University:
Camosun College
Course:
NURS132 | Promoting Health and Wellbeing
Academic year:

2023
Views:

88

Pages:

2
Author:

Aysha A

CGONORRHOEA Neisurie gonorchoer-mon-capsulated, grum negative - Kiding shaped diplococcus. manifests as cervicitis, urethritis, Conjunctivitis. VIRULENCE FACTORC Pilli Adhesion & Provent Phagocytosis Porin (50/TMP) Por Bar) Local & Disseminated Por Local genital infections. Lactoferrin-BP Clinical manifestations • In males Acute urethritis Complications:- epididymis prostatitis purulent urethral discharge →Incubation period:-2-7 days دا spread 10 penurethral tissue (water-can-perineum)... •In females:- mucopurulent cervicitis- scanto vaginal discharge → vulvovaginth's not seen in adult vagina as It is resistant to gonococcal infections [due to Coupettatrick stratified squamous epithelium occur in prepubertal giric & post-menopausal Spread: Bartholins gland, fallopian tube, endometrium FITZ-HUGH-CURTIS SYNDROME Peritoniti's + ass. perinepatic inflammation Both the sexes Amorectal gonorrhoe Phorygel gonorrhoe ↳ occular gonorrhel. A opthalmia neonatorum In pregnet woprematur ddry, chorio amnionitis, & SOPSIA •pisseminated gonococcal infections (Dia) Pacteremia + pofortaria + des matitist condocerditis Labertos diagnosis Specimen collection Urethral swab men Cervical swab wab (Female) →→Dacron or Rayon swabs →in chronic urethritis, disctige is minimal; prostatic massage is done to collect the secretion, morning drop of secration may be collected. Transport Media Collected in charcoal-coated swabs kept in Stuarts-Transpo media or alternatively charcoal-containing medium (Amies) medium. MICROSCOPY aram kido Shaped diplococci calture recoromeded, as 50% is org sensitive. CULTURE Endocervical Caltre 80-90% sensitivit abs normal Flora Selective media such as THAYER-MARTIN-( ARTIN- (Choclate agt MEPIUM IDENTIFICATION diff gonococci from other commensal Neisseria species. Gonococciare catalase & ixidase (+) Ferment glucose I x mallose + sucrose MALDI-TOF (NAATS) PCR Treatment. nf. ancomy. gonococcal mensen at cephalosporin unc Ceftriaxone (250mg gie IM) cefixime (400 my oraly single doa) 129