Gonorrhoea Flashcards
What is the causative agent of gonorrhea?
Neisseria gonorrhoeae
What type of bacteria is Neisseria gonorrhoeae?
Gram-negative diplococcus
What are the primary risk factors for gonorrhea?
- young age with multiple sexual partners
- having other STIs such as chlamydia or HIV
What are common clinical features of female genital gonorrhea infection?
- odourless purulent discharge
- dysuria
- pelvic pain
What are common clinical features of male genital gonorrhea infection?
- odourless purulent discharge
- dysuria
- testicular pain or swelling (epididymo-orchitis)
What other infections can gonorrhea cause?
- rectal
- pharyngeal
- prostatitis
- conjunctivitis
What are the primary diagnostic tests for gonorrhea?
Nucleic acid amplification test (NAAT)
Charcoal swabs
What is the management protocol for uncomplicated gonorrhea infection?
- single dose** IM ceftriaxone** 1g (sensitivity not known)(single dose oral ciprofloxacin 500mg - sensitivity known)
If ceftriaxone refused, e.g. needle phobia:
* single dose oral cefixine + oral azithromycin
What follow-up is important after treatment for gonorrhea?
Test of cure
How long should a patient abstain from sex after gonorrhea treatment?
7 days
What are potential complications of untreated gonorrhea?
- pelvic inflammatory disease
- chronic pelvic pain
- infertility
- epididymo-orchitis
- prostatitis
- gonococcal conjunctivitis
What is a specific risk for neonates related to gonorrhea?
Gonococcal conjunctivitis contracted during birth
What serious conditions are associated with neonatal gonorrhoea conjunctivitis?
- sepsis
- eye perforation
- blindness
What is disseminated gonococcal infection?
A complication of untreated gonorrhea where bacteria spreads to skin and joints
