Gonococcal

Test of cure recommended after completion of therapy.

 
Usual Pathogens

Neisseria gonorrhoeae

 

Empiric Therapy Dose Duration
Ceftriaxone 250mg IM 1 dose
+    
Azithromycin 1g PO 1 dose
Alternative:    
Ceftriaxone 250mg IM 1 dose
+    
Doxycycline 100mg PO bid 7 days
Alternative
Empiric Therapy Dose Duration
Cefixime 800mg PO 1 dose
+    
[Azithromycin 1g PO 1 dose
or    

Doxycycline]

100mg PO bid 7 days

Severe cephalosporin allergy

Empiric Therapy Dose Duration
Azithromycin 2g PO 1 dose
+    
Gentamicin 240mg IM 1 dose