Materiały źródłowe

• #1 Urethritis Treatments

  https://www.urologists.org/article/treatments/urethritis-treatments

  Urethritis is the swelling and irritation of the tube that transports urine from the bladder (urethra). Treatment for urethritis involves dealing with the underlying cause, which can include infections as well as injury or trauma. […] Many cases of urethritis are caused by infections, such as sexually-transmitted infections (STIs) such as chlamydia or gonorrhea. Treatment for this type of urethritis involves: Eliminating the infection, Providing relief from symptoms, Preventing transmission of the infection to sexual partners, Encouraging less risky behavior to prevent recurrence of infection, Identifying and treating sexual partners. […] Antibiotics, such as azithromycin (Zithromax) or cefixime (Suprax) can treat the underlying infection. When applicable, a patient’s partner must also be treated for the same infection.

• #1 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. Administer antibiotics to prevent morbidity and to reduce disease transmission to others. Treating recent sexual contacts (those having sexual contact with the patient within 60 days prior to symptom onset) also prevents reinfection of the index patient. […] Antibiotic therapy for urethritis should cover both gonococcal urethritis (GU) and nongonococcal urethritis (NGU). The choice of antibiotics should be based on effectiveness, adverse effects, cost, and compliance. In most situations, optimal treatment is with single-dose therapy administered in the emergency department or the physician’s office. […] Currently, the CDC recommends a single dose of ceftriaxone 500 mg IM (1 g IM in patients weighing 150 kg) for the treatment of GU. If ceftriaxone is unavailable, administer cefixime 800 mg orally in a single dose. If the patient has a cephalosporin allergy or a type 1 hypersensitivity reaction to penicillins, treat with gentamicin 240 mg IM plus azithromycin, 2 g orally. If chlamydial infection has not been excluded, treatment should also include doxycycline, 100 mg orally twice a day for 7 days.

• #2 Urethritis: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000439.htm

  The goals of treatment are to: […] If you have a bacterial infection, you will be given antibiotics. […] You may take both pain relievers for general body pain and products for localized urinary tract pain, plus antibiotics. […] People with urethritis who are being treated should avoid sex, or use condoms during sex. Your sexual partner must also be treated if the condition is caused by an infection. […] Urethritis caused by trauma or chemical irritants is treated by avoiding the source of injury or irritation. […] Urethritis that does not clear up after antibiotic treatment and lasts for at least 6 weeks is called chronic urethritis. Different antibiotics may be used to treat this problem.

• #2 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. Administer antibiotics to prevent morbidity and to reduce disease transmission to others. Treating recent sexual contacts (those having sexual contact with the patient within 60 days prior to symptom onset) also prevents reinfection of the index patient. […] Antibiotic therapy for urethritis should cover both gonococcal urethritis (GU) and nongonococcal urethritis (NGU). The choice of antibiotics should be based on effectiveness, adverse effects, cost, and compliance. In most situations, optimal treatment is with single-dose therapy administered in the emergency department or the physician’s office. […] Currently, the CDC recommends a single dose of ceftriaxone 500 mg IM (1 g IM in patients weighing 150 kg) for the treatment of GU. If ceftriaxone is unavailable, administer cefixime 800 mg orally in a single dose. If the patient has a cephalosporin allergy or a type 1 hypersensitivity reaction to penicillins, treat with gentamicin 240 mg IM plus azithromycin, 2 g orally. If chlamydial infection has not been excluded, treatment should also include doxycycline, 100 mg orally twice a day for 7 days.

• #3 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. Administer antibiotics to prevent morbidity and to reduce disease transmission to others. Treating recent sexual contacts (those having sexual contact with the patient within 60 days prior to symptom onset) also prevents reinfection of the index patient. […] Antibiotic therapy for urethritis should cover both gonococcal urethritis (GU) and nongonococcal urethritis (NGU). The choice of antibiotics should be based on effectiveness, adverse effects, cost, and compliance. In most situations, optimal treatment is with single-dose therapy administered in the emergency department or the physician’s office. […] Currently, the CDC recommends a single dose of ceftriaxone 500 mg IM (1 g IM in patients weighing 150 kg) for the treatment of GU. If ceftriaxone is unavailable, administer cefixime 800 mg orally in a single dose. If the patient has a cephalosporin allergy or a type 1 hypersensitivity reaction to penicillins, treat with gentamicin 240 mg IM plus azithromycin, 2 g orally. If chlamydial infection has not been excluded, treatment should also include doxycycline, 100 mg orally twice a day for 7 days.

