GU- Gonorrhea

Question 1

gonnorrhea

Answer 1

can be asymptomatic and can lead to PID

Question 2

s/s

Answer 2

May be asymptomatic

Females: cervicitis, PID, perihepatitis, bartholinitis, vaginal discharge and adb pain

Males: urethral infections, penile discharge and dysuria

discharge is profuse, think, green

rectal/pharyngeal may be asymptomatic

Question 3

Gonnorrhea diagnostic testing

Answer 3

culture- req specimin from female endocervical or male urethral swab and require special handling

NAAT- when used with mucosal discharge or urine is highly sensitive

Gram stain for gram neg diplococci in acutely ill patients

in treatment failure after NAAT- culture and sensiticuty should be done

Question 4

Gonn Treatment

Answer 4

ceftriaxone

azithromycin

Question 5

ceftriaxone

Answer 5

250mg IM once

Question 6

azithromycin

Answer 6

1G single dose PO

Question 7

if ceftraxone not availbale use

Answer 7

cefixime 400mg PO

AND

Azithro 1gPO

Question 8

if patient is allergic to cephlosporin

Answer 8

azithrimycin 2g PO single dose

Question 9

Treatment dose goal

Answer 9

one time dose!

report treatment failures ti CDC through state health department within 24 hours

Question 10

is TOC recommended

Answer 10

no

Question 11

who should follow up

Answer 11

pharyngeal gonn who are treated with alt treatments need TOC after 14 days

anyone with complications

Question 12

what partners need eval and treatment?

Answer 12

any within 60 days before onset of symptoms or diagnosis

Question 13

who gets tested and when?

Answer 13

same as chlymadia except with MSM also test pharynx

NAAT can check for both at same time