Renal & Urology / Urethritis In Men Flashcards
1
Q
What are the signs and symptoms of urethritis?
A
Urethral discharge and/or dysuria
2
Q
Which pathogens can cause urethritis?
A
- N. gonorrhoeae
- C. trachomatis,
- M. genitalium
- herpes simplex virus
- Trichomonas vaginalis
- Ureaplasma urealyticum
3
Q
What is the most common cause of nongonococcal urethritis?
A
C. trachomatis
4
Q
Describe the urethral discharge of nongonococcal urethritis
A
Mucoid or watery
5
Q
Describe the urethral discharge of gonococcal urethritis
A
Copious and purulent
6
Q
What percentage of nongonococcal urethritis are asymptomatic?
A
5%-10%
7
Q
What percentage of gonococcal urethritis are asymptomatic?
A
Approximately 40%
8
Q
Which features confirm urethritis?
A
- mucopurulent discharge
- Gram stain of urethral secretions demonstrating >5 white blood cells per high power field
- positive leukocyte esterase test
- more than 10 white blood cells per high power field on urine sediment
- cultures and nucleic acid amplification tests for C. trachomatis and N. gonorrhoeae
9
Q
What is the treatment for nongonococcal urethritis?
A
- Azithromycin 1 g PO × 1 or
- Doxycycline 100 mg PO twice daily for 7 days
10
Q
What is the treatment for gonococcal urethritis?
A
- Ceftriaxone 125 mg IM × 1 or
- Cefixime 400 mg PO × 1 or
- Cefpodoxime 400 mg PO × 1
11
Q
How long should patients and their sexual partners refrain from sexual contact to avoid reinfection?
A
- Until the patient and his/her partner(s) have completed their courses of antibiotics and all symptoms have resolved
