CHLAMYDIA AND NONGONOCOCCAL URETHRITIS AND CERVICITIS – MANAGEMENT

For treatment failures and for patients for whom tetracyclines are contraindicated, erythromycin (e.g. erythromycin stearate or ethyl succinate 500 mg every 8 hours 1 hour before food for 10 days for simple infections and longer in complicated cases) may be used.

In patients with persistent or recurrent urethral symptoms, repeated antibiotic prescriptions should not take the place of careful clinical evaluation and laboratory investigation.

Sexual partners of patients with NGU or NGC should be assessed and treated where necessary. Women with silent infection may develop pelvic inflammatory disease especially when using an IUCD. Males may develop prostatitis. Epidemiological treatment is recommended for the female contacts of a male with recent onset of NGU.

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