A 24-year-old man presents with dysuria and urethral discharge. NAAT testing confirms Neisseria gonorrhoeae infection; chlamydia testing is pending. A...

Question

A 24-year-old man presents with dysuria and urethral discharge. NAAT testing confirms Neisseria gonorrhoeae infection; chlamydia testing is pending. According to current Canadian STI guidance, what is the most appropriate initial management?

Accepted Answer

Treat with intramuscular Ceftriaxone plus oral Doxycycline

Answer

Treat with oral Azithromycin 1 g single dose alone

Answer

Wait for chlamydia results before initiating any treatment

Answer

Treat with oral Ciprofloxacin 500 mg single dose

Answer

Advise abstinence only; antibiotics are not needed as infection is often self-limited

ca-mccqe1 MCQ (SBA): Uncomplicated gonorrhoea

A 24-year-old man presents with dysuria and urethral discharge. NAAT testing confirms Neisseria gonorrhoeae infection; chlamydia testing is pending. According to current Canadian STI guidance, what is the most appropriate initial management?