2023 Korean Association of Urogenital Tract Infection and Inflammation guidelines for gonococcal infection

Hee Jo Yang, Hyuk Min Lee, Seung Ju Lee, Jin Bong Choi, Sangrak Bae, Jae Hung Jung, Tae Wook Kang, Eu Chang Hwang

Research output: Contribution to journalArticlepeer-review

Abstract

The incidence of gonorrhea has increased significantly in recent years in the United States, especially among sexually active twenty-year-olds. Although the incidence of gonorrhea has decreased in Korea since the early 2000s, it is still common among people in their twenties. Nucleic acid amplification test (NAAT) is the most sensitive diagnostic test for detecting gonococcal infection. Gram-staining is a simple and useful laboratory test for diagnosing symptomatic male gonococcal urethritis. Although bacterial culture can be used to detect antimicrobial susceptibility, its sensitivity is lower than that of NAAT. Treatment for uncomplicated gonorrhea infection is a single intramuscular injection of ceftriaxone 500 mg. Doxycycline (100 mg twice daily for 7 days) is added if there is a possibility of co-infection with chlamydia. If ceftriaxone is difficult to use, spectinomycin 2 g can be injected intramuscularly in Korea. Patients with gonorrhea should have repeated examinations within three months at the exposure site because of a high risk of re-infection. A person diagnosed with gonorrhea should discuss the nature of the infection, the importance of informing partners, when sexual activity can resume, and how to reduce the risk of sexually transmitted infections.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalInvestigative and clinical urology
Volume65
Issue number1
DOIs
Publication statusPublished - 2024 Jan

Bibliographical note

Publisher Copyright:
© The Korean Urological Association.

All Science Journal Classification (ASJC) codes

  • Urology

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