Risk factors for gonococcal infection is all except
**Core Concept**
Gonococcal infection, caused by Neisseria gonorrhoeae, is a sexually transmitted bacterial disease that primarily affects the reproductive tract. Risk factors for gonococcal infection include behaviors and conditions that increase the likelihood of transmission or acquisition.
**Why the Correct Answer is Right**
The correct answer, **Age > 25 year**, is incorrect because gonococcal infection is more common among younger individuals, particularly those aged 15-24 years. Younger individuals are more likely to engage in high-risk sexual behaviors and may not have developed immunity to gonococcal infections. In contrast, older adults may have developed immunity through past infections or may be less likely to engage in high-risk behaviors.
**Why Each Wrong Option is Incorrect**
**Option B:** Prior or current STDs is a risk factor for gonococcal infection because individuals with other sexually transmitted diseases (STDs) are more likely to have gonococcal infection. Co-infection with other STDs, such as chlamydia or syphilis, increases the risk of gonococcal infection.
**Option C:** New or multiple sexual partners is a risk factor for gonococcal infection because it increases the opportunity for transmission of the bacteria. Engaging in high-risk sexual behaviors, such as having multiple partners or not using barrier methods of protection, significantly increases the risk of acquiring gonococcal infection.
**Option D:** Lack of barrier modes of protection is a risk factor for gonococcal infection because barrier methods, such as condoms, can significantly reduce the transmission of gonococcal bacteria.
**Clinical Pearl / High-Yield Fact**
Gonococcal infection is often asymptomatic in women, making it essential to screen high-risk individuals, particularly those with multiple sexual partners or a history of STDs. Early detection and treatment of gonococcal infection are critical to prevent complications, such as pelvic inflammatory disease (PID) and infertility.
**β Correct Answer: A. Age > 25 year**