Gonorrhea
(Clap/Flores Blancas/Gleet)
-sexually transmitted bacterial disease involving the
mucosal lining of the genito-urinary tract, the rectum, and pharynx.
Causative Agent: Neisseria gonorrhoeae
Incubation Period: 3-21 days
average: 3-5 days
Mode of
Transmission
1. Bacteria is transmitted by contact with exudates from the
mucous membrane of infected persons.
2. Through direct contact with contaminated vaginal
secretions of the mother as the baby comes out of the birth canal.
3. May also be transmitted through fomites.
Clinical
Manifestations
1. In females
a.
Burning sensation and
frequent urination.
b.
Yellowish purulent vaginal
discharge
c.
Redness and swelling of the
genitals
d.
Burning sensation and
itching of vaginal area
e.
Urinary frequency and pain
on urination
f.
Urethritis or cervicitis
occurs initially a few days after exposure g. Pregnant women with gonorrhea may
infect the eye of her baby during the passage through the birth canal.
2. In males
a.
Dysuria with purulent
discharge from the urethra 2 – 7 days after exposure.
b.
Rectal infection is common
in homosexuals.
c.
Inflammation of the urethra
can cause stricture that can prevent passage of urine.
d.
Prostatitis
e.
Pelvic pain and fever
Diagnostic
Exam
1. In female – culture of specimen taken from the cervix and
anal canal (use of Thayer-Martin medium)
2. In male – gram stain
Treatment
Modalities
·
Ceftriaxone
– for uncomplicated gonorrhea in adults
·
Ceftriaxone
& Erythromycin – for pregnant women
·
Aqueous
procaine Penicillin
·
Direct
fluorescent antibody test
Nursing
Management
1. All information concerning the patient is considered
confidential.
2. The patient should be isolated until he/she recovers from
the disease.
3. Infants born to mothers positive of gonorrhea should be
instilled with ophthalmic prophylaxis into both eyes at the time of birth.
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