Preparations

Gonorrhea - one of the most common and highly contagious diseases transmitted by. Gonorrhea - gonorrhea (neisseria gonorrhoeae), the bacteria causing purulent infection of the reproductive system and, in some cases, the mucous membrane of the throat, eyes, rectum.

The main treatment for gonorrhea - antibiotic therapy. The course of antibiotics in the early stages of gonorrhea, until complications effectively and quickly suppress the symptoms of the disease. In some cases, both drugs are used to treat gonorrhea and chlamydial infections accompanying disease.

Once the diagnosis of gonorrhea, you should start to actively treat all detected lesions. The main place is occupied by drugs that have a sensitivity to the pathogen of the disease, that is antibiotics. Treatment of gonorrhea drugs prescribed by the doctor, together with a gynecologist doctor venereologist, given that this disease is sexual transmission.

What are antibiotics used for therapeutic purposes

The group of antibiotics is quite diverse, so it is important to choose a therapy that will have a positive result. It should take account of any cases of individual intolerance of the drug, so to conduct tests on the introduction of the antibacterial agent is a mandatory moment before starting treatment. Apply penicillin and semisynthetic penicillins:

• oxacillin - within seven days of injections made up to four times a day
• Ampicillin - the drug is designed for a five-day course

To treat gonorrhea used cephalosporins such as tseporeks, tseporin, cefazolin. You can also recommend antibiotics, macrolides, or sulfa drugs.

If gonorrhea Gonorrhea - self-ruled   uncomplicated, it is sufficient to antibiotics for seven days to reach recovery. Another tactic is chosen with the progression of the infection process, when states that antibiotics is unsuccessful, and in the case of protracted and chronic course of the disease.

The main treatments for gonorrhea:

• ceftriaxone
• spectinomycin
• tsefiksin
• levofloxacin
• Ciprofloxacin Ciprofloxacin - action time-tested
• ofloxacin

Ceftriaxone (antibiotic cephalosporin class) and spectinomycin to suppress the symptoms of gonorrhea are administered intramuscularly. Other preparations - tsefiksin, levofloxacin, ciprofloxacin and ofloxacin - taken orally and only once. For the treatment of gonorrhea in pregnant women, most of these drugs is not recommended. Basic antibiotics in this case - ceftriaxone and spectinomycin.

Main drugs for the treatment of anogenital gonorrhea:

Preparations of cephalosporins

• Cefixime (four milligrams orally once).
• Ceftriaxone (two hundred and fifty milligrams intramuscularly).

The drugs of fluoroquinolones group - as an alternative to cephalosporins allergies to antibiotics such as penicillin. Fluoroquinolones are not recommended for tendinitis and epilepsy

• Ciprofloxacin (five hundred milligrams orally, once).
• Ofloxacin (four milligrams orally, once).

The main treatments for pharyngeal gonorrhea:

• Ceftriaxone (two hundred and fifty milligrams intramuscularly)
• A three-day course of oral cefixime (first dose is four hundred milligrams then - two hundred milligrams twice daily for three days)
• Ciprofloxacin orally (if cephalosporins are contraindicated)

For simultaneous treatment of gonorrhea and chlamydial infections, gonorrhea accompanying fifty percent of cases, it is recommended, in addition to a standard course of antibiotics Antibiotics - whether they will help you in the foreseeable future? Additional azithromycin (one gram orally once) or doxycyline (one hundred milligrams twice daily for seven days).

When shown immunotherapy

Immunotherapy possible while taking antibiotics. Stimulation of immunity Immunity - types and characteristics in children in adults   especially indicated for the treatment of chronic gonorrhea or torpid course of the disease. You can apply by means of specific or non-specific stimulation. Preparations for carrying out specific immune stimulation is gonovaktsina. On the introduction of the drug development marked a legitimate reaction, which can occur as a reaction temperature, changes in general health (malaise, weakness, headache) and the emergence of local symptoms (local pain and redness at the injection site). Given the severity of these manifestations gonovaktsinu administered intramuscularly in one or two days. Perhaps the intradermal injection of the drug.

For non-specific immune stimulation used drugs prodigiozan, pirogenal and method autohemotherapy .  Not recommended for daily injections, they are administered once every three days .  Each subsequent dose is increased by 25 units or MTD, maximum single dose can be up to 1000 MTD .  Against the background of this group of drugs injections may also be observed marked temperature reaction .  If the temperature rises above 38C, it is necessary to reduce the dose twice .  Subsequently, if there will be no rise in temperature, it is possible to gradually increase the dose .  Dynamic medical supervision must be conducted, evaluated the general reaction of the organism .  In some clinical cases, you can combine both methods of immunotherapy when the alternate introduction gonovaktsiny and prodigiozan .  Method autohemotherapy is currently not widespread, while it is still used .  Autologous blood in the amount of 5-10 ml administered intramuscularly to patients with gonorrhea should be injected every day, you can stick interval in two days .  For a course of treatment is sufficient to six injections .

