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

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Patient pathway diagram to illustrate the flow for men who have sex with men (MSM) under (A) current care and (B) antimicrobial resistance (AMR) point-of-care test (POCT). In scenario A, all diagnosed cases are treated with ceftriaxone plus azithromycin. In scenario B, diagnosed cases are treated according to resistance profile: AMR cases with ceftriaxone plus azithromycin; non-AMR with ciprofloxacin. Numbers of AMR and non-AMR infection are based on current levels of ciprofloxacin resistance observed in Gonococcal Resistance to Antimicrobial Surveillance Program surveillance data, 2014. Illustrated based on 100 000 MSM attending a genitourinary medicine clinic.