Gonorreha

Question 1

What bacteria is responsible for a gonorrhea infection? Is it Gram positive/negative?

Answer 1

Neisseria gonorrhea; Gram negative diplococci

Question 2

What populations of people have the highest incidence of gonorrhea infection?

Answer 2

Teens, young adults, and African Americans

Question 3

How is gonorrhea transmitted?

Answer 3

Sexual contact and childbirth

Question 4

What are the symptoms of gonorrhea in MEN? What could happen if left untreated?

Answer 4

Men may be asymptomatic, have dysuria, and penile discharge 1-14 days after exposure. If untreated: epididymitis or sterility.

Question 5

What are the symptoms of gonorrhea in WOMEN? What could happen if left untreated?

Answer 5

Women typically asymptomatic, or have dysuria, increased vaginal discharge, or bleeding between periods.
If untreated: PID/abscess, increased risk for ectopic pregnancy, and infertility

Question 6

T/F: Individuals can have gonorrheal infections in their anus and throat.

Answer 6

True.
Anus: May be asymptomatic, or have bleeding, burning, discharge
Throat: May be asymptomatic or have sore throat, perhaps with exudate

Question 7

If gonorrhea gets disseminated into the bloodstream or joints, what could be the consequences?

Answer 7

Potentially life-threatening, one of the most common cause of unilateral arthritis in young adults

Question 8

Untreated gonorrhea increases the risk of transmitting _____ if infected or becoming co-infected with _____. (same answer in both blanks)

Answer 8

HIV

Question 9

Who do we test for gonorrhea?

Answer 9

Those with symptoms, pregnant women or those with a partner who has recently tested positive

Question 10

Those with a positive gonorrhea test need to be tested for ______. _____________ is commonly tested for in conjunction with gonorrhea. (two different answers)

Answer 10

Other STIs; Chlamydia

Question 11

What is the “gold standard” test for gonorrhea?

Answer 11

nucleic acid amplification tests [NAATs]

Question 12

What specimen should be obtained when testing for gonorrhea?

Answer 12

Swab of discharge or secretion: cervix, urethra, penis, anus, or throat

Question 13

If someone tests positive for gonorrhea, who else should be tested?

Answer 13

Their sexual partner

Question 14

What can be done for the patient’s sexual partner if the patient tests positive for gonorrhea?

Answer 14

EPT (expedited partner treatment); legal in NC for both gonorrhea and chlamydia

Question 15

Resistance to ___(antibiotic)___ has developed in gonorrhea.

Answer 15

Fluoroquinolone; should also no longer use oral cephalosporins as single drug for treatment

Question 16

When being treated for gonorrhea, what activity should the patient avoid until they are cleared of the infection?

Answer 16

SEXXX. Patient should also avoid having sex with partners who may also be infected until tested and treated, or can pass infection back and forth