How is disseminated gonococcal infection treated

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
DGICeftriaxone 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.


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