10- Laboratory diagnosis and treatment of gonorrhoea

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Last updated 9:21 AM on 3/9/26
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7 Terms

1
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What is the sample that they take

  • endocervical canal

  • urethra

  • pharynx

  • anus


2
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What is the direct detection of bacteria

  • Within neutrophils in gram- or methylene blue stained smears

    • Immediate diagnosis

  • Smears not helpful for detection of rectal and pharyngeal gonorrhoea due to presence of large number of other bacteria


3
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Why do you culture the bacterium

  • Can perform antimicrobial resistance is important


4
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What are the advantages + disadvantages of PCR

  • Advantage- can detect chlamydia trachomatis and other ST microbes- coinfection

  • Disadvantages- lack of antibiotic sensitvitiy testing


5
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What is the ususal treatment

  • Single dose of 500/1000mg IM ceftriaxone for uncomplicated


6
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What is the alternative treatment

Azithromycin, ciprofloxacinW

7
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What is the treatment for the disseminated form

First line- IV ceftriaxone