Urethritis secondary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

In order to prevent transmission to one's partner and decrease the risk of antibiotic resistance, all patients must be instructed in safe sex practices and screening requirements after treatment.

Secondary Prevention

• Patients should be instructed in safe sex practices.
• All sex partners with whom a patient has engaged within the last 60 days must be evaluated for possible urethritis.
• Patients should be screened for other sexually transmitted diseases e.g. HIV and syphilis.
• All patients must be retested 3 months after treatment to evaluate the risk of antibiotic resistance.
• Prophylactic ocular antimicrobial medication is strongly recommended for all newborns exposed to Neisseria gonorrhoeae during birth.
• Gonorrhea and chlamydia are reportable diseases per the CDC, and practitioners should contact their local state health department upon diagnosing these diseases.