*If a patient has received the recommended treatment for genital or anorectal gonorrhoea at the time of testing, and if they’re found to also have pharyngeal gonorrhoea, they do not need to be re-treated with the higher dose of azithromycin, but a test of cure is recommended. in 2 mL 1% lignocaineĪlternative treatments are not recommended because of high levels of resistance, EXCEPT for some remote Australian locations and severe allergic reactions.Īzithromycin given as 1 g followed by 1 g 6 hours later may reduce gastrointestinal side-effects.Ĭeftriaxone 1 g IMI, stat. Uncomplicated genital and anorectal infectionĬeftriaxone 500 mg IMI, stat. Clinicians must specifically request ’gonococcal culture’ rather than general ’culture’, as gonococci require specific culture conditions. Culture accuracy depends on stringent incubation and transport conditions and should reach the laboratory within 24 hours. Culture samples should be obtained from all infected sites at the time of treatment to determine antibiotic susceptibility.
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