Gonorrhoea Flashcards
(15 cards)
What bacterium causes gonorrhoea?
Neisseria gonorrhoeae.
Which mucous membranes are primarily affected in uncomplicated gonorrhoea?
Urethra, endocervix, rectum, pharynx, and conjunctiva.
What are complications of untreated gonorrhoea in men?
Epididymitis, infertility, and prostatitis.
What are complications of untreated gonorrhoea in women?
Pelvic inflammatory disease (PID) and complications of pregnancy.
What is the typical symptom onset time after gonorrhoea exposure in men?
2–8 days.
What symptoms are associated with urethral infection in men?
Mucopurulent or purulent urethral discharge and/or dysuria.
How might endocervical gonorrhoea infection present in women?
Altered vaginal discharge, lower abdominal pain, or intermenstrual bleeding.
How far back should partner notification go for men with symptomatic urethral gonorrhoea?
Sexual partners from the previous 2 weeks, or most recent partner if longer.
How far back should partner notification go for asymptomatic or non-urethral infections?
All partners from the preceding 3 months.
What advice should be given after treatment for gonorrhoea?
Abstain from sex until 7 days after both the person and their partner(s) have completed treatment.
What is the first-line treatment when susceptibility is known?
Ciprofloxacin 500 mg orally as a single dose.
What is the first-line treatment when susceptibility is unknown?
Ceftriaxone 1 g IM as a single dose.
What are alternative treatments for people who cannot receive IM injections?
Gentamicin 240 mg IM + azithromycin 2 g orally OR cefixime 400 mg orally + azithromycin 2 g orally.
Is ceftriaxone safe in people with penicillin allergy?
Yes, unless there is a history of severe hypersensitivity to beta-lactams.
What is the recommended treatment for pregnant or breastfeeding women?
Ceftriaxone 1 g IM as a single dose.
