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Gonorrhea Epidemiology

Gonorrhea is a predominantly sexually transmitted infection that affects young, unmarried, urban populations. It is transmitted more efficiently from males to females. In the US in 2016, there were 146 new cases per 100,000 people. Symptoms in males include acute urethritis 2-7 days after exposure, with urethral discharge and dysuria. In females, mucopurulent cervicitis is most common 10 days after exposure, with potential infection of the cervix, Bartholin's glands, or vagina in some cases. Prevention methods include avoiding multiple partners, consistent and correct condom use, and seeking early treatment for any suspected infection.

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75 views13 pages

Gonorrhea Epidemiology

Gonorrhea is a predominantly sexually transmitted infection that affects young, unmarried, urban populations. It is transmitted more efficiently from males to females. In the US in 2016, there were 146 new cases per 100,000 people. Symptoms in males include acute urethritis 2-7 days after exposure, with urethral discharge and dysuria. In females, mucopurulent cervicitis is most common 10 days after exposure, with potential infection of the cervix, Bartholin's glands, or vagina in some cases. Prevention methods include avoiding multiple partners, consistent and correct condom use, and seeking early treatment for any suspected infection.

Uploaded by

何明沛
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Gonorrhea

NDMC PBL classroom1 (11/12)


Reporter: Ming-Pei Ho
01
Information from
textbook

Ref: Harrisons Principles of Internal Medicine 20th edition


Epidemiology
• predominantly affects young, nonwhite, unmarried, less educated
• members of urban populations (50%)
• 146 new cases per 100,000 people in USA(2016)
• transmitted from males to females more efficiently (50-70%)
• 1-year increase of 19% due to antibiotic resistance, multiple sexual partners,
and unprotected sex
• Oropharyngeal gonorrhea occurs in ~20% of women who practice fellatio
with infected partners.

1
Manifestation in Male
• Acute urethritis is the most common clinical manifestation 2–7 days after
exposure (most men remain asymptomatic)
• PorB.1A serotype tend to cause a greater proportion of cases of mild
and asymptomatic urethritis than do PorB.1B strains.
• urethral discharge and dysuria, usually without frequency or urgency
• (initially scant and mucoid  profuse and purulent within a day)
• Most symptomatic men seek treatment and cease to be infectious. The
remaining asymptomatic groups, accumulate in number (two-thirds)

2
Manifestation in Female
• Mucopurulent cervicitis is the most common clinical manifestation
10 days after exposure (most women remain asymptomatic)
• Cervicitis may coexist with candidal or trichomonal vaginitis.
(associated pathogens ： N. gonorrhoeae, C. trachomatis, and
Mycoplasma genitalium)
• Primarily infects the columnar epithelium of the cervical.
• Bartholin’s glands occasionally become infected.
• Vaginal mucosa is rarely infected, but may occur in anestrogenic
women (e.g., prepubertal girls and postmenopausal women)
(mucopurulent discharge+ reddened cervix)
• Gram’s stain is not sensitive for the diagnosis of gonorrhea in
women, specimens should be submitted. 3
02
Information from CDC

https://www.cdc.gov.tw/Category/Page/oENrYytXCrwUl6SijsDFcw#
Epidemiology

4
Symptoms and Preventions

5
Latest data in Taiwan

https://nidss.cdc.gov.tw/nndss/disease?id=098
6
Alternative information

7
衛教資訊
1. 避免多重性伴侶。
2. 性行為過程中，全程且正確使用保險套。
3. 如有懷疑自己感染淋病，勿自行至藥局買藥或誤信偏方，
請儘速就醫，早期診斷、早期接受治療。
4. 母親如有感染淋病未治癒，請主動告知醫師，可於新生
兒出生時使用抗生素眼睛滴藥，可有效預防感染淋病。
5. 如果出現淋病臨床症狀或懷疑自己感染淋病，請立即就
醫治療，可至醫療院所泌尿科、皮膚科、婦產科等科別看
診。
https://www.cdc.gov.tw/Disease/SubIndex/nWvBNnt9UvaZzdrzbQcfBA 8
STD-transmitted Pharyngitis

https://www.npwomenshealthcare.com/identification-and-treatment-of-non-genital-stis/
9
Sex orientations difference in STD

Everett, B. G. (2013). Sexual orientation disparities in sexually transmitted infections 10

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