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Gonococcal Infections, Pediatric

Angela M. Statile, MD, MEd and Samir S. Shah, MD, MSCE Reviewed 10/2018
 


BASICS

DESCRIPTION

Neisseria gonorrhoeae, an aerobic gram-negative diplococcus, is the etiologic agent of gonorrhea. 

EPIDEMIOLOGY

  • Gonorrhea is the second most common sexually transmitted infection (STI)...

DIAGNOSIS

HISTORY

  • In neonates, assess for risk factors such as premature or prolonged membrane rupture, presence of fetal scalp monitoring, or maternal history of infection.

  • Onset of eye findings in oph...

TREATMENT

MEDICATION

  • Changing resistance patterns in the United States led to extended-spectrum cephalosporin as initial therapy.

  • Neonates

    • Ophthalmia neonatorum: ceftriaxone 25 to 50 mg/kg IV or IM (sing...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Provide risk reduction education.

  • Sexual contacts (including a newborn’s mother and her partner[s]) of patients with gonorrhea should be counseled and treated.

  • Eval...

ADDITIONAL READING

  • American Academy of Pediatrics. Gonococcal infections. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2015 Report of the Committee on Infectious Diseases. 30th ed. ...

CODES

ICD9

  • 098.0 Gonococcal infection (acute) of lower genitourinary tract

  • 760.2 Maternal infections affecting fetus or newborn

  • 098.40 Gonococcal conjunctivitis (neonatorum)

  • 098.89 Gonococcal infection of...

FAQ

  • Q: What are the advantages of the NAATs for making a diagnosis?

  • A: The transcription-mediated amplification (TMA) test of urine samples, approved by the FDA for women, can be used to simultaneously...

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