• #4 Urethritis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22858-urethritis

  Antibiotics are the standard treatment. […] Antibiotics are the main treatment for urethritis, either alone or in combination. Some of the antibiotics used to treat urethritis include: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] Your provider may start you on antibiotics even before getting results back if they believe you have an infection. […] If you have urethritis from friction or from using irritating chemicals like soap or spermicide, your provider will suggest that you stop wearing tight clothing, stop using the irritant and cut back on the time you spend doing the activity that causes friction. […] Make sure to take all of your antibiotics as instructed by your healthcare provider. Usually, you’ll need to take the medications for a week to 10 days. You’ll probably begin to feel better after a few days, but it’s important to make sure that you take the entire prescription. […] If you have urethritis and you’re treated with the correct medication, you should be cured entirely. It’s important to note that your sexual partners must also take the medication. If only one of you is treated, you can continue to pass the infection back and forth. […] Urethritis can be cured.

• #5 Urethritis Treatments

  https://www.urologists.org/article/treatments/urethritis-treatments

  Urethritis is the swelling and irritation of the tube that transports urine from the bladder (urethra). Treatment for urethritis involves dealing with the underlying cause, which can include infections as well as injury or trauma. […] Many cases of urethritis are caused by infections, such as sexually-transmitted infections (STIs) such as chlamydia or gonorrhea. Treatment for this type of urethritis involves: Eliminating the infection, Providing relief from symptoms, Preventing transmission of the infection to sexual partners, Encouraging less risky behavior to prevent recurrence of infection, Identifying and treating sexual partners. […] Antibiotics, such as azithromycin (Zithromax) or cefixime (Suprax) can treat the underlying infection. When applicable, a patient’s partner must also be treated for the same infection.

• #6 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. Administer antibiotics to prevent morbidity and to reduce disease transmission to others. Treating recent sexual contacts (those having sexual contact with the patient within 60 days prior to symptom onset) also prevents reinfection of the index patient. […] Antibiotic therapy for urethritis should cover both gonococcal urethritis (GU) and nongonococcal urethritis (NGU). The choice of antibiotics should be based on effectiveness, adverse effects, cost, and compliance. In most situations, optimal treatment is with single-dose therapy administered in the emergency department or the physician’s office. […] Currently, the CDC recommends a single dose of ceftriaxone 500 mg IM (1 g IM in patients weighing 150 kg) for the treatment of GU. If ceftriaxone is unavailable, administer cefixime 800 mg orally in a single dose. If the patient has a cephalosporin allergy or a type 1 hypersensitivity reaction to penicillins, treat with gentamicin 240 mg IM plus azithromycin, 2 g orally. If chlamydial infection has not been excluded, treatment should also include doxycycline, 100 mg orally twice a day for 7 days.

• #7 Urethritis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK537282/

  The recommended treatment for gonococcal urethritis is a single dose of ceftriaxone 500 mg administered intramuscularly (IM) or intravenously (IV) for patients with a body weight of less than 150 kg. For patients with a body weight of 150 kg or more, 1 g of ceftriaxone IM/IV is recommended. If C trachomatis infection has not been definitively ruled out, additional treatment with doxycycline 100 mg taken orally twice daily for 7 days should be administered. […] Nongonococcal urethritis typically warrants empiric therapy with doxycycline 100 mg twice daily for 7 days, unless otherwise indicated. For C trachomatis, the preferred treatment is doxycycline 100 mg orally twice daily for 7 days. An alternative regimen includes azithromycin 500 mg taken orally as a single dose, followed by 250 mg orally daily for 4 days.

• #8 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. Administer antibiotics to prevent morbidity and to reduce disease transmission to others. Treating recent sexual contacts (those having sexual contact with the patient within 60 days prior to symptom onset) also prevents reinfection of the index patient. […] Antibiotic therapy for urethritis should cover both gonococcal urethritis (GU) and nongonococcal urethritis (NGU). The choice of antibiotics should be based on effectiveness, adverse effects, cost, and compliance. In most situations, optimal treatment is with single-dose therapy administered in the emergency department or the physician’s office. […] Currently, the CDC recommends a single dose of ceftriaxone 500 mg IM (1 g IM in patients weighing 150 kg) for the treatment of GU. If ceftriaxone is unavailable, administer cefixime 800 mg orally in a single dose. If the patient has a cephalosporin allergy or a type 1 hypersensitivity reaction to penicillins, treat with gentamicin 240 mg IM plus azithromycin, 2 g orally. If chlamydial infection has not been excluded, treatment should also include doxycycline, 100 mg orally twice a day for 7 days.

• #9 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  For treatment of NGU, the CDC currently recommends doxycycline, 100 mg orally twice a day for 7 days. Alternative regimens include a single dose of 1 g azithromycin orally, or 500 mg orally followed by 250 mg orally daily for 4 days. […] Patients with persistent symptoms should be reevaluated. In those with persistent or recurrent NGU, the most common organism is Mycoplasma genitalium, especially following treatment with doxycycline. Antimicrobial resistance is noted to be high for M genitalium. […] The CDC recommends a two-stage approach for treatment for M genitalium. If M genitalium resistance testing is available it should be performed, and the results should be used to guide therapy. Treatment of macrolide-sensitive M genitalium infection is with doxycycline 100 mg orally 2 times/day for 7 days followed by azithromycin, 1 g orally initial dose then 500 mg orally daily for 3 additional days (2.5 g total).

