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.
