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Recommendations

≥ 18 years

Indications: If no risk factors for gonorrhoea

Dosage Remarks
1st choice
azithromycin oral 1000 mg single dose
2nd choice
doxycycline oral 100 mg twice daily for 7 days

 

 

≥ 18 years

Indications: If risk factors for gonorrhoea

Dosage Remarks
1st choice
azithromycin oral 1000 mg single dose

+

ceftriaxone intramuscular 500 mg single dose

Comments

• For confirmed Mycoplasma genitalium see M. genitalium

• Risk factors for gonorrhoea:

- if (rapid) diagnostic testing is not possible

- if there is a risk the patient will not attend follow-up

- when there is a high likelihood of gonorrhoea: purulent penile discharge, contact with a confirmed gonorrhoea patient