• #10 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  Meningococcal urethritis is treated with the same antimicrobial regimens as gonococcal urethritis. […] Treatment of sex partners of patients with meningococcal urethritis with the same antimicrobial regimens as for exposure to gonococcal infection can be considered. […] NGU is a nonspecific diagnosis that can have various infectious etiologies. […] Doxycycline is highly effective for chlamydial urethral infections and is also effective for chlamydial infections of the rectum; it also has some activity against M. genitalium. […] Recommended Regimen for Nongonococcal Urethritis: Doxycycline 100 mg orally 2 times/day for 7 days. […] To minimize transmission and reinfections, men treated for NGU should be instructed to abstain from sexual intercourse until they and their partners have been treated.

• #11 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  For treatment of NGU, the CDC currently recommends doxycycline, 100 mg orally twice a day for 7 days. Alternative regimens include a single dose of 1 g azithromycin orally, or 500 mg orally followed by 250 mg orally daily for 4 days. […] Patients with persistent symptoms should be reevaluated. In those with persistent or recurrent NGU, the most common organism is Mycoplasma genitalium, especially following treatment with doxycycline. Antimicrobial resistance is noted to be high for M genitalium. […] The CDC recommends a two-stage approach for treatment for M genitalium. If M genitalium resistance testing is available it should be performed, and the results should be used to guide therapy. Treatment of macrolide-sensitive M genitalium infection is with doxycycline 100 mg orally 2 times/day for 7 days followed by azithromycin, 1 g orally initial dose then 500 mg orally daily for 3 additional days (2.5 g total).

• #12 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  Meningococcal urethritis is treated with the same antimicrobial regimens as gonococcal urethritis. […] Treatment of sex partners of patients with meningococcal urethritis with the same antimicrobial regimens as for exposure to gonococcal infection can be considered. […] NGU is a nonspecific diagnosis that can have various infectious etiologies. […] Doxycycline is highly effective for chlamydial urethral infections and is also effective for chlamydial infections of the rectum; it also has some activity against M. genitalium. […] Recommended Regimen for Nongonococcal Urethritis: Doxycycline 100 mg orally 2 times/day for 7 days. […] To minimize transmission and reinfections, men treated for NGU should be instructed to abstain from sexual intercourse until they and their partners have been treated.

• #13 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  Urethritis, as characterized by urethral inflammation, can result from either infectious or noninfectious conditions. […] If POC diagnostic tools (e.g., Gram, methylene blue [MB], or gentian violet [GV] stain microscopy) are unavailable, drug regimens effective against both gonorrhea and chlamydia should be administered. […] Both chlamydia and gonorrhea are reportable to health departments. […] NAATs are preferred for detecting C. trachomatis and N. gonorrhoeae, and urine is the preferred specimen for males. […] M. genitalium is associated with symptoms of urethritis and urethral inflammation and accounts for 15%25% of NGU cases in the United States. […] T. vaginalis can cause urethritis among heterosexual men; however, the prevalence varies substantially by U.S. geographic region, age, and sexual behavior and within specific populations.

• #14 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  For treatment of NGU, the CDC currently recommends doxycycline, 100 mg orally twice a day for 7 days. Alternative regimens include a single dose of 1 g azithromycin orally, or 500 mg orally followed by 250 mg orally daily for 4 days. […] Patients with persistent symptoms should be reevaluated. In those with persistent or recurrent NGU, the most common organism is Mycoplasma genitalium, especially following treatment with doxycycline. Antimicrobial resistance is noted to be high for M genitalium. […] The CDC recommends a two-stage approach for treatment for M genitalium. If M genitalium resistance testing is available it should be performed, and the results should be used to guide therapy. Treatment of macrolide-sensitive M genitalium infection is with doxycycline 100 mg orally 2 times/day for 7 days followed by azithromycin, 1 g orally initial dose then 500 mg orally daily for 3 additional days (2.5 g total).

• #15 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  For treatment of NGU, the CDC currently recommends doxycycline, 100 mg orally twice a day for 7 days. Alternative regimens include a single dose of 1 g azithromycin orally, or 500 mg orally followed by 250 mg orally daily for 4 days. […] Patients with persistent symptoms should be reevaluated. In those with persistent or recurrent NGU, the most common organism is Mycoplasma genitalium, especially following treatment with doxycycline. Antimicrobial resistance is noted to be high for M genitalium. […] The CDC recommends a two-stage approach for treatment for M genitalium. If M genitalium resistance testing is available it should be performed, and the results should be used to guide therapy. Treatment of macrolide-sensitive M genitalium infection is with doxycycline 100 mg orally 2 times/day for 7 days followed by azithromycin, 1 g orally initial dose then 500 mg orally daily for 3 additional days (2.5 g total).

