A practical approach to the diagnosis and management of chlamydia and gonorrhea Review CPD A practical approach to the diagnosis and management of chlamydia and gonorrhea Clara E. [...] improved diagnostics, increased screening and contact tracing • Nucleic acid amplification testing for chlamydia and or a true increase in incidence.2 gonorrhea should be performed in both asymptomatic and Sexually transmitted infections have a substantial impact on symptomatic patients at sites of sexual exposure, guided by a careful sexual history. [...] in infants, among other pathologies.5 Treatment has become more challenging, given the increase in antimicrobial resistance in gonorrhea.6 Why is taking a good sexual history We summarize the management of chlamydia and gonorrhea important? in primary care as health care providers work collectively toward the goal of decreasing the frequency of these infections and Taking a sexual history is essen. [...] In symptomatic patients, first-void urine and swabs infection, with tenosynovitis, dermatitis or polyarthralgias.23 of sites of reported symptoms should be collected for chla- Reactive arthritis — characterized by polyarthritis, conjunctivitis mydia and gonorrhea NAAT, and for gonorrhea culture and sen- or uveitis, and urethritis or cervicitis — can occur after an infec- sitivity testing. [...] Standard symptom- and sexual ing for people who are sexually active.26 Screening and diagnostic history-based testing misses anorectal Chlamydia trachomatis and Neisseria testing in symptomatic patients should be guided by a comprehen- gonorrhoeae infections in swingers and men who have sex with men.
- Pages
- 6
- Published in
- Canada
