How is disseminated gonococcal infection treated?
|Local (cervicitis)||Ceftriaxone, 250 mg intramuscularly × 1 dose plus azithromycin 1 g orally × 1 dose|
-use combination even if Chlamydia testing is negative
|DGI||Ceftriaxone 1g IV every 24 hours plus azithromycin 1 g orally× 1 dose|
-continue centriaxone IV for 7 days; can switch to oral cephalosporin only if in vitro susceptibilities are known
If patient has a cephalosporin allergy, then infectious disease should be consulted.All patients should also be tested for syphilis and HIV.