• #16 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  If symptoms persist or recur after therapy completion, men should be instructed to return for reevaluation and should be tested for M. genitalium and T. vaginalis. […] The initial step in recurrent urethritis is assessing compliance with treatment or potential reexposure to an untreated sex partner. […] If T. vaginalis is unlikely, men with recurrent NGU should be tested for M. genitalium by using an FDA-cleared NAAT. […] Treatment for M. genitalium includes a two-stage approach, ideally using resistance-guided therapy. […] If M. genitalium resistance testing is not available, doxycycline 100 mg orally 2 times/day for 7 days followed by moxifloxacin 400 mg orally once daily for 7 days should be used.

• #17 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  For treatment of NGU, the CDC currently recommends doxycycline, 100 mg orally twice a day for 7 days. Alternative regimens include a single dose of 1 g azithromycin orally, or 500 mg orally followed by 250 mg orally daily for 4 days. […] Patients with persistent symptoms should be reevaluated. In those with persistent or recurrent NGU, the most common organism is Mycoplasma genitalium, especially following treatment with doxycycline. Antimicrobial resistance is noted to be high for M genitalium. […] The CDC recommends a two-stage approach for treatment for M genitalium. If M genitalium resistance testing is available it should be performed, and the results should be used to guide therapy. Treatment of macrolide-sensitive M genitalium infection is with doxycycline 100 mg orally 2 times/day for 7 days followed by azithromycin, 1 g orally initial dose then 500 mg orally daily for 3 additional days (2.5 g total).

• #18 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  If M genitalium resistance testing is not available, the recommended treatment is doxycycline 100 mg orally 2 times/day for 7 days followed by moxifloxacin 400 mg orally once daily for 7 days. […] Trichomonas vaginalis infection should be considered in heterosexual patients with persistent symptoms. In regions where T vaginalis is prevalent, patients with urethritis should be treated empirically with metronidazole 2 g orally in a single dose or tinidazole 2 g orally in a single dose.

• #19 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  If symptoms persist or recur after therapy completion, men should be instructed to return for reevaluation and should be tested for M. genitalium and T. vaginalis. […] The initial step in recurrent urethritis is assessing compliance with treatment or potential reexposure to an untreated sex partner. […] If T. vaginalis is unlikely, men with recurrent NGU should be tested for M. genitalium by using an FDA-cleared NAAT. […] Treatment for M. genitalium includes a two-stage approach, ideally using resistance-guided therapy. […] If M. genitalium resistance testing is not available, doxycycline 100 mg orally 2 times/day for 7 days followed by moxifloxacin 400 mg orally once daily for 7 days should be used.

• #20 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  If M genitalium resistance testing is not available, the recommended treatment is doxycycline 100 mg orally 2 times/day for 7 days followed by moxifloxacin 400 mg orally once daily for 7 days. […] Trichomonas vaginalis infection should be considered in heterosexual patients with persistent symptoms. In regions where T vaginalis is prevalent, patients with urethritis should be treated empirically with metronidazole 2 g orally in a single dose or tinidazole 2 g orally in a single dose.

• #21 Urethritis: Causes, Symptoms, and Treatment

  https://www.webmd.com/a-to-z-guides/urethritis-symptoms-causes-treatments

  Antibiotics can successfully cure urethritis caused by bacteria. Many different antibiotics can treat urethritis. Some of the most commonly prescribed include: […] Urethritis due to trichomonas infection (called trichomoniasis) is usually treated with an antibiotic called metronidazole (Flagyl). Tinidazole (Tindamax) is another antibiotic that can treat trichomoniasis. […] Urethritis due to herpes simplex virus can be treated with: Acyclovir (Zovirax), Famciclovir (Famvir), Valacyclovir (Valtrex). […] Often, the exact organism causing urethritis cannot be identified. In these situations, a doctor may prescribe one or more antibiotics that are likely to cure infection that may be present.

• #22 Urethritis: Causes, Symptoms, and Treatment

  https://www.webmd.com/a-to-z-guides/urethritis-symptoms-causes-treatments

  Antibiotics can successfully cure urethritis caused by bacteria. Many different antibiotics can treat urethritis. Some of the most commonly prescribed include: […] Urethritis due to trichomonas infection (called trichomoniasis) is usually treated with an antibiotic called metronidazole (Flagyl). Tinidazole (Tindamax) is another antibiotic that can treat trichomoniasis. […] Urethritis due to herpes simplex virus can be treated with: Acyclovir (Zovirax), Famciclovir (Famvir), Valacyclovir (Valtrex). […] Often, the exact organism causing urethritis cannot be identified. In these situations, a doctor may prescribe one or more antibiotics that are likely to cure infection that may be present.

