What is the recommended management for gonorrhea?

The recommended management for gonorrhea typically involves the administration of a single intramuscular (IM) dose of ceftriaxone, which is a broad-spectrum cephalosporin antibiotic. Ceftriaxone is effective against Neisseria gonorrhoeae, the bacterium responsible for gonorrhea, and is included in current treatment guidelines. This method of treatment is preferred due to its efficacy and ease of administration.

Using ceftriaxone as a single IM dose ensures that the drug achieves adequate therapeutic levels in the body to combat the infection effectively. Additionally, in many regions, ceftriaxone is used in combination with azithromycin to provide dual therapy, which helps prevent the development of antibiotic resistance. However, the focus here is on the primary recommended management, which is the IM administration of ceftriaxone.

Other treatment options are less appropriate: oral doxycycline and azithromycin are not the standard recommendation for gonorrhea treatment due to the potential for resistance and lower efficacy. The use of vancomycin and clindamycin is typically reserved for other infections and is not indicated in gonorrhea management. Penicillin V is outdated for the treatment of gonorrhea, as N. gonorrhoeae