Gonorrhea and Chlamydia
- Cervical infection with either Neisseria gonorrhoeae or
Chlamydia trachomatis is associated with an ↑ risk of PROM and
preterm labor, chorioamnionitis, endometritis, and neonatal
ophthalmologic infection. The incidence of gonorrheal infection is <
1%; chlamydial infections are more common, complicating roughly 5%
- Perform routine screening of all pregnant women at the first
- Consider retesting later in pregnancy for patients at high risk.
- Treat with Ceftriaxone 250 mg IM x1 PLUS Azithromycin 1 g PO
- Cefixime 400 mg po x1
- Cefotaxime 500 mg IM x1
- Vantin 400mg po x1
- Ceftin 1g po x1
- Public health reporting is mandatory for confirmed diagnosis of
- A test of cure should be obtained after treatment.