PrEP-associated screening reduces N. gonorrhoeae transmission but increases case notifications among MSM: a modeling study
This modeling study demonstrates that while PrEP-associated screening effectively reduces the true transmission and prevalence of *N. gonorrhoeae* among men who have sex with men by shortening infection duration, it paradoxically increases case notifications by detecting previously undiagnosed asymptomatic infections, suggesting that public health focus should shift toward managing the consequences of increased antibiotic use and antimicrobial resistance.