Non-gonococcal Urethritis

NGU "in the most important and potentially the most dangerous pathogens C. Trachomatis is ". Of cases of NGU % 30-50 "Sinden C. Trachomatis is responsible. NGU "li 25-60% of heterosexual men, "then, Gonorrhea 4-40% of men" and STD clinics, but not seen in 0-7% of men without symptoms of urethritis "cynical C. Trachomatis detected. The United States "in 40% of PID are" the reasons for this C. Trachomatis is ".


NGU "with 20-50% of men" of Ureaplasma urealyticum "la become infected. In the etiology of NGU U.urealyticum "because it is difficult to ascertain the role of the pathogenic microorganism of genital colonization of the patient directly proportional to the number of previous sexual partners. From five to three the number of partners for men, 70% of samples taken from the Ureaplasma "or come across.


NGU "in the usual incubation period of 1-5 weeks. Typical symptoms of dysuria and urethral discharge. Although a small amount is usually dense and purulent urethral discharge may be. May not discharge, and the patient may complain of only the urethral pruritus.


A man suspected urethritis, urethral discharge is ideal for the accurate depiction as 4 hours after holding urine should be examined. Gram stain of urethral discharge in more than four polymorphonuclear leukocytes per 1000 magnification oil immersion field correlates with presence of urethritis. C. As far as possible Trachomatis should be made ??to determine the culture. C. Trachomatis is an intracellular parasite, the culture of urethral exudate or urine sample to be taken to be rather swab. Example 2 to 4 mm of the urethra, and a special transport medium should be taken with caution.


NGU "in the treatment of choice, or doxycycline, 100 mg single oral dose of azithromycin 1 g orally, 2 times a day 7 days. If culture, NGU "in the cause of C. Trachomatis should be considered. NGU "with 60% of men and women mate with 30% C. Trachomatis has been isolated. As part of the management of urethritis, for the treatment of the patient's sexual partner should also immediately make an attempt. In general, the regime used in the treatment of men, should also be used in the treatment of women.