Gonorrhea complications of the seminal vesicle phlogistic overview

Gonorrhea is by gonorrhea diplococcus genitourinary system of the suppurative infection. Is one of the most common sexually transmitted diseases, the main manifestation is drench bacteriostasis urethritis and cervical disease. Drench coccus can also by the urethra or cervical local spread the infection, cause the epididymitis, pelvic inflammatory disease; Can also do cause blood spread spread of gonorrhea. In addition also can cause eye, pharynx ministry, the rectal infection; One of the patients who are already be neisseria gonorrhoeae infection, but not in the clinical symptoms, called asymptomatic gonorrhea.

cause

Human beings are the only host drench bacteria. Drench coccus of lower animals without pathogenic ability, have several times the human body contains drench coccus of urethra pus transplantation in the rabbit in the eye, trying to cause drench coccus combined with membrane inflammation, has not been successful, shows that man kill drench coccus of lack of ability. So drench coccus can only hit the human. The lower animals for there is no infringement ability.

symptoms

Commonly occur in acute urethritis, unilateral majority. A low heat, epididymal swelling pain, with side groin and lower abdomen may reflect ache, beginning with normal testicular boundaries clear, is not clear, testicular tenderness, and swelling, and intense tenderness. Urine often cloudy. At the same time, we can have prostate and seminal vesicle phlogistic.

check

(a) smears:

Patients with urinary tract secretion or take the cervix secretion, gram stain, in many nucleation white blood cells found in gram-negative diplococcus. Smear to have a large number of the purulent of simple shower before bacteriostasis urethritis patients, this method were at 90%, and can be a primary diagnosis. Pharyngeal smear found gram-negative diplococcus can't diagnosis gonorrhea, because other harp bacteria in Nairobi of pharyngeal is normal flora. In addition, the symptoms are not the typical smear positive should be a further examination.

(2) training check:

Drench coccus training is important evidence of diagnosis, cultivation of symptoms very light or asymptomatic men, women patients were more sensitive method, as long as can be diagnosed culture positive, came out in genetic diagnosis, before the world health organization recommended training is the only way of screening gonorrhea.

treatment

A, treatment principle:

(a) early diagnosis and early treatment;

(2) timely, enough, rules of the drug;

(3) according to the different condition using different treatment;

(4) to track sexual partners, and treatment;

(5) after treatment, the follow-up review;

(6) note also have chlamydia, mycoplasma infection, and other STDs infection.

Second, treatment plan:

(a) drench bacteriostasis urethritis and cervicitis: general lu lignocaine penicillin G, 4.8 million units to 100 ml saline static drops; Or ampicillin penicillin 4.0 g a oral drug, also can use static drops; Or hydroxyl ampicillin penicillin 4.0 g, clothing. To produce penicillin enzyme drench coccus (PPNG), namely of resistance to penicillin drench coccus, when resistance to penicillin drench coccus popular rate above 5% use of penicillin should add sulbactam sodium. Also can choose other drugs;

1. Cephalosporin, cephalosporins diazoxide three 3.0 g static drops, using sodium 4.0 g cephalosporins latter static drops.

2. Shape with view, which is also called drench will cure, 2 g a muscle injection, somebody also claims that women use 4 g a muscle injection.

3. Quinolone drug: Ofloxacin, and that's terry will be completed 600 mg, an oral, levofloxacin, 200 mg static drops.

4. Beta-lactamase inhibitors and penicillin drugs mixture, optimal lixin etc for penicillin were and ampicillin penicillin mixture, 1.5 g a muscle injection, especially for sterilization piperacillin sodium and sulbactam sodium, 3.0 g a muscle injection or static drops.

Because of the patients had gonorrhea part and consolidate chlamydia, we used in the treatment of ceftriaxone sodium static drops 3.0 g, oral, is with, or ROM erythromycin 250 mg twice daily.

(2) drench bacteriostasis pharyngitis: ceftriaxone sodium 3.0 g static drops; Or received 250 mg oral, three times a day, or compound's 1 g/the new times, twice a day, in 7 days.

(3) drench bacteriostasis proctopathy: ceftriaxone sodium 3.0 g static drops, or joy ShiFuDing 3.0 g static drops, or put to bacteria will be completed 3.0 g static drops.

(4) drench bacteriostasis ophthalmialogy adult, agent of penicillin G1000 unit intravenous drip, once per day, 5 days.

(5) children: the 45 kg weight gonorrhea in adult dosage of medicine. 45 kg weight "by the following method to the children's medicine: ceftriaxone sodium 125 mg, a muscle injection, Or music ShiFuDing 25 mg/kg, a muscle injection, Or 40 mg/kg with spectacular, a muscle injection.

(6) have complicated gonorrhea.

(1) the gonorrhea merger fallopian tube and the epididymitis or seminal vesicle phlogistic, agent robust G480 lignocaine penicillin at, static drops, twice a day, in 7 days. The PPNG cause, especially sterilization 3.0 g, a day of a total of seven times, with spectacular 2 g, muscle injection once per day, a total of 10 days, or ceftriaxone sodium, treat bacteria will be completed, joy ShiFuDing any kind of 3.0 g static drops, a day once, in 7 days.

(2) the spread of gonorrhea: agent penicillin G1000 unit intravenous drip, once per day, in 7 days, and also can use ceftriaxone sodium 3.0 g intravenous, once per day, in 7 days.