6. Transmission – Mainly sexually or
perinatally.
INCUBATION PERIOD – 2-5 DAYS
7. Infects non cornified epithelium of urogenital tract
or secondarily rectum,oropharynx and conjunctiva.
RARE IN FEMALES due to absence of columnar
epithelium and small size of urethra
9. Females
Predominantly asymptomatic as the infection occurs in
cervix.
Infected women remains as carriers for long period
Common complaints : pain, burning ,hesitancy &
frequency of micturition
11. DIAGNOSIS
1. GRAM STAINED PREPARATION of cervical
or urethral discharge.
Gonococcal
Urethritis
> 5 pus cells/
Field.
12. 2. Urethral swab for culture
In modified
THAYER MARTIN MEDIUM.
3. SEROLOGY
13. Recommended Regimen
Injection ceftriaxone 250mg IM single dose or Cefixime
400mg orally in a single dose.
Additional treatment with Azithromycin 2g orally or
Doxycycline 100mg orally twice a day for 7 days.
(Once spread occurs to areas beyond urethra.)
Treatment
17. SYMPTOMS
SAME as that of Gonococcal urethritis but mild.
Females are most asymptomatic
Discharge is Oudorless, mucoid , sticky and
greater in the morning hours.
Demonstration of >5 pus cells/oil immersion
field.
18. Recommended Regimen
Azithromycin 2g as a single dose or Doxycycline
100mg twice a day for 7 days is effective against
Chlamydia & Mycoplasma organisms.
Additional treatment with a single dose of oral
metronidazole 2g orally or 500mg twice daily for 7
days is recommended for T.vaginalis.
Treatment
