NGU

Question 1

NGU causative organisms

Answer 1

CT
M gen
Ureaplasma 
Tv
Adenovirus we
HSV 
Bv

Question 2

How to diagnose NGU

Answer 2

> 5 PMNLs on urethral smear (average go 5 fields)

FPU threads - >10 PMNLs needed

Question 3

NSU Rx standard

Answer 3

Doxy 100mg bd for 7/7

If known m gen pos - doxy then azith 1g stat then 500mg for 2 days following or moxi if known macrolides resistant

Question 4

NSU Rx alternatives

Answer 4

Azith 1g stat then 500mg of for next two days

Ofloxacin 200mg BD for 7/7

Question 5

How long to avoid sex post NSU diagnosis?

Answer 5

14:7 post starting Rx and when Sx resolved

Question 6

Pregnant women as contacts of NSU

Answer 6

Extended azith

Question 7

Rx for recurrent NSU if first line was doxy

Answer 7

Azith 1g stat then 500mg For 2 days plus metronidazole 400mg BD for 5/7
Start azith within 2 weeks post doxy

Question 8

Rx for recurrent NSU if azith given first line

Answer 8

Moxifloxacin 400mg or for 10/7 plus metronodazole bd for 5:7
Or
Doxy plus metronidazole