• #23 Urethritis: Causes, Symptoms, and Treatment

  https://www.webmd.com/a-to-z-guides/urethritis-symptoms-causes-treatments

  Antibiotics can successfully cure urethritis caused by bacteria. Many different antibiotics can treat urethritis. Some of the most commonly prescribed include: […] Urethritis due to trichomonas infection (called trichomoniasis) is usually treated with an antibiotic called metronidazole (Flagyl). Tinidazole (Tindamax) is another antibiotic that can treat trichomoniasis. […] Urethritis due to herpes simplex virus can be treated with: Acyclovir (Zovirax), Famciclovir (Famvir), Valacyclovir (Valtrex). […] Often, the exact organism causing urethritis cannot be identified. In these situations, a doctor may prescribe one or more antibiotics that are likely to cure infection that may be present.

• #24 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  For treatment of NGU, the CDC currently recommends doxycycline, 100 mg orally twice a day for 7 days. Alternative regimens include a single dose of 1 g azithromycin orally, or 500 mg orally followed by 250 mg orally daily for 4 days. […] Patients with persistent symptoms should be reevaluated. In those with persistent or recurrent NGU, the most common organism is Mycoplasma genitalium, especially following treatment with doxycycline. Antimicrobial resistance is noted to be high for M genitalium. […] The CDC recommends a two-stage approach for treatment for M genitalium. If M genitalium resistance testing is available it should be performed, and the results should be used to guide therapy. Treatment of macrolide-sensitive M genitalium infection is with doxycycline 100 mg orally 2 times/day for 7 days followed by azithromycin, 1 g orally initial dose then 500 mg orally daily for 3 additional days (2.5 g total).

• #25 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  If symptoms persist or recur after therapy completion, men should be instructed to return for reevaluation and should be tested for M. genitalium and T. vaginalis. […] The initial step in recurrent urethritis is assessing compliance with treatment or potential reexposure to an untreated sex partner. […] If T. vaginalis is unlikely, men with recurrent NGU should be tested for M. genitalium by using an FDA-cleared NAAT. […] Treatment for M. genitalium includes a two-stage approach, ideally using resistance-guided therapy. […] If M. genitalium resistance testing is not available, doxycycline 100 mg orally 2 times/day for 7 days followed by moxifloxacin 400 mg orally once daily for 7 days should be used.

• #26 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  For treatment of NGU, the CDC currently recommends doxycycline, 100 mg orally twice a day for 7 days. Alternative regimens include a single dose of 1 g azithromycin orally, or 500 mg orally followed by 250 mg orally daily for 4 days. […] Patients with persistent symptoms should be reevaluated. In those with persistent or recurrent NGU, the most common organism is Mycoplasma genitalium, especially following treatment with doxycycline. Antimicrobial resistance is noted to be high for M genitalium. […] The CDC recommends a two-stage approach for treatment for M genitalium. If M genitalium resistance testing is available it should be performed, and the results should be used to guide therapy. Treatment of macrolide-sensitive M genitalium infection is with doxycycline 100 mg orally 2 times/day for 7 days followed by azithromycin, 1 g orally initial dose then 500 mg orally daily for 3 additional days (2.5 g total).

• #27 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  If symptoms persist or recur after therapy completion, men should be instructed to return for reevaluation and should be tested for M. genitalium and T. vaginalis. […] The initial step in recurrent urethritis is assessing compliance with treatment or potential reexposure to an untreated sex partner. […] If T. vaginalis is unlikely, men with recurrent NGU should be tested for M. genitalium by using an FDA-cleared NAAT. […] Treatment for M. genitalium includes a two-stage approach, ideally using resistance-guided therapy. […] If M. genitalium resistance testing is not available, doxycycline 100 mg orally 2 times/day for 7 days followed by moxifloxacin 400 mg orally once daily for 7 days should be used.

• #28 Urethritis: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000439.htm

  The goals of treatment are to: […] If you have a bacterial infection, you will be given antibiotics. […] You may take both pain relievers for general body pain and products for localized urinary tract pain, plus antibiotics. […] People with urethritis who are being treated should avoid sex, or use condoms during sex. Your sexual partner must also be treated if the condition is caused by an infection. […] Urethritis caused by trauma or chemical irritants is treated by avoiding the source of injury or irritation. […] Urethritis that does not clear up after antibiotic treatment and lasts for at least 6 weeks is called chronic urethritis. Different antibiotics may be used to treat this problem.

