Neisseria gonorrhoea, Chlamydia trachomatis, Gram negative organisms
- Send MSSU or catheter urine sample
- Send blood for culture if pyrexial
- Send first pass urine sample if suspected gonorrhoea
- If STD is suspected patients should be referred to Sexual Health Service (0345 337 9900) for partner notification and advice if required.
IM Ceftriaxone 500mg stat
+ Oral Doxycycline 100mg 12 hourly for 10-14 days
Ciprofloxacin 500mg oral stat
doxycycline 100mg oral 12 hourly for 10 - 14 days
Oral Doxycycline 100mg 12 hourly for 10-14 days
Oral Ofloxacin 200mg 12 hourly for 14 days
Oral ciprofloxacin 500mg 12 hourly for 10 days
Consider immune deficiency and testing for HIV.
For full guidelines see British Association of Sexual Health and HIV