![]() Advise no sexual contact for 7 days after treatment is administered.If a patient has an intrauterine device (IUD), leave it in place and treat as recommended.Ciprofloxacin 500 mg orally immediately can be used to treat gonorrhoea, but only if susceptibility has been confirmed on NAAT or culture, and this should not delay treatment.Ceftriaxone monotherapy should not be used outside specialist centres monitoring culture-based antibiotic susceptibility.Dual antibiotic treatment is recommended to create a pharmacological barrier to the development of more widespread resistance to treatment.Sharing of antimicrobial resistance genetic material between bacteria and reduced drug penetration to pharyngeal mucosa makes it the most likely site of treatment failure.Reduced susceptibility to the first-line treatment of intramuscular injection ceftriaxone and azithromycin is emerging in urban Australia.*If a patient has received the recommended treatment for genital or anorectal gonorrhoea at the time of testing, and if they’re found to also have pharyngeal gonorrhoea, they do not need to be re-treated with the higher dose of azithromycin, but a test of cure is recommended. in 2 mL 1% lignocaineĪlternative treatments are not recommended because of high levels of resistance, EXCEPT for some remote Australian locations and severe allergic reactions.Īzithromycin given as 1 g followed by 1 g 6 hours later may reduce gastrointestinal side-effects.Ĭeftriaxone 1 g IMI, stat. Uncomplicated genital and anorectal infectionĬeftriaxone 500 mg IMI, stat. Clinicians must specifically request ’gonococcal culture’ rather than general ’culture’, as gonococci require specific culture conditions. ![]() Culture accuracy depends on stringent incubation and transport conditions and should reach the laboratory within 24 hours. Culture samples should be obtained from all infected sites at the time of treatment to determine antibiotic susceptibility.
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