Gonorrhea

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gonorrhea

GONORRHEA
CAUSES: The bacteria targets the cells of the mucous membranes including: the surfaces of the urethra, vagina, cervix and endometrial the fallopian tubes the anus and rectum the lining of the eyelid and the throat
SYMPTOMS / CASE STUDY / PROGRESS:
Men may be asymptomatic but might experience: Yellowish-white discharge from the penis, burning or pain during urination, pain or swelling of the testicles
Women are usually asymptomatic but might experience: Abnormal discharge from the vagina that is yellow and sometimes bloody. Burning or pain during urination .When the infection spreads to the fallopian tubes, some women still have no signs or symptoms. Others may experience one or more of the following symptoms, which can be an indication that the infection has progressed to PID: Lower abdominal pain, lower back pain, and pain during intercourse, bleeding between menstrual periods, Nausea, Fever
INCUBATION TIME: Men one to Thirty-days Women one to ten days
METHODS OF TRANSFER: Gonorrhea is passed during oral, anal or vaginal sex. It can be passed when the mucous membrane, the soft skin covering all the openings of the body, comes into contact with the mucous membrane secretions or semen of an infected person.
PREVENTION: Abstinence, Latex condoms for vaginal and anal sex, a non-lubricated condom can be used for mouth-to-penis contact. Household plastic wrap, a dental dam, or a latex condom cut-up and opened flat can reduce the risk of transmission during mouth-to-vulva/vagina
TREATMENT:
-Cefixime 400 mg orally in a single dose, -----Ceftriaxone 125 mg IM in a single dose, Ciprofloxacin 500 mg orally in a single dose, --Ofloxacin 400 mg orally in a single dose, PLUS Azithromycin 1 g orally in a single dose, -Doxycycline 100 mg orally twice a day for 7 days
DIAGNOSIS METHOD:
Nucleic Acid Amplification Test, They detect the bacteria that cause gonorrhea by identifying a strand of the bacterial DNA
Gram Stain Test, This test involves placing a smear of the secretions from the urethra or cervix on a slide and staining the smear with dye. The HCP then uses a microscope to look for bacteria on the slide.
Culture Test, Aculture test is performed by inserting a swab into the cervix or urethra, and sometimes the rectum or throat, to take a sample. The sample is the placed on a culture plate and incubated for 24 to 72 hours to allow bacteria to grow.
PRGNOSIS: When treated early it never comes back but if you do not the long term effects is:
MEN: Epididymitis - an inflammation of the testicles that can cause sterility
WOMEN: Pelvic Inflammatory Disease - an ascending infection that spreads from the vagina and cervix to the uterus and fallopian tubes. PID can lead to sterility. Abscesses, Entopic pregnancy - a pregnancy outside of the uterus, per hepatitis - an infection around the liver
RATE OF PREVALENCE nearly 750,000 cases of gonorrhea are reported annually in the United States. Another 750,000 unreported cases, mostly among teenagers and young adults, are believed to occur each year (1992).
Reference http://www.ashastd.org/stdfaqs/gonorrhea.html#what

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