What are the diagnostic considerations for gonorrhea?
Specific microbiologic diagnosis of N. gonorrhoeae infection should be performed for all persons at risk for or suspected of having gonorrhea; a specific diagnosis can potentially reduce complications, reinfections, and transmission.
What are the symptoms of gonorrhea in women?
Typical symptoms in women infected with gonorrhea include abnormal vaginal discharge, dysuria, cervicitis, abnormal vaginal bleeding, Bartholin's abscess, and PID. Nice work! You just studied 104 terms! Now up your study game with Learn mode. surgical abortion. hysteroscopy. insertion of intrauterine device. sexual transmission.
Which of the following antibiotics is not commonly used to treat trichomoniasis?
Erythromycin is a macrolide antibiotic and is not commonly used to treat trichomoniasis. It does not have disulfiram-like adverse effects. Answer C is incorrect. Glipizide is a second generation sulfonylurea that does not have the disulfiram-like adverse effects of first-generation sulfonylureas. Answer D is incorrect.
What is the preferred treatment for trichomoniasis in 35 year old woman?
A 35-year-old woman complains of itching in the vulval area. Hanging-drop examination of the urine reveals trichomonads. What is the preferred treatment for the trichomoniasis? Metronidazole is distributed to all body fluids and tissues. Its spectrum of activity is limited largely to anaerobic bacteria—including B. fragilis—and certain protozoa.
What is a trichomonas vaginalis?
What percentage of women have vaginal discharge?
What are the symptoms of bacterial vaginosis?
Can trichomonal infection be found in water?
Is T. vaginalis a trophozoite?
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What is the treatment of choice for gonorrhea?
Gonorrhea can be cured with the right treatment. CDC recommends a single dose of 500 mg of intramuscular ceftriaxone. Alternative regimens are available when ceftriaxone cannot be used to treat urogenital or rectal gonorrhea.
What is the first-line of treatment for gonorrhea?
Ceftriaxone and azithromycin are the recommended first-line regimen for most N gonorrhoeae infections. To reduce repeat infections and the growth of potential resistance to dual therapy, the prevention measures discussed in this article must be emphasized in both preexposure and postexposure patient populations.
WHO recommended treatment for gonorrhea?
Treatment recommendations by the WHO for genital and anorectal gonococcal infections are as follows: Ceftriaxone 250 mg IM as a single dose plus azithromycin 1 g PO as a single dose. Cefixime 400 mg PO as a single dose plus azithromycin 1 g PO as a single dose.
What is the most appropriate antibiotic to treat uncomplicated chlamydia infection in a 21 year old female who is not pregnant?
RECOMMENDATION 1. For people with uncomplicated genital chlamydia, the WHO STI guideline suggests one of the following options: azithromycin 1 g orally as a single oral dose. doxycycline 100 mg orally twice a day for 7 days.
What is ceftriaxone used for?
Ceftriaxone is used to treat bacterial infections in many different parts of the body. This medicine is also given before certain types of surgery to prevent infections.
Can you treat gonorrhea with only azithromycin?
While a 2 g single oral dose of azithromycin monotherapy could treat both gonorrhea and chlamydia infections, it is not a recommended regimen due to increasing gonococcal drug resistance to azithromycin [1].
How is azithromycin used for gonorrhea?
A single 1g dose of azithromycin is one of the recommended treatments for the sexually transmitted infection chlamydia. There is also evidence showing that a single 2g dose of the drug is highly effective against strains of gonorrhoea that are sensitive to the drug, but is associated with stomach upset.
What antibiotics treat gonorrhea and chlamydia?
by Drugs.com From the 2015 Sexually Transmitted Disease (STD) guidelines, the CDC recommends treatment for a gonorrhea-chlamydia coinfection with azithromycin (Zithromax) 1 gram given orally in a single dose, plus ceftriaxone (Rocephin) 250 mg given intramuscularly as first-line therapy.
Can you give ceftriaxone IV for gonorrhea?
During the latest decade, cefixime 400 mg × 1 orally or ceftriaxone 125–1000 mg × 1 intramuscularly (IM) or intravenously (IV) has been recommended first-line for monotherapy of gonorrhoea in many countries globally [3–5, 7–9, 18, 20, 21].
Which one of the following regimens should be used to treat gonorrhea in this woman?
CDC recommends ceftriaxone monotherapy for treatment because N. gonorrhoeae remains highly susceptible to ceftriaxone, azithromycin resistance is increasing, and prudent use of antimicrobial agents supports limiting their use.
How does amoxicillin treat gonorrhea?
Amoxicillin was administered to male and female patients with gonorrhea that was confirmed by culture. Cure rates were 84% with a 1.0-g dose; when 3.0 g of amoxicillin was administered as a single dose, the cure rate was 95%, and it was 100% if the 3.0 g was given in several doses over a four-day period.
What is azithromycin used to treat?
Azithromycin is used to treat certain bacterial infections, such as bronchitis; pneumonia; sexually transmitted diseases (STD); and infections of the ears, lungs, sinuses, skin, throat, and reproductive organs.
