![]() ![]() Patient information on STIs and genital conditions is available at the HSE Sexual Health and Crisis Pregnancy website including the Gonorrhoea information leaflet. ![]() National guidelines for the prevention and control of gonorrhoea and for minimising the impact of antimicrobial resistance in Neisseria gonorrhoea.* this should be managed in a specialist setting and if not feasible, only following specialist advice, especially where sensitivity of the isolate is not known and a symptomatic person is being treated empirically. Treatment of uncomplicated angogenital and pharyngeal gonorrhoea in adults including those with cephalosporin allergy. Notification process is usually initiated by the testing laboratory.Įmpiric treatment with oral cefixime is inappropriate. Advise no sexual contact until negative on test of cure for gonorrhoea (2-3 weeks post treatment) but if no test of cure completed, then should abstain for 2 weeks.Sexual partners in the preceding 6 months should be informed of the need for testing and patients should be encouraged to inform their sexual partners. Sexual partners in the two week window period after last sexual contact may have a false negative result and should be empirically treated for gonorrhoea.Partners of the above should also be considered for HCV testing. Hepatitis C testing should be considered part of routine sexual health screening in the following circumstances: MSM, People living with HIV Commercial sex workers People who inject drugs (PWID).Individuals diagnosed with gonorrhoea should be offered testing for other STIs including HIV, Hepatitis B, syphilis and chlamydia.Test of cure is recommended 2-3 weeks post completion of treatment and is particularly important where sensitivities are unknown and/or ceftriaxone treatment not given.Treatment can be initiated, as outlined in the table below, without sensitivity results. NAAT testing does not currently give information on gonorrhoea antimicrobial susceptibility and wherever possible culture and sensitivity testing needs to be done. ![]()
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