GONORRHEA

• Gonorrhea


  Sexually transmitted bacterial disease involving the mucosal lining of the genitor-urinary tract, the rectum, and pharynx
• Other terms for gonorrhea

  • Clap
  • Flores Blancas
  • Gleet
  • Drip
• Etiologic agent


  Neisseria gonorrhoeae
• Incubation period


  2 to 5 days
• Modes of transmission


  • Direct contact through sexual intercourse
  • Direct contact with contaminated secretions of the mother during vaginal delivery
  • Indirect contact (fomites)
• Clinical manifestations in females

  • 80% are asymptomatic
  • Yellowish purulent vaginal discharge
  • Redness and swelling of the genitals
• Clinical manifestations in males

  • Burning sensation and frequent urination
  • Inflammation of the urethra
  • Prostatitis
  • Pelvic pain
• Complications


  • Sterility
  • Pelvic infection
  • Epididymitis
  • Arthritis
  • Endocarditis
  • Conjunctivitis
  • Meningitis
• Diagnostic tests


  • Gram staining
  • Culture of cervical & urethral smear
• Treatment


  • Ceftriaxone (IM)
  • Azithromycin or Doxycycline (po)
• Nursing considerations


  • Standard precautions
  • Sexual abstinence until he/she recovers from the disease
  • Apply moist heat to relieve pain for gonococcal arthritis
• Prevention and control


  • Sex education
  • Case finding
  • Report cases of gonorrhea