• #29 Urethritis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22858-urethritis

  Antibiotics are the standard treatment. […] Antibiotics are the main treatment for urethritis, either alone or in combination. Some of the antibiotics used to treat urethritis include: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] Your provider may start you on antibiotics even before getting results back if they believe you have an infection. […] If you have urethritis from friction or from using irritating chemicals like soap or spermicide, your provider will suggest that you stop wearing tight clothing, stop using the irritant and cut back on the time you spend doing the activity that causes friction. […] Make sure to take all of your antibiotics as instructed by your healthcare provider. Usually, you’ll need to take the medications for a week to 10 days. You’ll probably begin to feel better after a few days, but it’s important to make sure that you take the entire prescription. […] If you have urethritis and you’re treated with the correct medication, you should be cured entirely. It’s important to note that your sexual partners must also take the medication. If only one of you is treated, you can continue to pass the infection back and forth. […] Urethritis can be cured.

• #30 Urethritis Treatment – Urology of Greater Atlanta

  https://ugatl.com/services/std/urethritis/

  Treatment will prevent its spread and prevent further complications from developing. […] The primary treatment for urethritis, whether used alone or in combination, involves the administration of antibiotics. Several antibiotics commonly used to treat urethritis caused by bacteria include the following: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] In some cases, your healthcare provider may initiate antibiotic treatment before receiving the test results if a bacterial infection is suspected. […] Urethritis that does not clear up after six weeks of antibiotic treatment is called chronic urethritis. Different antibiotics may be used to treat this problem. […] If urethritis is caused by friction or exposure to irritating substances like soap or spermicide, your provider may advise the following measures: Stop wearing tight-fitting clothing, Avoiding the irritant substance, Limiting the duration of activities that induce friction.

• #31 Urethritis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22858-urethritis

  Antibiotics are the standard treatment. […] Antibiotics are the main treatment for urethritis, either alone or in combination. Some of the antibiotics used to treat urethritis include: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] Your provider may start you on antibiotics even before getting results back if they believe you have an infection. […] If you have urethritis from friction or from using irritating chemicals like soap or spermicide, your provider will suggest that you stop wearing tight clothing, stop using the irritant and cut back on the time you spend doing the activity that causes friction. […] Make sure to take all of your antibiotics as instructed by your healthcare provider. Usually, you’ll need to take the medications for a week to 10 days. You’ll probably begin to feel better after a few days, but it’s important to make sure that you take the entire prescription. […] If you have urethritis and you’re treated with the correct medication, you should be cured entirely. It’s important to note that your sexual partners must also take the medication. If only one of you is treated, you can continue to pass the infection back and forth. […] Urethritis can be cured.

• #32 Urethritis – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/urethritis-a-to-z

  Infectious urethritis can be treated with a variety of antibiotics. […] Because many people have gonorrhea and chlamydia at the same time, health experts recommend that all people treated for gonorrhea receive treatment for chlamydia as well. […] No specific treatment is needed for urethritis caused by injury or chemical irritation. Your doctor may prescribe phenazopyridine (Pyridium) to ease any burning or pain with urination. […] Urethritis associated with reactive arthritis is treated with non-steroidal anti-inflammatory drugs (NSAIDs), such as naproxen.

• #33 Urethritis: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/264903

  Medications aim to treat the cause of urethritis and prevent the spread of infection. […] Treatment depends on the underlying cause. If a person has a bacterial infection, a doctor may prescribe an antibiotic, such as: doxycycline, azithromycin, metronidazole. […] Doctors may also recommend: nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen, to relieve pain; phenazopyridine, which can reduce the urge to urinate and the frequency of urination. […] The CDC recommends treatment that can be given in a single dose to encourage adherence. They also recommend giving medication on-site in the clinic and observing the first dose. […] Treatment with antibiotics is usually effective in clearing up urethritis. If symptoms do not improve, a person should talk with a doctor as another condition may be playing a role.

• #34 Urethritis: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/264903

  Medications aim to treat the cause of urethritis and prevent the spread of infection. […] Treatment depends on the underlying cause. If a person has a bacterial infection, a doctor may prescribe an antibiotic, such as: doxycycline, azithromycin, metronidazole. […] Doctors may also recommend: nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen, to relieve pain; phenazopyridine, which can reduce the urge to urinate and the frequency of urination. […] The CDC recommends treatment that can be given in a single dose to encourage adherence. They also recommend giving medication on-site in the clinic and observing the first dose. […] Treatment with antibiotics is usually effective in clearing up urethritis. If symptoms do not improve, a person should talk with a doctor as another condition may be playing a role.

• #35 Urethritis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.urethritis-care-instructions.ut2089

  Urethritis is usually treated with antibiotics. Most cases clear up with treatment. Proper treatment is very important. If you don’t treat it, the infection can lead to lasting damage of the urethra. Other parts of the urinary system can also be damaged. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Your doctor may have you take phenazopyridine (Pyridium). This is a pain medicine for the urinary tract. It can turn your urine a deep red-orange. This is normal. Call your doctor if you think you are having a problem with your medicine. […] Do not have sex until you are done with treatment. If you do have sex, be sure to use a condom. Your sex partner or partners should be tested too if your urethritis was caused by an STI.

