Sexually transmitted infections

  • Urethritis - dysuria, purulent urethral discharge
  • Cervicitis - vaginitis, dysuria, post-coital bleeding (cervical friability)
  • Disseminated gonococcal infection - fever, malaise, skin lesions, joint involvement/tenosynovitis
Organism Presentation Incubation period Diagnosis Tx
Neisseria gonorrhoeae May be asymptomatic
Urethritis (males), cervicitis (females)
Disseminated infection		 3-10 d Nucleic acid amplification - urine or genital swab
Gram stain of discharge		 Ceftriazone 250 mg IM x1 (anti-gonococcal) + azithromycin 1g PO x1 (anti-chlamydial)
Chlamydia Non-gonococcal urethritis/epididymitis, mucopurulent cervicitis 7-14 d   azithromycin 1g PO x1 OR doxy 100 mg BID x 7d
         
  • Refer sexual partners for treatment; avoid sex until therapy completed + asymptomatic

PID (pelvic inflammatory disease)

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author: last edited: March 11, 2018, 10:53 p.m. | pk: 114 | unpublished