Professional Documents
Culture Documents
Case Definition
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Causative Agents
Neisseria gonorrhea
Chlamydia trachomatis
Trichomonas
Non-specific urethritis pathogens
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Clinical Features of Gonococcal and Non-
Gonococcal Urethritis
Clinical Features Gonococcal Non-Gonococcal
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Mae Tao Clinic 5
Symptoms and Signs
Discharge from the penis
Burning or itching at the opening of the penis
Burning on urination
Swollen or painful testicles
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Symptoms and Signs
Only 10% of men have symptoms of gonorrhea.
Only 50% of men have symptoms of chlamydia.
Symptoms usually occur 2 to 7 days after
gonorrhea infection. 3 weeks for chlamydia.
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Gonorrhea - gram stain of
urethral discharge
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Gonorrhea
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Nongonococcal Urethritis
For Chlamydiasis –
- Doxycycline 100mg PO BID *7 days, or
- Azithromycin 1g PO Single dose.
For Trichomoniasis –
- Metronidazole 2g PO Single dose, or
- Tinidazole 2g PO Single dose.
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Treatment
Ciprofloxin 500 mg PO Doxycycline 100 mg PO
stat BID x 14 days
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Persistent Urethral Discharge
Drug resistance,
Poor Compliance,
Re-infection,
Infection with T. vaginalis.
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Thank You.
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