7.Gonorrhoea/Urethritis

Clinical Features :

• 1)frequent or urgent need to urinate.
• 2)difficulty starting urination.
• 3)itching, pain or discomfort when not urinating.
• 4)pain during sex.
• 5)vaginal or urethral discharge.
• 6)abdominal and pelvic pain.
• 7)fever and chills.

Investigations:

• 1)Urine R/M/E& C/S
• 2)nucleic acid amplification (NAAT) testing:-- NAAT testing detects the genetic material (DNA) of the gonorrhea bacteria and is considered the optimal test for gonorrhea infection. 
• 3)Swab of affected area. A swab of your throat, urethra, vagina or rectum can collect bacteria that can be identified in a lab.

• 1vial IM stat

2)Tab.Zimax (Azithrimycin) 500mg

• 2 tab stat

or 

Cap .Doxicap (Doxycycline)(100mg)

• 1+0+1...........7 days 

• ১+০+০........1 month 

• Treatment same protocol

• Swab sent for microscopy & C/S (> 72 hours after complete antibiotic therapy)

• Refer for specialist

• স্বামী- স্ত্রী ২ জনই  Antibioticখাবেন।
• অযাচিত যৌন মিলন করা যাবেনা 
• যৌন মিলনের সময় কনডম ব্যবহার করবেন।