STD

Non-Gonococcal Urethritis

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Non-Gonococcal Urethritis

  • Causes
  1. See Dysuria
  2. Chlamydia trachomatis (35-45%)
  3. Ureoplasma urealyticum (15-25%)
  4. Other causes
    1. Mycoplasma
    2. Trichomonas vaginalis
    3. Herpes Simplex Virus
    4. Idiopathic
  • Symptoms
  1. Urethral discharge
  2. Dysuria
  • Differential Diagnosis
  • Management
  1. Precaution
    1. See Dysuria for a more complete protocol for management
  2. First-Line (empiric for Chlamydia)
    1. Azithromycin 1 gram for one dose
    2. Doxycycline 100 mg orally twice daily for 7 days
  3. Persistent Urethritis
    1. See Dysuria
    2. Metronidazole 2 grams x1 dose and
    3. Erythromycin 500 mg PO qid for 7 days