WHAT IT MEANS-GONORRHOEA

Definition

It is an acute veneral disease caused by a gonococci microorganism called Neisseria Gonorrhoeae.

Occurrence/Incidence:- It can affect both sexes but more severe in males than in females. New born

babies are not exempted.

Incubation Period:- Usually between 2 and 5 days but may be as long as 10-14 day

Mode of spread

⦁    Coitus

⦁    Child birth/Parturition causing opthalmia neonatorum

⦁    Rarely through formities

There are two types of gonorrhoea

⦁    Acute gonococci Infection

⦁    Chronic gonorrhoea

Acute infections- clinical manifestation

In men

⦁    Painful micturition

⦁    Urethral pain

⦁    Purulent discharge

In women

⦁    Urethra and Cervix become infected first

⦁    Produced purulent vagina discharge

⦁    Bartholiritis

⦁    Some women show no sign of infection

⦁    Pelvic pain

Clinical Features

⦁    Acute arteritis referred to as gonococci rheumatism

⦁    Iritis and Conjunctivitis

THE MANAGEMENT OF GONORRHOEA

Management

Acute gonorrhoea can be treated as outpatient placed on broad spectrum antibiotics with the calcium

 citrate. 1. Tugamycin 2. Injection Gentamycin 280mg/2mls 3. Tab Septrin500mg 8hrly 4. Mist

Potassium citrate 5. Analgesics

Chronic gonorrhoea

⦁    Admission

⦁    Isolation

⦁    Routine care

⦁    Copius fluid intake

Chemotherapy:- Appropriate antibiotics after medication. When there is structure, a type of surgery

known as Bougination is performed periodically. In acute urinary retention, supra-pubic cystostomy

 may be performed. 1. To drain the urine and to allow time for clearing the urethra.

Complications

In men

⦁    Urinary structure

⦁    Orchitis

⦁    Chronic prostatis

In women

⦁    Chronic inflammation of vagina, cervix and fallopian tube.

⦁    These are some of the reasons why some women suffer infertility

The common complications to both sexes. Gonorrhoea arteritis and Gonorrhoea endocarditis

Control:-Treat the patient and the contact (sexual partner)

Health Education:-Using the media such as radio, TV, newspapers then campaign in market places

and men converge/clusters.

SIGNS AND SYMPTOMS WITH DIAGNOSIS

Signs and Symptoms of Chronic Gonorrhoea

The following symptoms are common with male:

⦁    Urethra Structure

⦁    Retention of urine

⦁    Chronic prostatitis and abscess

In female

⦁    Salpingitis can lead to infertility.

⦁    Pelvic Infection i.e. pelvic inflammation

Diagnosis

⦁    Bacteriological examination- through urine microscopy

⦁    High vagina swab or smear to find out the aetiological factor

⦁    Culture and Sensitivity for appropriate antibiotics