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Bacterial vaginosis (BV) MCQs Flashcards | Quizlet
Study with Quizlet and memorize flashcards terms like Which of the following is the most common type of vaginal infection? A. Gonorrhea B. Trichomoniasis C. Bacterial vaginosis D. Candidiasis E. Chlamydia, A middle-aged woman is recently diagnosed with Bacterial vaginosis. What is the most likely aetiological cause? A. Neisseria gonorrhoeae B. Haemophilus influenzae C. Chlamydia trachomatis D ...
Obstetrics & Gynaecology – MCQ 53 - PG Blazer
A 40 year old woman presented to the gynecologist with complaints of profuse vaginal discharge. There was no discharge from the cervix on the speculum examination. The diagnosis of bacterial vaginosis was made based upon all of the following findings on microscopy except: A. Abundance of gram variable coccobacilli B. Absence of Lactobacilli C. Abundance …
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Solution for All of the following statements about the female reproductive system are correct EXCEPT Select one: a. follicle stimulating hormone (FSH)…
Diagnostic Considerations
Specific microbiologic diagnosis of N. gonorrhoeae infection should be performed for all persons at risk for or suspected of having gonorrhea; a specific diagnosis can potentially reduce complications, reinfections, and transmission.
Antimicrobial-Resistant N. gonorrhoeae
Gonorrhea treatment is complicated by the ability of N. gonorrhoeae to develop resistance to antimicrobials ( 846 – 848 ). In 1986, the Gonococcal Isolate Surveillance Project (GISP), a national sentinel surveillance system, was established to monitor trends in antimicrobial susceptibilities of urethral N.
Uncomplicated Gonococcal Infection of the Cervix, Urethra, or Rectum
If chlamydial infection has not been excluded, treat for chlamydia with doxycycline 100 mg orally 2 times/day for 7 days.
Uncomplicated Gonococcal Infection of the Pharynx
The majority of gonococcal infections of the pharynx are asymptomatic and can be relatively common among certain populations ( 800, 801, 888 – 890 ). Although these infections rarely cause complications, they have been reported to be a major source of community transmission and might be a driver of antimicrobial resistance ( 891, 892 ).
Disseminated Gonococcal Infection
Infrequently, N. gonorrhoeae can cause disseminated infection. Disseminated gonococcal infection (DGI) frequently results in petechial or pustular acral skin lesions, asymmetric polyarthralgia, tenosynovitis, or oligoarticular septic arthritis ( 899 – 901 ).
What is a trichomonas vaginalis?
E. Vaginal secretions 50 Trichomonas vaginalis, an odd-looking protozoan, moves as a whip-like, almost darting motion. Trichomonasis, a bothersome vaginal infection, can be diagnosed by observing this organism in a wet mount of vaginal secretions. It may be washed out in the urine as well.
What percentage of women have vaginal discharge?
Women usually present with vaginal discharge (70%) or frothy yellowish vaginal discharge (<30%), vulval itching and dysuria (urethral infection is seen in 90% of cases). Some women may present with lower abdominal pain and a few others may show signs of vaginitis and vulvitis. However, 50% of women may be asymptomatic.
What are the symptoms of bacterial vaginosis?
The symptoms include a moderate amount of malodorous ("fishy"), white to gray, homogeneous vaginal discharge.
Can trichomonal infection be found in water?
Trichomonas survives well in ordinary water, even when this is hot or contains chlorine or detergents. In the presence of a trichomonal infection the normal rod-shaped lactobacilli of the vagina adopt a round, coccoidal form. Flagellate parasite is the cause of vulvovaginitis in women in temperate areas.
Is T. vaginalis a trophozoite?
Unlike other parasitic protozoa, trichomonas vaginalis exists in only one morphological stage, a trophozoite, and cannot encyst. The T. vaginalis trophozoite is oval as well as flagellated, or "pear" shaped as seen on a wet-mount. It is slightly larger than a white blood cell, measuring 9 × 7 μm.
What is a trichomonas vaginalis?
E. Vaginal secretions 50 Trichomonas vaginalis, an odd-looking protozoan, moves as a whip-like, almost darting motion. Trichomonasis, a bothersome vaginal infection, can be diagnosed by observing this organism in a wet mount of vaginal secretions. It may be washed out in the urine as well.
What percentage of women have vaginal discharge?
Women usually present with vaginal discharge (70%) or frothy yellowish vaginal discharge (<30%), vulval itching and dysuria (urethral infection is seen in 90% of cases). Some women may present with lower abdominal pain and a few others may show signs of vaginitis and vulvitis. However, 50% of women may be asymptomatic.
What are the symptoms of bacterial vaginosis?
The symptoms include a moderate amount of malodorous ("fishy"), white to gray, homogeneous vaginal discharge.
Can trichomonal infection be found in water?
Trichomonas survives well in ordinary water, even when this is hot or contains chlorine or detergents. In the presence of a trichomonal infection the normal rod-shaped lactobacilli of the vagina adopt a round, coccoidal form. Flagellate parasite is the cause of vulvovaginitis in women in temperate areas.
Is T. vaginalis a trophozoite?
Unlike other parasitic protozoa, trichomonas vaginalis exists in only one morphological stage, a trophozoite, and cannot encyst. The T. vaginalis trophozoite is oval as well as flagellated, or "pear" shaped as seen on a wet-mount. It is slightly larger than a white blood cell, measuring 9 × 7 μm.