Lesson 8. Gonococcal Infections Table of ContentsGonococcal InfectionsReferencesFiguresTables PDF ShareFigures Figure 1. IMG_DF4C1CD3B91F-1 TablesTable 1. 2021 STI Treatment Guidelines: Gonococcal InfectionsTreatment of Gonococcal Ophthalmia Neonatorum Recommended for Treatment of Gonococcal Ophthalmia Neonatorum CeftriaxoneCeftriaxoneTradename:Rocephin25–50 mg/kg body weight IV or IM in a single dose, not to exceed 250 mgOne dose of ceftriaxone is adequate therapy for gonococcal ophthalmia. Ceftriaxone should be administered cautiously to neonates with hyperbilirubinemia, especially those born prematurely. Cefotaxime 100 mg/kg body weight IV or IM as a single dose can be administered for those neonates unable to receive ceftriaxone because of simultaneous administration of IV calcium. Topical antibiotic therapy alone is inadequate and unnecessary if systemic treatment is administered.Source: Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. Gonococcal infections. MMWR Recomm Rep. 2021;70(No. RR-4):1-187. [2021 STI Treatment Guidelines]Table 2. 2021 STI Treatment Guidelines: Gonococcal InfectionsPrevention of Ophthalmia Neonatorum Caused by Neisseria gonorrhoeae Recommended for Prevention of Ophthalmia Neonatorum Caused by Neisseria gonorrhoeae ErythromycinErythromycinTradename:Eryc, Dry-tab, E.E.S., EryPed0.5% ophthalmic ointment in each eye in a single application at birthNote: Erythromycin ophthalmic ointment should be instilled into both eyes of neonates as soon as possible after delivery, regardless of whether they are delivered vaginally or by cesarean delivery. Ideally, ointment should be applied by using single-use tubes or ampules rather than multiple-use tubes.Source: Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. Gonococcal infections. MMWR Recomm Rep. 2021;70(No. RR-4):1-187. [2021 STI Treatment Guidelines] Share by e-mail From:Enter your e-mail address To: Enter the e-mail address of the recipient Your Message: Check-On-LearningQuestionsThe Check-on-Learning Questions are short and topic related. They are meant to help you stay on track throughout each lesson and check your understanding of key concepts.You must be signed in to customize your interaction with these questions.
