title: [What's new in the diagnosis and treatment of Neisseria gonorrhoeae].
abstract: Bacterial culture remains the gold standard for symptomatic infection. Nucleic Acid Amplification Tests (NAATs) have better sensitivity and specificity for rectal and pharyngeal specimens. A bacterial culture with antibiogram must be done for all NAAT positive specimens in order to modify antibiotics prescription if needed. We must fear a diffusion of extensively drug-resistant Neisseria gonorrhoeae in the future. Nevertheless, ceftriaxone 500 mg intramuscular with 1 g of azithromycin against Chlamydia trachomatis remains the treatment of N. gonorrhoeae infections. Screening of partners of identified cases and other STDs is the main measure to add to the treatment of gonorrhea.
authors: Assistance publique-Hôpitaux de Paris, université Paris-5, hôpital Cochin, service de dermatologie, Paris, France. johan.chanal@hotmail.fr
authors: Johan
authors: J
authors: Chanal
authors: François
authors: F
authors: Lassau
authors: Philippe
authors: P
authors: Morand
authors: Michel
authors: M
authors: Janier
authors: Nicolas
authors: N
authors: Dupin
mesh_terms: D000328:Adult; D017963:Azithromycin / Q000627:therapeutic use; D001431:Bacteriological Techniques; D002443:Ceftriaxone / Q000627:therapeutic use; D002690:Chlamydia Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000635:transmission; D002692:Chlamydia trachomatis; D015897:Comorbidity; D024901:Drug Resistance, Multiple, Bacterial; D004359:Drug Therapy, Combination; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology / Q000635:transmission; D006801:Humans; D007273:Injections, Intramuscular; D008297:Male; D008403:Mass Screening; D008826:Microbial Sensitivity Tests; D021141:Nucleic Acid Amplification Techniques; D011237:Predictive Value of Tests
chemical_list: D002443:Ceftriaxone; D017963:Azithromycin