A 30-year-old woman presents to the GP with a purulent urethral discharge and dysuria. She is not pregnant. NAAT is positive for both Chlamydia tracho...

Question

A 30-year-old woman presents to the GP with a purulent urethral discharge and dysuria. She is not pregnant. NAAT is positive for both Chlamydia trachomatis and Neisseria gonorrhoeae. She has a documented severe penicillin allergy (anaphylaxis) but no allergy to cephalosporins. Which is the most appropriate treatment regimen?

Accepted Answer

Intramuscular ceftriaxone 1 g stat plus oral doxycycline 100 mg twice daily for 7 days

Answer

Oral azithromycin 1 g stat only

Answer

Oral ciprofloxacin 500 mg stat plus oral doxycycline 100 mg twice daily for 7 days

Answer

Oral amoxicillin 3 g stat

Answer

Oral erythromycin 500 mg four times daily for 14 days

uk-drcog MCQ (SBA): Dual Gonorrhoea-Chlamydia with Penicillin Allergy