infectious diseases
Gonorrhea
Key Points
Neisseria gonorrhoeaeinfection typically causes uncomplicated infection of the urethra, cervix, rectum, pharynx, and/or conjunctivae. Sometimes gonorrhea spreads to the adnexa, causing salpingitis, or disseminates to skin and/or joints, causing skin lesions or septic arthritis. Diagnose using NAAT, but culture and sensitivity testing should be done when needed to detect antimicrobial resistance. Screen high-risk patients using NAAT. Treat uncomplicated infection with a single dose ofceftriaxone500 mg IM (1 g IM for patients weighing ≥ 150 kg); add oraldoxycycline(100 mg twice a day for 7 days) when chlamydial infection has not been excluded. 