Overview
Gonorrhea is a
sexually or vertically transmitted infection secondary to Gram-negative
diplococcus Neisseria gonorrhoeae, as stated in the Introduction section.
Globally,
approximately 106 million people acquire Neisseria gonorrhoeae
infections each year. A detailed discussion about the prevalence of gonorrhea
is in the Epidemiology
section.
Gonorrhea is caused by Neisseria
gonorrhoeae, and the discussion on this bacterium is in the Etiology section.
The Pathophysiology section
states that transmission of N gonorrhoeae occurs through direct contact
between a susceptible mucous membrane and an inoculum containing viable
organisms, most commonly during penile-vaginal, penile-anal, or penile-oral
sexual activity. The developmental process of gonorrhea in infected patients is
in this section.
The Risk Factors section
discusses the conditions associated with the development of gonorrhea.
Gonorrhea - Uncomplicated Anogenital Infection_Disease SummaryHistory and Physical Examination
The Clinical
Presentation section
describes the clinical features suggestive of gonorrhea in females.
The History and the Physical
Examination sections discuss
the importance of inquiring about the patient’s sexual activities and
performing general assessments to investigate signs of sexually transmitted
infections.
Diagnosis
The Diagnosis
or Diagnostic Criteria section
explains the syndromic management approach in patients with gonorrhea.
Discussions on diagnostic
testing and tests for Neisseria gonorrhoeae are in the Laboratory Tests and Ancillaries
section.
Conditions that should be ruled out in the
evaluation of patients suspected of gonorrhea are listed in the Differential Diagnosis section.
Management
Evaluation and treatment of sex partners of
patients with gonorrhea are discussed in the Evaluation
section.
General therapy principles and syndromic
management of gonorrhea are in the Principles
of Therapy section.
The Pharmacological Therapy section discusses antibiotic therapy as a treatment option
for patients diagnosed with gonorrhea.
The Nonpharmacological
section includes things to educate the patient about the management of sexually
transmitted infections. This section also includes human immunodeficiency virus
(HIV) or sexually transmitted infection (STI) testing and counseling.
The Monitoring section identifies indications
for follow-up with patients treated for gonorrhea.
