STI's- Gonorrhoea

Question 1

What is an STI?

Answer 1

it is an infection which is predominantly sexually transmitted

Question 2

What is Gonorrhoea caused by?

Answer 2

Neisseria Gonorrhoeae

Question 3

what are the symptoms of it in men and what percentage of men have symptoms?

Answer 3

• 90%
• Thick, profuse, yellow discharge
• dysuria
• rectal and pharyngeal infection (however this is often asymptomatic)

Question 4

is gonorrhoea mainly symptomatic or asymptomatic in women? give a %

Answer 4

> 50% have no symptoms

Question 5

what are the symptoms of it in women?

Answer 5

• vaginal discharge
• dysuria
• intermenstrual / post-coital bleeding

Question 6

what are complications of it in men?

Answer 6

Epididymitis

Question 7

what are complications of it in women?

Answer 7

• PID

- Bartholin’s abscess

Question 8

what are complications in both men and women?

Answer 8

• Acute Monoarthritis (usually elbow or shoulder)

- Disseminated Gonococcal infection –> skin lesions

Question 9

what is the incubation period?

Answer 9

average is 5-6days

Question 10

what is the epidemiology?

Answer 10

• less common than chlamydia
• most cases are in men
• more common in men who have sex with men (MSM)

Question 11

how do you diagnose it?

Answer 11

• Nucleic Acid Amplification Test (NAAT) on urine swab from an exposed site
• In symptomatic people –> Gram stained smear from urethra/ cervix / rectum

Question 12

once gonorrhoea has been diagnosed, what do you do next?

Answer 12

culture of swab-obtained specimen from an exposed site to assess antibiotic sensitivity

Question 13

what is treatment?

Answer 13

Ceftriaxone IM once PLUS Azithromycin

Question 14

what is the follow-up?

Answer 14

test of cure at 2 weeks and test of reinfection at 3 months