STI's- Gonorrhoea Flashcards
1
Q
organism involved?
A
Neisseria Gonorrhoeae (gram -ve diplococcus)
2
Q
what is the epidemiology?
A
- less common than chlamydia
- v common in young sexually active
- more common in men who have sex with men (MSM)
3
Q
How symptomatic is it?
A
90% in men and 50% in women
4
Q
Presentation?
A
- discharge
- odourless, green, purulent
- dysuria
- pelvic pain
- testicular pain
- IMB/PCB
5
Q
diagnosis?
A
Nucleic Acid Amplification Test (NAAT) on urine / endocervical swab
endocervical swab culture & sensitivity prior to giving Abx
6
Q
Rx?
A
Ceftriaxone IM once PLUS Azithromycin
7
Q
what is the follow-up?
A
test of cure at 2 weeks and test of reinfection at 3 months
8
Q
complications?
A
women: PID, bartholin’s abscess
men: epididymitis
both: acute monoarthritis / septic arthritis
