Page 342 - Critical Maternity & Newborn Health Nursing

Fig.,(43) Symptoms of Gonorrhea adopted from

https://amp.flo.health/uploads/media/sulu-860x616/09/559-
Signs%20and%20transmission%20of%20gonorrhea.jpg?v=1-0&inline=1

Diagnosis

Diagnosis of gonorrhoea does not depend on the clinical picture alone, but the

organisms should be demonstrated by stained smear and culture (341opula-martin
medium). Culture is essential for diagnosis. Specimens are taken from cervical

canal, the urethra after milking and by pressing on bartholin gland.

Treatment

1) Antibiotics

Penicillin is the drug of choice. Cure rate is about 90%,2.4 million units of

procaine penicillin are injected intramuscularly in each buttock (does of 4.8 mega

units). It is advisable to give 1gm probenicid by month 1/2 -1 hour before penicillin

to day the excretion of the antibiotic and increases its effect. If the organism is

resistant to penicillin or the patient is allergic to the drug we give ampicillin,

erythromycin or tetracycline, 500 mg orally every 6 hours for seven days or inject
2gm spectinomycin (togamycin) IM.

2) General treatment

avoid sexual intercourse and alcohol intake till the patient is cured. If there is

acute salpingitis the patient should rest in bed at hospital.

3)Surgical treatment

any abscess as Bartholin abscess should be incised and drained.

Note: when gonorrhoea is suspected or diagnosed we must suspect the presence of

other sexually transmitted disease so we do a serological test for syphilis and repeat

341 Table of Contents