• #36 Urethritis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22858-urethritis

  Antibiotics are the standard treatment. […] Antibiotics are the main treatment for urethritis, either alone or in combination. Some of the antibiotics used to treat urethritis include: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] Your provider may start you on antibiotics even before getting results back if they believe you have an infection. […] If you have urethritis from friction or from using irritating chemicals like soap or spermicide, your provider will suggest that you stop wearing tight clothing, stop using the irritant and cut back on the time you spend doing the activity that causes friction. […] Make sure to take all of your antibiotics as instructed by your healthcare provider. Usually, you’ll need to take the medications for a week to 10 days. You’ll probably begin to feel better after a few days, but it’s important to make sure that you take the entire prescription. […] If you have urethritis and you’re treated with the correct medication, you should be cured entirely. It’s important to note that your sexual partners must also take the medication. If only one of you is treated, you can continue to pass the infection back and forth. […] Urethritis can be cured.

• #37 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. Administer antibiotics to prevent morbidity and to reduce disease transmission to others. Treating recent sexual contacts (those having sexual contact with the patient within 60 days prior to symptom onset) also prevents reinfection of the index patient. […] Antibiotic therapy for urethritis should cover both gonococcal urethritis (GU) and nongonococcal urethritis (NGU). The choice of antibiotics should be based on effectiveness, adverse effects, cost, and compliance. In most situations, optimal treatment is with single-dose therapy administered in the emergency department or the physician’s office. […] Currently, the CDC recommends a single dose of ceftriaxone 500 mg IM (1 g IM in patients weighing 150 kg) for the treatment of GU. If ceftriaxone is unavailable, administer cefixime 800 mg orally in a single dose. If the patient has a cephalosporin allergy or a type 1 hypersensitivity reaction to penicillins, treat with gentamicin 240 mg IM plus azithromycin, 2 g orally. If chlamydial infection has not been excluded, treatment should also include doxycycline, 100 mg orally twice a day for 7 days.

• #38 Urethritis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22858-urethritis

  Antibiotics are the standard treatment. […] Antibiotics are the main treatment for urethritis, either alone or in combination. Some of the antibiotics used to treat urethritis include: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] Your provider may start you on antibiotics even before getting results back if they believe you have an infection. […] If you have urethritis from friction or from using irritating chemicals like soap or spermicide, your provider will suggest that you stop wearing tight clothing, stop using the irritant and cut back on the time you spend doing the activity that causes friction. […] Make sure to take all of your antibiotics as instructed by your healthcare provider. Usually, you’ll need to take the medications for a week to 10 days. You’ll probably begin to feel better after a few days, but it’s important to make sure that you take the entire prescription. […] If you have urethritis and you’re treated with the correct medication, you should be cured entirely. It’s important to note that your sexual partners must also take the medication. If only one of you is treated, you can continue to pass the infection back and forth. […] Urethritis can be cured.

• #39 Nongonococcal Urethritis (NGU): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/4426-nongonococcal-urethritis

  Nongonococcal urethritis (NGU) is usually a sexually transmitted infection, although urethral trauma can also cause it. Healthcare providers treat NGU with antibiotics. Make sure to take all of your medicine. […] Healthcare providers will prescribe antibiotics to destroy the germs that cause nongonococcal urethritis. A provider may prescribe: Doxycycline. Youll take doxycycline twice a day for a week. […] If youre allergic to these medications, or they dont get rid of the infection, your provider may prescribe erythromycin or ofloxacin. […] You and your partner(s) should receive treatment. If only one partner receives treatment, you may continue to pass NGU back and forth to each other. […] It may take a week or two for your symptoms to go away after starting antibiotics. […] Schedule an appointment with a healthcare provider if you notice that you or your partner have any symptoms of NGU. Its also a good idea to get annual (yearly) or more frequent STI testing if youre sexually active with multiple partners.

• #40 Urethritis: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0501/p553.html

  Expedited partner therapy (prescribing treatment for sex partners of patients with newly diagnosed chlamydia or gonorrhea without examining the partner) is legal in most states. […] NAAT can have false-positive results when performed less than three weeks after a patient has completed treatment for gonorrhea or chlamydia; therefore, a test of cure is not advised during this time.

• #41 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  Meningococcal urethritis is treated with the same antimicrobial regimens as gonococcal urethritis. […] Treatment of sex partners of patients with meningococcal urethritis with the same antimicrobial regimens as for exposure to gonococcal infection can be considered. […] NGU is a nonspecific diagnosis that can have various infectious etiologies. […] Doxycycline is highly effective for chlamydial urethral infections and is also effective for chlamydial infections of the rectum; it also has some activity against M. genitalium. […] Recommended Regimen for Nongonococcal Urethritis: Doxycycline 100 mg orally 2 times/day for 7 days. […] To minimize transmission and reinfections, men treated for NGU should be instructed to abstain from sexual intercourse until they and their partners have been treated.

