Gonorrhea

Neisseria Gonorrhoeae
Gram negative diplococcus
Gonorrhea is a sexualy transmitted disease.
Many infection are asymptomatic

Incidence and Prevelence

Significant public health problem in U.S
Incidence highest among adolescents and young adult
Most affected :
Males 20-24 years of age
Females 15-19 years of age

>1 million cases in us per year

Risk Factors
Adolescents>age 20-25>older
Multiple Sex partner
Inconsistent use of barrier methods
Efficiently transmitted by sexual contact
Greater efficiency of transmission from male to female
Male to female : 50-90%
Female to male : 20-80%

 Gonorrhoea is usually passed from one person to

another during sex. The bacteria can live inside the cells
of the cervix (entrance to the uterus), the urethra (tube
where urine comes out), the rectum, the throat and
occasionally the eyes.
You can become infected with gonorrhoea if you come
into contact with infected semen or infected discharge
from the vagina, throat or rectum.
The infection is most commonly spread through:
unprotected vaginal, anal or oral sex

Symptoms
Women

An unusual vaginal discharge which may be thin or

watery, yellow or green.
Pain when passing urine.
Lower abdominal pain or tenderness.
Rarely, bleeding between periods or heavier periods
(including women who are using hormonal
contraception).

Symptoms
Men
An unusual discharge from the tip of the penis the discharge may be white,
yellow or green.
Pain when passing urine.
Rarely, pain or tenderness in the testicles.
Men and women
Infection in the rectum. This does not usually have any signs and symptoms
but may cause anal pain, discomfort or discharge.
Infection in the throat. This usually has no symptoms.
Infection in the eyes. This can cause pain, swelling, irritation and discharge
(conjunctivitis).

Diagnosis
Physical Diagnosis:
Mucopurulent discharge flowing from cervix
To be distinguished from normal thick yellow white cervical mucous(adherent to
ectropion)

Cervical Motion Tenderness

Elisa or DNA specific test

Cervical swab
Combined with Chlamydia
Urine tests

Culture
Gram Stain for WBCs with intracellular gram negative diplococci

GO Treatment
Ceftriaxone 125 mg IM in a single dose

OR
Cefixime400 mg orally in a single dose