Neiserria Gonorrhoea
Neiserria Gonorrhoea
Neiserria Gonorrhoea
46
t5IFTQFDUSVNPGTFYVBMMZUSBOTNJUUFEEJTFBTFT 45%T
JODMVEFTUIFDMBTTJDWFOFSFBM
EJTFBTFTHPOPSSIFB
TZQIJMJT
DIBODSPJE
MZNQIPHSBOVMPNB WFOFSFVN
BOEHSBOVMPNBJOHVJOBMFBTXFMMBTBWBSJFUZPGPUIFSQBUIPHFOTLOPXOUPCFTQSFBECZTFYVBM
DPOUBDU Table 461
$PNNPODMJOJDBMTZOESPNFTBTTPDJBUFEXJUI45%TBSFMJTUFE
JOTable 462.5IFNPTUDVSSFOUJOGPSNBUJPOPOFQJEFNJPMPHZ
EJBHOPTJT
BOEUSFBUNFOUPG45%TQSPWJEFECZUIF$FOUFSTGPS%JTFBTF$POUSPMBOE1SFWFOUJPO $%$
DBOCFGPVOEBUwww.cdc.gov.
GONORRHEA
tNeisseria
CLINICAL PRESENTATION
t*OGFDUFE JOEJWJEVBMT NBZ CF TZNQUPNBUJD PS BTZNQUPNBUJD
IBWF DPNQMJDBUFE PS
VODPNQMJDBUFEJOGFDUJPOT
BOEIBWFJOGFDUJPOTJOWPMWJOHTFWFSBMBOBUPNJDBMTJUFT
t5IFNPTUDPNNPODMJOJDBMGFBUVSFTPGHPOPDPDDBMJOGFDUJPOTBSFQSFTFOUFEJOTable
463. "QQSPYJNBUFMZ PG XPNFO XJUI HPOPSSIFB EFWFMPQ QFMWJD JOGMBNNBUPSZ
EJTFBTF-FGUVOUSFBUFE
QFMWJDJOGMBNNBUPSZEJTFBTFDBOCFBOJOEJSFDUDBVTFPGJOGFSUJMJUZBOEFDUPQJDQSFHOBODJFT
t*O UP PG QBUJFOUT XJUI HPOPSSIFB
UIF HPOPDPDDJ JOWBEF UIF CMPPETUSFBN
BOEQSPEVDFEJTTFNJOBUFEEJTFBTF5IFVTVBMDMJOJDBMNBOJGFTUBUJPOTPGEJTTFNJOBUFE
HPOPDPDDBM JOGFDUJPO BSF UFOEFS OFDSPUJD TLJO MFTJPOT
UFOPTZOPWJUJT
BOE NPOPBSUJDVMBSBSUISJUJT
t%JBHOPTJT PG HPOPDPDDBM JOGFDUJPOT DBO CF NBEF CZ HSBNTUBJOFE TNFBST
DVMUVSF
UIF NPTU SFMJBCMF NFUIPE
PS OFXFS NFUIPET CBTFE PO UIF EFUFDUJPO PG DFMMVMBS
DPNQPOFOUTPGUIFHPOPDPDDVT FH
FO[ZNFT
BOUJHFOT
%/"
PSMJQPQPMZTBDDIBSJEF
JODMJOJDBMTQFDJNFOT
t"MUIPVHI DVMUVSF PG JOGFDUFE GMVJET JT OPU UIF NPTU TFOTJUJWF PG EJBHOPTUJD UFTUT GPS
HPOPSSIFB
JUJTTUJMMUIFEJBHOPTUJDUFTUPGDIPJDFCFDBVTFPGUIFIJHITQFDJGJDJUZ
t"MUFSOBUJWF NFUIPET PG EJBHOPTJT JODMVEF FO[ZNF JNNVOPBTTBZ
%/"QSPCFT
BOE
OVDMFJDBDJEBNQMJGJDBUJPOUFDIOJRVFT
TREATMENT
t1BSFOUFSBM ceftriaxone JT UIF POMZ BHFOU SFDPNNFOEFE GPS HPOPSSIFB USFBUNFOU
Table 464
t$PFYJTUJOHDIMBNZEJBMJOGFDUJPO
XIJDIJTEPDVNFOUFEJOVQUPPGXPNFOBOE
PGNFOXJUIHPOPSSIFB
DPOTUJUVUFTUIFNBKPSDBVTFPGQPTUHPOPDPDDBMVSFUISJUJT
DFSWJDJUJT
BOE TBMQJOHJUJT JO QBUJFOUT USFBUFE GPS HPOPSSIFB "T B SFTVMU
DPODPNJUBOU USFBUNFOU XJUI doxycycline PS azithromycin JT SFDPNNFOEFE JO BMM QBUJFOUT
USFBUFEGPSHPOPSSIFB"TJOHMFEPTFPGB[JUISPNZDJO H
JTIJHIMZFGGFDUJWFBHBJOTU
DIMBNZEJB
t1SFHOBOUXPNFOJOGFDUFEXJUIN. gonorrhoeaeTIPVMECFUSFBUFEXJUIceftriaxone
'PS QSFTVNFE Chlamydia trachomatis JOGFDUJPO
B[JUISPNZDJO PS BNPYJDJMMJO JT UIF
QSFGFSSFEUSFBUNFOU
t5SFBUNFOU PG HPOPSSIFB EVSJOH QSFHOBODZ JT FTTFOUJBM UP QSFWFOU PQIUIBMNJB OFPOBUPSVN 5IF $%$ SFDPNNFOET UIBU FSZUISPNZDJO
PQIUIBMNJD PJOUNFOU
CFJOTUJMMFEJOFBDIDPOKVODUJWBMTBDJNNFEJBUFMZQPTUQBSUVNUPQSFWFOUPQIUIBMNJB
OFPOBUPSVN
433