Neisseria gonorrheae is a gram-negative, intracellular diplococcus that grows best in a CO2 rich environment. Many subtypes are resistant to traditional antibiotic regimens. see also gonococcal conjunctivitis
- Vaginal discharge
- PID and infertility
- May be asymptomatic
- Purulent discharge
- Rarely asymptomatic
- Investigate as chlamydia
- Endocervical swab/self taken vulvovaginal swab for GC/CT PCR
- First pass urine for GC/CT PCR
- NB a urethral swab can be taken (only at an SRH clinic)
- Rectal/anal swabs if appropriate.
- Single dose oral Azithromycin and IM ceftriaxone
- Test for cure recommended at two weeks if asymptomatic
- IMPORTANT: Test of cure in this case (I presume) would be a culture test- PCR requires 5-6 weeks clearance to avoid false positive detection of dead bacteria.