Treatment of acute gonorrhea

Gonorrhea - the second most common diseases, sexually transmitted chlamydia after Chlamydia - almost biblical disease . The causative agent of the disease - gonorrhea (neisseria gonorrhoeae), provoking a purulent inflammation of the mucous membranes of the urethra, the canal of the cervix, rectum, throat and eyes.

Gonorrhea can occur in conjunction with other types of infections. This can be trichomonas, fungal or viral infection. In this regard, it is important to comprehensively examine the patient before starting therapy. Treatment of acute gonorrhea is aimed at preventing the spread of infection by rising, while the stage should be considered and immediate localization of the inflammatory process.

The need for the appointment of antibacterial agents

If any patient acute rising gonorrhea treatment should be in a hospital. The spread of infection can lead to the development of the uterus and appendages, pelvic organs (peritonitis development pelvioperitonita or gonorrhea nature). Antibacterial drugs are an essential component of complex therapy. Gonorrhea acute form of the disease is contagious, so to achieve the removal (or eradication) of the pathogen from the body is possible only with the help of the destination of these drugs. Most often used for medicinal purposes in the following antibiotics:

• possess a broad spectrum of microbial action (penicillins, semisynthetic penicillins especially)
• tetracyclines
• aminoglycosides
• macrolides
• cephalosporins

Selecting a course dose depends on the localization process, since the defeat of the lower divisions of course dose is approximately two times smaller than the upward spread of infection. Of the group of cephalosporins used tseporin, cefazolin. The maximum daily dose of cefazolin may be 4 g (1 g is administered up to 4 times per day).

The required set of remedial measures

Acute form of rising gonorrhea can occur with symptoms of intoxication, with significant temperature response. During this period, better patient hospitalized. However, antibiotic therapy is assigned a set of detoxification, desensitizing agents, taking into account not only the condition of the woman, and her presence of comorbidity. During the whole period of fever should comply with bed rest. It is recommended to follow a certain diet, the food should be light, non-irritating, can not drink alcohol. Correct operation of the digestive tract is crucial. Appointed on the lower abdomen cold, most commonly used for these purposes warmer ice. As the effects of acute inflammation subsided used physiotherapy in the form of UHF-therapy, ultrasound, inductothermy, electrophoresis of drugs.

If within 12-48 hours of the phenomenon of inflammation (local and general symptoms) is increasing, it addressed the issue of carrying out diagnostic laparoscopy Laparoscopy - why is it necessary? . In this case, you should exclude the presence in the field of education with the appendages purulent contents or diffuse inflammation in the pelvis, ie peritonitis. Upon detection of phenomena peritonitis performed emergency surgery, while the volume of operations is determined by the patient's age, severity of destructive changes, identify comorbidity. The abdomen was carefully drained to a period after the operation could introduce drugs into the peritoneal cavity and the outflow of pathological provide content. To say that a cure is achieved, it is possible after the results of bacteriological and microscopy studies, after which the woman must be under the supervision of three months and undergo examination.

Antibiotics

The recommended treatment for acute uncomplicated gonorrhea in adults - a course of antibiotics Antibiotics - whether they will help you in the foreseeable future? . Prescribers taken once. Some of the most effective drugs in the treatment of gonorrhea include:

• Ceftriaxone (recommended dose is two hundred and fifty milligrams intravenously or intramuscularly).
• Cefixime (the recommended dose is four milligrams orally).
• Spectinomycin (recommended dose is two grams intravenously or intramuscularly) - often used to treat gonorrhea if you are allergic to beta-lactams.

In some cases there may be a resistance of gonococci to antibiotic therapy (in particular, to drugs of the penicillin, tetracycline, and ciprofloxacin).

When allergies

When an allergy to beta-lactam antibiotics for the treatment of acute gonorrhea recommend the following products:

• Spectinomycin (recommended dose is two grams intravenously or intramuscularly)
• Ciprofloxacin (recommended dose is five hundred milligrams orally)

For the treatment of acute gonorrhea in pregnant women and breastfeeding women, recommended the following medications:

• Ceftriaxone (recommended dose is two hundred and fifty milligrams intravenously or intramuscularly).
• Cefixime (the recommended dose is four milligrams orally).
• Spectinomycin (recommended dose is two grams intravenously or intramuscularly)
• Amoxicillin (three grams) in combination with probenecid (one gram) orally.

For treatment of pharyngeal gonorrhea (gonorrhea throat injury), the following products:

• Ceftriaxone (two hundred and fifty milligrams intravenously or intramuscularly).
• Ciprofloxacin (five hundred milligrams orally) or ofloxacin (four milligrams orally).

Gonococcal infection in children

During birth the baby can become infected with gonococcal infection, the symptoms of which usually appear in the newborn for two to five days after birth. Gonococcal infection in children can cause neonatal ophthalmia, pharyngitis Pharyngitis - recommended home treatment , Rectal infection, pneumonia. Treatment of infections caused by gonococci children designed to prevent corneal (corneal) ulcers and permanent vision loss. Typically for treatment of gonorrhea in children applied benzylpenicillin or cephalosporin in combination with antibiotic agents for external application (chloramphenicol, erythromycin).