Gonorrhea | Shim Clinic, STD CLINIC SINGAPORE™

Gonorrhea | Shim Clinic, STD CLINIC SINGAPORE™: Gonorrhoea/Gonorrhea symptoms in men/women, screening/diagnosis, testing/check, treatment clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Description

Gonorrhoea (UK spelling) / gonorrhea (US spelling) is caused by Neisseria gonorrhoeae, a Gram-negative intracellular diplococci, and is usually treated with Ceftriaxone injection.

The signs of gonorrhoea appear between 2-10 days after sexual contact with an infected person.

These include:

• pus discharge from the penis
• yellow, bloody vaginal discharge
• painful burning sensation during urination.

The signs of gonorrhoea may disappear without treatment, but the germs are still present in the body.

If not treated, gonorrhoea may lead to:

• Infertility - Gonorrhoea may damage the reproductive organs.
• Blindness in the newborn - During childbirth, an infected mother can pass gonorrhoea to her newborn baby, causing eye infection.

References

• Gonorrhea - Wikipedia, the free encyclopedia
• Gonorrhea: Definition from Answers.com
• Gonorrhea - definition of Gonorrhea in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia.
• WHO | Management of gonorrhoea and Chlamydia trachomatis infections in pregnancy
• Gonorrhea - STD information from CDC

Current practices of partner notification among MSM with HIV, gonorrhoea and syphilis in the Netherlands: an urgent need for improvement
Mon, 14 May 2012 04:00:00 +0100 | BMC Infectious Diseases
Conclusions: Partner notification among MSM in the Netherlands is suboptimal; an extensive number ofSTI/HIV infections remained undetected mainly due to unnotifiable partners. To enhance PNpractices, combined and innovative PN interventions such as Internet-based PN will beimplemented for hard-to-reach MSM and other risk groups. (Source: BMC Infectious Diseases)

Gonorrhoea or chlamydia in a US military HIV-positive cohort
Sat, 12 May 2012 04:00:00 +0100 | Sexually Transmitted Infections
Conclusions Frequent GC and CT diagnoses observed among members of this HIV-positive cohort indicate substantial ongoing risk behaviours that raise concerns for HIV transmission and underscore the need for continued screening to help identify and treat these sexually transmitted infections in this population. (Source: Sexually Transmitted Infections)

Why we like clinical guidelines
Sat, 12 May 2012 04:00:00 +0100 | Sexually Transmitted Infections
"What are the best things about BASHH (British Association for Sexual Health and HIV)?" was a question posed in the strategy consultation held in August 2011. Patient care and clinical governance was seen as an ‘extremely high’ priority for BASHH by almost everyone responding, and the ‘best thing’ chosen by 96% of the 258 members participating were the clinical guidelines (J Wilson, personal communication). These were given as the main reasons for using the BASHH website by 98% of those responding, and were said to be ‘completely’ or ‘mostly’ relevant to their clinical practice. The usage figures for the website substantiate this, with the guidelines receiving nearly 100 000 hits each year,1 a dramatic growth since the first national guidelin...

Highlights from this issue
Sat, 12 May 2012 04:00:00 +0100 | Sexually Transmitted Infections
By the time you read this, Olympic fever will be upon those of us in the UK—leave is cancelled in the public health agencies, road closure imminent, and a frenzy of emergency planning and resilience exercises is reaching its final stages. Where does sexual health fit in to Olympic preparation? Traditionally, large construction projects and major public events have been seen a magnet for sex work, bringing together large communities of men living apart from partners and families. A before and after analysis exploring Canada's 2010 Winter Olympics suggests that an influx of sex workers is no longer to be expected in a developed setting, but displacement and perceived police harassment need to be addressed.1 Significantly, the researchers noted no increase in new reports of youth or tra...

