A 26-year-old man presents to a sexual health clinic with a 3-day history of urethral discharge and dysuria after unprotected intercourse with a new p...

Question

A 26-year-old man presents to a sexual health clinic with a 3-day history of urethral discharge and dysuria after unprotected intercourse with a new partner. Gram stain shows intracellular gram-negative diplococci. Which is the most appropriate empiric treatment according to Australian guidance?

Accepted Answer

Intramuscular ceftriaxone plus oral azithromycin

Answer

Oral azithromycin 1 g single dose only

Answer

Oral ciprofloxacin 500 mg single dose

Answer

Oral doxycycline 100 mg twice daily for 7 days only

Answer

No treatment is required if symptoms resolve

au-racgp MCQ (SBA): Gonococcal urethritis

A 26-year-old man presents to a sexual health clinic with a 3-day history of urethral discharge and dysuria after unprotected intercourse with a new partner. Gram stain shows intracellular gram-negative diplococci. Which is the most appropriate empiric treatment according to Australian guidance?