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New Gonorrhea Guidelines

Matthew DeLaney, MD and Mike Weinstock, MD
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Based on review of recent evidence, the CDC recommends a single 500 mg intramuscular dose of ceftriaxone for uncomplicated gonorrhea. If suspected, treatment for coinfection with Chlamydia trachomatis should be treated with oral doxycycline (100 mg twice daily for 7 days).

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Cesar M. -

What would be your recommendation to treat patients in a setting where compliance is a concern?

Mike W., MD -

This is really going to depend on the patient - if we think there is 0% chance of compliance, then will need to treat in the UC but if there is a chance they would take meds, the IM ceftriaxone and oral doxy is the way to go - thx for the question!
Michael

Mike W., MD -

I would use the ceftriaxone 500mg IM and azithromycin 1g, but the best is the ceftriaxone and doxy... thx!

Nicki E., 3793302 -

How long after treatment should patients stay abstinent (when are they no longer contagious?)

Mike W., MD -

Duration of abstinence is 7 days. Thx for the question!
M

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Hippo Urgent Care Written Summary April 2021 306 KB - PDF

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