Source of Infection: human.
If is untreated remains infectious so long the organisms find exit in discharges of involved mucous membranes,may be for years.
Spcific chemotherapy eliminates infection whithin days.
Transmission:direct sexual contact only.
Incubation period: 3 or 4 days,usually.
Symptoms:
1.Clinical Picture: caused by involvement of the mucous membranes of genitourinary tract.
2.Acute picture:In males:acute anterior urethritis whit purulent discharge.
In female case:urethritis or cervicitis whit discharge.
And as extragenital manifestation: arthritis.
3.Chronic Picture:if case is neglected or improperly treated infection extends to other parts of genitourinary tract and becomes chronic.
Diagnosis:
Acute gonorrhoea is suspected by purulent urethral discharge and history of sexual exposure,to be confirmed by lboratory examination:
-film of pus from urethra or cervix to demonstrate intracellulr gonococci.
-culture of pus if is necessary.
For chronic cases:complement fixation test.
Atention: No aquired immunity after attack and so the same person is exposed to reinfection and repeated attacks.
Prevention:
General preventive measuress of venereal infection (avoid changing sexual partners,use the condom for protected sex).
Specific prevention: chemoprophylaxis by oral penicillin (400 000 units) just before or after exposure.
Control:
-case-finding:early diagnosis is valuable to limit spread of infection and prevent becoming chronic.
-health education of the public,specially young dults so as to seek medical care once suffering.
Some cases may be shy to consult the physician and so has to be encouraged to seek care.
Read on this blog :GONORRHEA SYMPTOMS AND TREATMENT
http://lifemedicalassistance.blogspot.com/2010/6/gonorrhea-and-treatment.html
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