Surveillance of gonococcal antimicrobial susceptibility resulting in early detection of emerging resistance
Fri, 11 May 2012 04:00:00 +0100 | Journal of Antimicrobial Chemotherapy
Conclusions This study showed that ceftriaxone and spectinomycin remained effective against gonorrhoea in Hong Kong. There was an alarming increase in strains with reduced susceptibility to oral extended-spectrum cephalosporins associated with clinical treatment failure. One-third of gonococcal isolates were non-susceptible to azithromycin. The need to switch to agents other than oral extended-spectrum cephalosporins for empirical treatment is imminent. Continued surveillance with strain characterization is essential to monitor the effectiveness of currently recommended therapy. (Source: Journal of Antimicrobial Chemotherapy)

A systematic review and meta-analysis of the prevalence of chlamydia, gonorrhoea and syphilis in incarcerated persons
Fri, 11 May 2012 04:00:00 +0100 | International Journal of STD and ----
Communicable diseases are common in people who are incarcerated. We aimed to define the prevalence of chlamydia, gonorrhoea and syphilis in people who are incarcerated and to identify subgroups with the highest risk of infection. We searched for prevalence studies of chlamydia, gonorrhoea or syphilis in incarcerated populations. Pooled estimates were generated, and meta-regression was conducted. Random effects models yielded pooled prevalence estimates of 5.75% (95% confidence interval [CI] 5.01, 6.48) and 12.31% (95% CI 10.61, 14.01) for chlamydia in men and women, 1.4% (95% CI 1.09, 1.70) and 5.73% (4.76, 6.69) for gonorrhoea in men and women, and 2.45% (95% CI 2.08, 2.82) and 6.10% (95% CI 4.75, 7.46) for syphilis in men and women, respectively. Each infection was associated with female...

Management of Neisseria gonorrhoeae infection over 12 months in a genitourinary medicine setting against British Association for Sexual Health and HIV auditable outcome measures
Thu, 10 May 2012 04:00:00 +0100 | International Journal of STD and ----
Audit of gonorrhoea management resulted in recognition of a need to change the clinic protocol for first-line antibiotic therapy and also in improvements in clinic recording of written information given to patients and the outcome of contact tracing. (Source: International Journal of STD and ----)

Diagnostics, surveillance and management of sexually transmitted infections in Europe have to be improved: lessons from the European Conference of National Strategies for Chlamydia Trachomatis and Human Papillomavirus (NSCP conference) in Latvia, 2011
Sat, 28 Apr 2012 04:00:00 +0100 | Journal of the European Academy of Dermatology and Venereology
AbstractBackground  There is an urgent need for the recognition of sexually transmitted infections (STIs) as a serious public health problem in Europe. The lack of standardization in testing, along with poor reporting and surveillance mechanisms, have resulted in low reported rates of STIs in many European Union (EU) countries, reinforcing the erroneous assumption that STIs are not a major problem. Testing and diagnosis of STIs must therefore be improved and enhanced.Recommendations  Reporting of Chlamydia trachomatis infection, gonorrhoea and syphilis should be mandatory, and an integrated surveillance system for C. trachomatis implemented in all European countries. Implementation of the European Centre for Disease Prevention and Control (ECDC) surveillance mechanisms for STIs in all ...

Terrence Higgins Trust encourages gay men to ‘Man Up’ about STI screening, with release of new platform game
Tue, 24 Apr 2012 09:16:41 +0100 | Terrence Higgins Trust
HIV and sexual health charity Terrence Higgins Trust has launched an addictive platform game with an important message for gay and bisexual men: the more men you have sex with, the more often you should screen for sexually transmitted infections (STIs).The game, ‘Man Up’, sees players attempt to bounce between brightly coloured beds without either falling off the screen, or being knocked off by a ‘love bug’. The higher they manage to bounce, the more points they receive; but points can only be banked through a visit to the floating clinic. At key stages in the game, the player receives messages containing important facts on sexual health, including how STIs are transmitted and guidance on how often to test for them. The game also includes links to website with further sexual health...

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