During a gynecologic examination of a sexually active adolescent girl, the primary care NP notes mucopurulent cervicitis. A culture is positive for Neisseria gonorrhoeae. The NP should:
a. give a single dose of 2 g of oral azithromycin.
b. administer benzathine penicillin G 2.4 million units intramuscularly.
c. prescribe oral doxycycline 100 mg daily for 7 days.
d. give intramuscular ceftriaxone and a single dose of 1 g of azithromycin.
D
Many patients who present with one sexually transmitted disease (STD) have other concomitant STDs. When gonorrhea or urethritis/cervicitis is diagnosed, the NP should treat for both N. gonorrhoeae and Chlamydia. A single-dose treatment ensures compliance. A single, 2-g dose of azithromycin is indicated to treat chancroid. Benzathine penicillin G is indicated to treat syphilis. A 7-day regimen of doxycycline is used to treat Chlamydia, but not gonorrhea.
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