162.4 📌 章末速蚘

  • Gram - kidney bean, glucose only fermenter
  • ♂ urethritis, ♀ cervicitis/PID, MSM pharyngeal/rectal, neonatal eye
  • DGI: 䞉聯 (TST + dermatitis + polyarthralgia) 或 mono knee
  • Treatment (2020): Ceftriaxone 500 mg IM × 1 + doxy 100 bid × 7d (chlamydia)
  • DGI: ceftriaxone 1 g IV q24h × 7d
  • Recurrent DGI → complement deficiency screen
  • Re-screen 3 mo + same partner treat + HIV/syph/HBV
  • Future: gepotidacin (2024 FDA), zoliflodacin (pending)
  • Doxy-PEP 200 mg post-sex for MSM (2024 CDC)
  • Ophthalmia neonatorum: ceftriaxone 25-50 mg/kg IV/IM × 1 + topical erythromycin universal birth