Skip to main content

Gonococcal Infections

Alicia Leandra Olowu, Doctor of Osteopathic Medicine and Kliment Todosov, M.D. Reviewed 05/2023
 


BASICS

DESCRIPTION

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

  • Presents as c...

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 o...

TREATMENT

GENERAL MEASURES

  • STI counseling and condom use

  • In children and adolescents, suspect sexual abuse.

MEDICATION

  • Dual therapy no longer recommended (4)[A].

  • Quinolones are not recommended (2,5)[A].

  • I...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • U.S. Preventive Services Task Force (USPSTF) (6)[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] ...

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

  • Gonococcal antibiotic resistance is a significant clinical problem.

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

  • Screen pa...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×