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A vaginal swab can be taken for research:
Gonococcal infection (gonorrhea)Is Sexually transmitted diseaseCaused by Gram-negative bacteria - Neisseria gonorrhoeae. In Europe, gonorrhea is second in frequency (after chlamydial infection), but the true prevalence is unknown due to the relatively high percentage of asymptomatic forms. It is known that gonorrhea is diagnosed 3 times more often in men than in women (this is partly due to a clearer clinical picture and timely diagnostics).
The main route of transmission is sexual contact, in rare cases transmission is possible through personal hygiene and intranatally, through the birth canal.
Currently, the most common method of diagnosing gonococcal infection remains the method of molecular diagnostics - polymerase chain reaction (PCR). This method allows the identification and appointment of treatment for N. gonorrhoeae in a short time with high diagnostic sensitivity and specificity (more than 96%).
The research material should be brought to the laboratory by 13:00.
Before taking smear:
In men with symptoms such as:
In women with symptoms such as:
The study material identified Neisseria gonorrhoeae:
Neisseria gonorrhoeae is the etiological cause of the clinical manifestations.
The study material does not reveal Neisseria gonorrhoeae:
Neisseria is characterized by tropism to the epithelium of the vagina, urethra, endocervical canal, rectum, larynx, conjunctiva. As a result of bacteremia (occurs in less than 1% of cases), peritoneal inflammation may develop. Asymptomatic transmission of the infection, which contributes to the development of complications due to the lack of treatment, is characteristic of 50-90% of women and 10% of men. It should be noted that Neisseria gonorrhoeae is associated with an increased risk of developing other sexually transmitted infections, especially T. vaginalis.
The main manifestation of gonococcal infection in men is urethritis, which can lead to the development of the following complications: prostatitis, vesiculitis, epididymitis, paraurethritis, periurethritis, etc. Infertility may develop.
In women, according to the localization of the inflammatory process, there are:
In case of chronic process and prolonged course of treatment, ectopic pregnancy and infertility may develop. Gonococcal infection in pregnant women causes premature rupture of membranes, premature birth, and fetal infection.
Other localizations of the lesion (in both men and women):
Laboratory diagnostics of diseases caused by Neisseria gonorrhoeae includes direct detection methods, such as microscopic examination of stained smears, culture method with inoculation on special media, and pjr (PCR) Diagnosis (detection of pathogen DNA).
Currently, the most widely used method for diagnosing Neisseria gonorrhoeae remains the molecular diagnostic method – polymerase chain reaction (PCR). This method allows for the identification of N. gonorrhoeae in a short time with high diagnostic sensitivity and specificity (over 96%) and the appointment of treatment.
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