Anda di halaman 1dari 1

C H A P TE R

46

Sexually Transmitted Diseases

t5IFTQFDUSVNPGTFYVBMMZUSBOTNJUUFEEJTFBTFT 45%T
JODMVEFTUIFDMBTTJDWFOFSFBM
EJTFBTFTHPOPSSIFB TZQIJMJT DIBODSPJE  MZNQIPHSBOVMPNB WFOFSFVN  BOEHSBOVMPNBJOHVJOBMFBTXFMMBTBWBSJFUZPGPUIFSQBUIPHFOTLOPXOUPCFTQSFBECZTFYVBM
DPOUBDU Table 461
$PNNPODMJOJDBMTZOESPNFTBTTPDJBUFEXJUI45%TBSFMJTUFE
JOTable 462.5IFNPTUDVSSFOUJOGPSNBUJPOPOFQJEFNJPMPHZ EJBHOPTJT BOEUSFBUNFOUPG45%TQSPWJEFECZUIF$FOUFSTGPS%JTFBTF$POUSPMBOE1SFWFOUJPO $%$

DBOCFGPVOEBUwww.cdc.gov.

GONORRHEA

tNeisseria

gonorrhoeae JT B HSBNOFHBUJWF EJQMPDPDDVT FTUJNBUFE UP DBVTF VQ UP


 JOGFDUJPOTQFSZFBSJOUIF6OJUFE4UBUFT)VNBOTBSFUIFPOMZLOPXOIPTUPG
UIJTJOUSBDFMMVMBSQBSBTJUF

CLINICAL PRESENTATION

t*OGFDUFE JOEJWJEVBMT NBZ CF TZNQUPNBUJD PS BTZNQUPNBUJD  IBWF DPNQMJDBUFE PS
VODPNQMJDBUFEJOGFDUJPOT BOEIBWFJOGFDUJPOTJOWPMWJOHTFWFSBMBOBUPNJDBMTJUFT

t5IFNPTUDPNNPODMJOJDBMGFBUVSFTPGHPOPDPDDBMJOGFDUJPOTBSFQSFTFOUFEJOTable

463. "QQSPYJNBUFMZ  PG XPNFO XJUI HPOPSSIFB EFWFMPQ QFMWJD JOGMBNNBUPSZ
EJTFBTF-FGUVOUSFBUFE QFMWJDJOGMBNNBUPSZEJTFBTFDBOCFBOJOEJSFDUDBVTFPGJOGFSUJMJUZBOEFDUPQJDQSFHOBODJFT
t*O  UP  PG QBUJFOUT XJUI HPOPSSIFB  UIF HPOPDPDDJ JOWBEF UIF CMPPETUSFBN
BOEQSPEVDFEJTTFNJOBUFEEJTFBTF5IFVTVBMDMJOJDBMNBOJGFTUBUJPOTPGEJTTFNJOBUFE
HPOPDPDDBM JOGFDUJPO BSF UFOEFS OFDSPUJD TLJO MFTJPOT  UFOPTZOPWJUJT  BOE NPOPBSUJDVMBSBSUISJUJT
t%JBHOPTJT PG HPOPDPDDBM JOGFDUJPOT DBO CF NBEF CZ HSBNTUBJOFE TNFBST  DVMUVSF
UIF NPTU SFMJBCMF NFUIPE
 PS OFXFS NFUIPET CBTFE PO UIF EFUFDUJPO PG DFMMVMBS
DPNQPOFOUTPGUIFHPOPDPDDVT FH FO[ZNFT BOUJHFOT %/" PSMJQPQPMZTBDDIBSJEF

JODMJOJDBMTQFDJNFOT
t"MUIPVHI DVMUVSF PG JOGFDUFE GMVJET JT OPU UIF NPTU TFOTJUJWF PG EJBHOPTUJD UFTUT GPS
HPOPSSIFB JUJTTUJMMUIFEJBHOPTUJDUFTUPGDIPJDFCFDBVTFPGUIFIJHITQFDJGJDJUZ
t"MUFSOBUJWF NFUIPET PG EJBHOPTJT JODMVEF FO[ZNF JNNVOPBTTBZ  %/"QSPCFT  BOE
OVDMFJDBDJEBNQMJGJDBUJPOUFDIOJRVFT

TREATMENT

t1BSFOUFSBM ceftriaxone JT UIF POMZ BHFOU SFDPNNFOEFE GPS HPOPSSIFB USFBUNFOU
Table 464


t$PFYJTUJOHDIMBNZEJBMJOGFDUJPO XIJDIJTEPDVNFOUFEJOVQUPPGXPNFOBOE
PGNFOXJUIHPOPSSIFB DPOTUJUVUFTUIFNBKPSDBVTFPGQPTUHPOPDPDDBMVSFUISJUJT 
DFSWJDJUJT  BOE TBMQJOHJUJT JO QBUJFOUT USFBUFE GPS HPOPSSIFB "T B SFTVMU  DPODPNJUBOU USFBUNFOU XJUI doxycycline PS azithromycin JT SFDPNNFOEFE JO BMM QBUJFOUT
USFBUFEGPSHPOPSSIFB"TJOHMFEPTFPGB[JUISPNZDJO H
JTIJHIMZFGGFDUJWFBHBJOTU
DIMBNZEJB
t1SFHOBOUXPNFOJOGFDUFEXJUIN. gonorrhoeaeTIPVMECFUSFBUFEXJUIceftriaxone
'PS QSFTVNFE Chlamydia trachomatis JOGFDUJPO  B[JUISPNZDJO PS BNPYJDJMMJO JT UIF
QSFGFSSFEUSFBUNFOU
t5SFBUNFOU PG HPOPSSIFB EVSJOH QSFHOBODZ JT FTTFOUJBM UP QSFWFOU PQIUIBMNJB OFPOBUPSVN 5IF $%$ SFDPNNFOET UIBU FSZUISPNZDJO 
 PQIUIBMNJD PJOUNFOU
CFJOTUJMMFEJOFBDIDPOKVODUJWBMTBDJNNFEJBUFMZQPTUQBSUVNUPQSFWFOUPQIUIBMNJB
OFPOBUPSVN
433

Anda mungkin juga menyukai