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Gonococcal Infections

Paul Lyons, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

A sexually or vertically transmitted bacterial infection caused by Neisseria gonorrhoeae
  • N. gonorrhoeae is a fastidious gram-negative intracellular diplococcus (1)[A].

  • Present as con...

DIAGNOSIS

HISTORY

  • Sexual history

    • Number of partners; age of onset of sexual activity; STI history

    • New/recent change in sexual partners

    • Contact with commercial sex workers

    • Condom use

    • Menses and possibility...

TREATMENT

GENERAL MEASURES

  • STI counseling and condom use

  • In children and adolescents, suspect sexual abuse.

MEDICATION

  • N. gonorrhoeae multidrug antimicrobial resistance continues to increase. CDC recommen...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

U.S. Preventive Services Task Force (USPSTF) (3)[A
  • Screen all sexually active women 24 years of age and younger and in older women at increased...

REFERENCES

1
Mayor MT, Roett MA, Uduhiri KA. Diagnosis and management of gonococcal infections. Am Fam Physician.  2012;86(10):931–938. [View Abstract on OvidMedline]
2
Centers for Disease Control ...

SEE ALSO

Chlamydia Infection (Sexually Transmitted); HIV/AIDS; Pelvic Inflammatory Disease; Syphilis 

CODES

ICD10

  • A54.9 Gonococcal infection, unspecified

  • A54.03 Gonococcal cervicitis, unspecified

  • A54.31 Gonococcal conjunctivitis

  • A54.5 Gonococcal pharyngitis

  • A54.01 Gonococcal cystitis and urethritis, unspec...

CLINICAL PEARLS

  • Antibiotic resistance is a significant problem as many new gonorrheal infections are resistant.

  • Treatment for uncomplicated gonorrhea should include two drugs, one of which is effective...

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