Gonorrhea (Disease process: (50% of women are asymptomatic, Can take 30… Coggle
Gonorrhea (Disease process: (50% of women are asymptomatic, Can take 30…
50% of women are asymptomatic
Can take 30 days or longer for sx
Joints (septic arthritis), the affected joints may be warm, red, swollen and extremely painful, especially when you move an affected joint.
Incubation period: usually 1-14 days for symptomatic disease. Most become symptomatic in 2-5 days after exposure.
Infertility is major issue from gonorrhea
Anxiety r/t presence of ST
r/t genital infection
Risk for infertility
Single dose IM or PO Ceftriaxone
Abstain from sex for 7 days after completed tx
Treat all partners within 60 days
IM gentamicin, combined with oral azithromycin, is highly successful in treating
Infected areas:
Urethra, cervix, fallopian tubes,
snd bartholin and skene glands
Discharge from vagina and urethra
Can involve the conjunctiva, pharynx and rectum
Prepubescent: Thick, green or creamy vaginal discharge
Pubescent: Purulent vag discharge, cervicitis, PID, and fallopian tube involvement can lead to sterility
Prepubescent and adolescents:
Yellow purulent urethral discharge,
erythematous meatus, dysuria, and painful
Rectal infections
anal itching, discharge, soreness, bleeding, and painful BM's
From mom to baby during delivery
= blindness, joint infection, or sepsis
Culture of vaginal/urethral
or nucleic acid-amplified test of urine