By Akankwatsa Cv Dickson, a senior student of Bachelor of Nursing Science at Bishop Stuart University, Uganda

1. B Y A K A N K W A T S A D I C K S O N
S U P E R V I S O R : S R . C E P H A S
1 8 - J A N . 2 0 1 7
A PRESENTATION ON
GONORRHEA
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2. Introduction
 Gonorrhea is an STI caused by a bacteria called
Niesseria gonorrhea.
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3. Cont…
 Mucus membranes affected include: cervix, anus,
throat, eyes
 Bacteria neisseria gonorrhea organism attacks cervix
as first site of infection
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4. Signs and symptoms
 Symptoms are
• Females:
 thick discharge (slight yellow-green discharge)
 burning urination
 severe menstrual or abdominal cramps
• gonococcal cervicitis
• vulvar irritation
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5. Cont…
Male:
• gonococcal Urethritis
• odorous cloudy discharge;
• urinary burning;
• Swollen and tender lymph glands in groin
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6. pic
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7. pictures
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8. Cont…
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9. complications
 Urethritis
 Epididymitis
 Proctitis
 CervicitisConjunctivitis (new born & other)
 Amniotic infection syndrome
 Disseminated gonococcal infection
 Endometritis
 Salpingitits
 Perihepatitis
 Pharyngitis
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10. Cont…
Consequences:
 FEMALE : PID with sterility;
ectopic pregnancy, severe pelvic
pain; infant conjunctivitis.
 MALE: prostate abscesses with
fever, difficult urination; gonococcal
epididymitis with ? sterility
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11. Cont…
Both: transmitted to eyes, anus,
throat; may enter the bloodstream
& invade joints, heart, liver, CNS
Treatment: dual treatment for
chlamydia & gonorrhea; resistant
bacteria require special treatment
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12. DIAGNOSIS
 Gram stain of endocervical smear
 Culture
 DNA probe
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13. TREATMENT
 Treatment should include coverage against
chlamydia as well as gonorrhea (e.g.
azithromycin or doxycycline to cover
chlamydia)
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 Cefixime - advantage can be given orally, but
bactericidal levels less than ceftriaxone
 Ceftriaxone - extensive clinical trials (99.1%
cure)

15. Recommended treatment
 Ceftriaxone (Rocephin) 125 mg IM or
Cefixime 400 mg orally or
 Ciprofloxacin (Cipro) 500 mg orally or
Ofloxacin (Floxin) 400 mg orally
Plus: (for chlamydia)
 Doxycycline 100 mg 2 times a day for 7 days or
azithromycin 1 g orally
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16. NON-GONOCOCCAL URETHRITIS
◦ Female: few or no symptoms;
may itch, urinary burning, mild
vaginal discharge of pus
◦ Male: penile discharge ,urinary
burning
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17. CONT..
Consequences: inflamed cervix
or PID; spread to prostate or
epididymis; rare cases of
arthritis
Treatment: doxycycline or
erythromycin
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18. QUESTIONS ??????
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19. assignment
 A) Outline 5 signs and symptoms of gonorrhea.
(5marks)
 B) Assuming that you are the only nurse left in
charge of a Friday night duty throughout the
weekend at a HC3 where clinicians and senior nurses
only work in week days, a mother comes
complaining of smelly vaginal discharges for the last
3 days. Outline the care you would give this mother
over the weekend.(5marks)
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