II. Epidemiology
III. Pathophysiology
- Gram Negative Bacteria found in genitourinary tract as a Sexually Transmitted Infection
- Mycoplasma Genitalium causes Non-Gonococcal Urethritis
- Responsible for 25% of non-chlamydia Urethritis and 30% of recurrent Urethritis
IV. Associated Conditions
V. Labs
- Screening Indications
- Symptomatic patients with Urethritis or Cervicitis
- Pelvic Inflammatory Disease (consider)
- Persistent Epididymitis
- Avoid testing in isolated Vaginal Discharge
- Mycoplasma Genitalium PCR (NAAT)
- Obtain sample from first void urine sample, vulvovaginal swab or rectal swab
- Reflex Macrolide resistance testing is available from some labs
VI. Management
-
Macrolide Resistance (or unknown, testing unavailable)
- First: Doxycycline 100 mg orally twice daily for 7 days
- Next: Moxifloxacin (Avelox) 400 mg orally daily for 7 days
-
Macrolide Sensitive
- First: Doxycycline 100 mg orally twice daily for 7 days
- Next: Azithromycin 1000 mg on Day 1, then 500 mg daily on days 2, 3 and 4
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Definition (MSH) | A species of gram-negative bacteria originally isolated from urethral specimens of patients with non-gonoccocal URETHRITIS. In primates it exists in parasitic association with ciliated EPITHELIAL CELLS in the genital and respiratory tracts. |
Definition (CSP) | species of gram negative bacteria originally isolated from urethral specimens of patients with non-gonoccocal urethritis; in primates it exists in parasitic association with ciliated epithelial cells in the genital and respiratory tracts. |
Concepts | Bacterium (T007) |
MSH | D045704 |
SnomedCT | 5056007 |
LNC | LP145574-2 |
Swedish | Mycoplasma genitalium |
Czech | Mycoplasma genitalium |
Finnish | Mycoplasma genitalium |
English | Mycoplasma genitalium Tully et al. 1983, Mycoplasma genitalium, Mycoplasma genitalium (organism) |
Polish | Mycoplasma genitalium |
Norwegian | Mycoplasma genitalium |
Croatian | MYCOPLASMA GENITALIUM |
Spanish | Mycoplasma genitalium (organismo), Mycoplasma genitalium |
French | Mycoplasma genitalium |
German | Mycoplasma genitalium |
Italian | Mycoplasma genitalium |
Russian | MYCOPLASMA GENITALIUM |
Dutch | Mycoplasma genitalium |
Portuguese | Mycoplasma genitalium |