treatment for Gonorrhea

[alrex_27]

guys, what is the specific treatment for gonorrhea?thanks...

[TazziRN, RN]

Rocephin IM

[SilentfadesRPA]

rocephin 250IM is ok but equally effective is

Floxin 400mg one pill po --and at the same time even if chlamydia is negative or is not tested for 1gm of Azithromycin po one time.

follow up in one week with urine dna test for gc and chlamydia

inform no sex till then have pt notify all known partners and

re inforce safe sex and discuss hiv rpr hsv and hep b/c testing

marc

[GingerSue]

just checking in my drugbook:

Neisseria gonorrhoeae, at one time susceptible to penicillin, are now treated with a third-generation cephalosporin such as ceftriaxone.

First-generation cephalosporins are effective against Neisseria.

(ceftriaxone = Rocephin)

Floxin = Olfloxacin is a fluoroquinolone used to treat gonorrhea.

Fluoroquinolones are useful in treating infections due to Neisseria gonorrhoeae, but resistance is becoming a problem. Fluoroquinolones should not be given to men who have sex with men or when infection likely occurred during travel, especially to Asia, the Pacific Islands, England, and Wales, because of increased rates of fluoroquinolone-resistant N. gonorrhoeae. Because recommendations for treatment of gonorrhea change as resistance becomes more prevalent, consult www.cdc.gov/std for the most current recommendations.

Fluoroquinolones are contraindicated in children younger than 18 years of age, if other alternatives are available.

Limited data are available on the safety of fluoroquinolones in pregnant or lactating women (the drugs therefore should not be used unless the benefits outweigh the potential risks.

[dijaqrn]

The new LA County standard is Rocephin 125mg IM and we give Zithromax 1 gm at the same time to cover for Chlamydia.

[P_RN, ADN, RN]

1.) are you asking for medical advice for yourself? and

2) your blog page does not present a very good image of your sincerity as a student.

If #1 go to a doctor.

[teeituptom, BSN, RN]

I miss the days when we would give the 4.8 million units of Pennicillin deep IM. Loved the look of terror in their eyes when you walked in with that huge syringe and huge needle To give it to them. Personally I think we are too nice about it nowadays.

[caroladybelle, BSN, RN]

I miss the days when we would give the 4.8 million units of Pennicillin deep IM. Loved the look of terror in their eyes when you walked in with that huge syringe and huge needle To give it to them. Personally I think we are too nice about it nowadays.

They aren't getting off "too nice" with IM Rocephin.

I had to have it for an URI - man, that stuff hurts like the dickens.

[Elvish, BSN, DNP, RN, NP]

Most of the pts I have had would concur with caroladybelle. Esp when we didn't mix it with lidocaine (repeat offenders).

[crissrn27, RN]

I've seen some really nice ladies have gonorrhea and other STDs (usually related to some really not nice men, lol....or vice versa) and to actually want the treatment to hurt is very hateful, IMO........I don't think rocephin is all that nice either BTW......I've had it maybe 10 times in the past 12 months for pyelonephritis.....even with lidocaine, it hurts.

[TazziRN, RN]

2) your blog page does not present a very good image of your sincerity as a student.

I got curious so I checked it out. I agree. I sure hope the language is a lot cleaner when dealing with pts and coworkers.

[crissrn27, RN]

Criss, the comments are aimed at people who don't care and are jerks about it.

Yeah, but the tx is the same for everybody, why should the more innocent pts suffer?

Sorry if I am being kind of touchy about this, but a friend of mine came in to deliver last year and her baby ended up on 2 weeks of abts r/t an STD that her husband gave her........and yes, I do believe it was him and not her.