NSU

Question 1

When should you take swab for NSU?

Answer 1

If symptomatic, has discharge, or balanposthitis

Question 2

Diagnosis for nsu?

And is there an alternative

Answer 2

> PMNL’s per field with high power magnification (x1000) averaged over 5 fields on smear

Or look for threads in urine

Question 3

How far down does urethral swab go?

Answer 3

1cm

Question 4

What is the macro life resistance in MGen (%)

Answer 4

> 40%

Question 5

NSU Rx:
1st line, 2nd line, recurrent
Abstinence advice?

Answer 5

1st line doxy 1w, abstain til complete

Alternative:
extended azithro (1g, 500 od for 2d) BUT MUST ABSTAIN FOR 14d in case exposed to MGen
Or Oflox 200mg BD for 1w

Recurrent, depends on what had already. If had doxy, give EXT azitrho plus met for 5d. If had EXT azithro, give Moxiflox 400mg od for 10d PLUS metro

Question 6

Look back periods for NSU and Rx?

Answer 6

4w for symp men

If no cause identified, treat with what worked for index case