Presentation
A repeat urethral smear for gram stain should be taken to determine if urethritis is still present and retested for urethral pathogens. [sahealth.sa.gov.au]
Entire Body System
- Asymptomatic
Infected subjects may be totally asymptomatic. [therapeutique-dermatologique.org]
Since more than one half of men with gonococcal urethritis (30) and one third of men with chlamydial urethritis (31) may be asymptomatic, a urethral Gram stain and studies for detecting gonorrhea and chlamydia should be obtained even in the absence of [medical-dictionary.thefreedictionary.com]
Therefore, all symptomatic and asymptomatic ano-genital N. meningitidis infections should be treated with Ceftriaxone 500 mg IMI as a single dose (B1). [sahealth.sa.gov.au]
- Infertility
If left untreated, infection may also give rise to complications including inflammation of the paraurethral glands and of Bartholin’s glands, salpingitis or even subacute pelvic peritonitis with an increased risk of infertility and ectopic pregnancy. [therapeutique-dermatologique.org]
- Pain
Gonococcal urethritis causes painful urination and discharge, although approximately 25% of men have no symptoms. 16] Our study showed higher incidence of gonococcal urethritis than nongonococcal compared with Kumar B et al and Chaudary SD et al. [medical-dictionary.thefreedictionary.com]
Workup
Microbiology
- Neisseria Gonorrhoeae
Neisseria gonorrhoeae is a species of Gram-negative, strictly aerobic diplococci bacteria that shows particular tropism for the glandular column-type cells of the endocervix and the urethra. [therapeutique-dermatologique.org]
Also found in: Dictionary, Thesaurus, Encyclopedia. gonococcal urethritis Etymology: Gk, gone, seed, kokkos, berry, ourethra, urethra, itis, inflammation gonococcal urethritis Urethritis caused by Neisseria gonorrhoeae. [medical-dictionary.thefreedictionary.com]
- Chlamydia
NGU is most commonly caused by Chlamydia trachomatis or Mycoplasma genitalium. [sahealth.sa.gov.au]
Since more than one half of men with gonococcal urethritis (30) and one third of men with chlamydial urethritis (31) may be asymptomatic, a urethral Gram stain and studies for detecting gonorrhea and chlamydia should be obtained even in the absence of [medical-dictionary.thefreedictionary.com]
- Chlamydia Trachomatis
NGU is most commonly caused by Chlamydia trachomatis or Mycoplasma genitalium. [sahealth.sa.gov.au]
Treatment
Treatment for tysonitis is similar to treatment for gonococcal urethritis and centers on the use of appropriate antibiotics. gonorrhoeae ciprofloxacin, penicillin, and tetracycline resistance among men with gonococcal urethritis (3). [medical-dictionary.thefreedictionary.com]
First line treatment - Doxycycline 100 mg orally twice a day for 7 days (D). [sahealth.sa.gov.au]
Our findings do not support routine use of erythromycin for treatment of pregnant, penicillin-allergic patients. ( JAMA 238:1371-1373, 1977) [jamanetwork.com]
These findings provide a basis for the rapid differential diagnosis of urethritis, which will permit immediate, definitive treatment for most men with urethritis. FULL TEXT [annals.org]
Epidemiology
They should only be used in very special circumstances (research, epidemiological studies). [therapeutique-dermatologique.org]
Prevention
Acknowledgement: with thanks to Melbourne Sexual Health Centre ^ Back to top Disclaimer These guidelines are based on review of current literature, current recommendations of the United States Centres for Disease Control and Prevention, World Health Organization [sahealth.sa.gov.au]