Mycoplasma Genitalium Flashcards
What is mycoplasma genitalium?
A bacteria that causes non-gonococcal urethritis
What is the presentation of mycoplasma genitalium?
Urethritis
Epididymitis
Cervicitis
Endometritis
PID
Reactive arthritis
Most cases are asymptomatic
What is the first line investigation for mycoplasma genitalium?
NAAT testing
First catch urine in men
Vaginal swab in women (can be self taken)
What is the treatment of mycoplasma genitalium?
Doxycycline 100mg BD for 7 days
then
Azithromycin 1g stat and 500mg OD for 2 days
What is the treatment of mycoplasma genitalium in pregnancy?
Azithromycin alone - doxycycline is contraindicated in pregnancy
What is used as an alternative medication if mycoplasma is resistant to macrolides?
Moxifloxacin