Gonorrohea Flashcards
(13 cards)
What is Neisseria gonorrhoea?
A gram negative diplococcus bacteria which infects mucous membranes with a columnar epithelium such as the endocervix
How does Neisseria gonorrhoea spread?
Via contact with mucous secretions from infected areas
What increases the risk of gonorrhoea?
Being young, sexually active & having multiple partners
Having other STIs
What is the issue with Neisseria gonorrhoea?
High level of antibiotic resistance esp. ciprofloxacin or azithromycin which was traditionally used for treatment
Presentation in females?
Odourless purulent discharge, possibly green or yellow
Dysuria
Pelvic pain
Presentation in males?
Odourless purulent discharge
Dysuria
Testicular pain or swelling
Diagnosis?
NAAT to detect the RNA or DNA
Rectal & pharyngeal swabs recommended in MSM
Management?
Referral to GUM to coordinate testing, treatment & contact tracing
Single dose of IM ceftriaxone 1g if sensitivities are not known
Single dose of oral ciprofloxacin 500mg if sensitivities are known
What is the ‘test of cure’?
NAAT testing if asymptomatic or cultures if symptomatic done 72 hours after treatment for culture, 7 days after treatment for RNA NAAT or 14 days after treatment for DNA NAAT
Complications?
PID & chronic pelvic pain
Infertility
Epididymo-orchitis
Fitz-hugh curtis syndrome
prostatitis
disseminated gonococcal infection
Complication in neonates?
Gonococcal conjunctivitis where infection is contracted from the mother during birth which is called ophthalmia neonatorum
Medical emergency associated with sepsis, perforation of the eye & blindness
What is disseminated gonococcal infection?
A complication of untreated gonococcal infection, where bacteria spreads to skin & joints
What does disseminated gonococcal infection cause?
Various non specific skin lesions
Polyarthralgia (joint aches & pains)
Migratory polyarthritis (arthritis which moves between joints)
Tenosynovitis
Systemic symptoms such as fever & fatigue