• #42 Urethritis

  https://www.nhs.uk/conditions/urethritis/

  Urethritis is usually treated with antibiotics. It may take a week or two for your symptoms to disappear completely. […] Any current sexual partners may also need treatment. […] Avoid having sex (including oral sex) until you and any sexual partners have finished treatment and the symptoms have gone. […] You may be asked to come back for another appointment in 1 to 2 weeks to check the treatment has worked.

• #43 Urethritis

  https://www.nhs.uk/conditions/urethritis/

  Urethritis is usually treated with antibiotics. It may take a week or two for your symptoms to disappear completely. […] Any current sexual partners may also need treatment. […] Avoid having sex (including oral sex) until you and any sexual partners have finished treatment and the symptoms have gone. […] You may be asked to come back for another appointment in 1 to 2 weeks to check the treatment has worked.

• #44 Urethritis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.urethritis-care-instructions.ut2089

  Urethritis is usually treated with antibiotics. Most cases clear up with treatment. Proper treatment is very important. If you don’t treat it, the infection can lead to lasting damage of the urethra. Other parts of the urinary system can also be damaged. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Your doctor may have you take phenazopyridine (Pyridium). This is a pain medicine for the urinary tract. It can turn your urine a deep red-orange. This is normal. Call your doctor if you think you are having a problem with your medicine. […] Do not have sex until you are done with treatment. If you do have sex, be sure to use a condom. Your sex partner or partners should be tested too if your urethritis was caused by an STI.

• #45 Urethritis

  https://www.nhs.uk/conditions/urethritis/

  Urethritis is usually treated with antibiotics. It may take a week or two for your symptoms to disappear completely. […] Any current sexual partners may also need treatment. […] Avoid having sex (including oral sex) until you and any sexual partners have finished treatment and the symptoms have gone. […] You may be asked to come back for another appointment in 1 to 2 weeks to check the treatment has worked.

• #46 Urethritis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22858-urethritis

  Antibiotics are the standard treatment. […] Antibiotics are the main treatment for urethritis, either alone or in combination. Some of the antibiotics used to treat urethritis include: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] Your provider may start you on antibiotics even before getting results back if they believe you have an infection. […] If you have urethritis from friction or from using irritating chemicals like soap or spermicide, your provider will suggest that you stop wearing tight clothing, stop using the irritant and cut back on the time you spend doing the activity that causes friction. […] Make sure to take all of your antibiotics as instructed by your healthcare provider. Usually, you’ll need to take the medications for a week to 10 days. You’ll probably begin to feel better after a few days, but it’s important to make sure that you take the entire prescription. […] If you have urethritis and you’re treated with the correct medication, you should be cured entirely. It’s important to note that your sexual partners must also take the medication. If only one of you is treated, you can continue to pass the infection back and forth. […] Urethritis can be cured.

• #47 Nongonococcal Urethritis (NGU): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/4426-nongonococcal-urethritis

  Nongonococcal urethritis (NGU) is usually a sexually transmitted infection, although urethral trauma can also cause it. Healthcare providers treat NGU with antibiotics. Make sure to take all of your medicine. […] Healthcare providers will prescribe antibiotics to destroy the germs that cause nongonococcal urethritis. A provider may prescribe: Doxycycline. Youll take doxycycline twice a day for a week. […] If youre allergic to these medications, or they dont get rid of the infection, your provider may prescribe erythromycin or ofloxacin. […] You and your partner(s) should receive treatment. If only one partner receives treatment, you may continue to pass NGU back and forth to each other. […] It may take a week or two for your symptoms to go away after starting antibiotics. […] Schedule an appointment with a healthcare provider if you notice that you or your partner have any symptoms of NGU. Its also a good idea to get annual (yearly) or more frequent STI testing if youre sexually active with multiple partners.

• #48 Urethritis and Cervicitis – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm

  If symptoms persist or recur after therapy completion, men should be instructed to return for reevaluation and should be tested for M. genitalium and T. vaginalis. […] The initial step in recurrent urethritis is assessing compliance with treatment or potential reexposure to an untreated sex partner. […] If T. vaginalis is unlikely, men with recurrent NGU should be tested for M. genitalium by using an FDA-cleared NAAT. […] Treatment for M. genitalium includes a two-stage approach, ideally using resistance-guided therapy. […] If M. genitalium resistance testing is not available, doxycycline 100 mg orally 2 times/day for 7 days followed by moxifloxacin 400 mg orally once daily for 7 days should be used.

• #49 Urethritis: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0501/p553.html

  Expedited partner therapy (prescribing treatment for sex partners of patients with newly diagnosed chlamydia or gonorrhea without examining the partner) is legal in most states. […] NAAT can have false-positive results when performed less than three weeks after a patient has completed treatment for gonorrhea or chlamydia; therefore, a test of cure is not advised during this time.

• #50 Urethritis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22858-urethritis

  Antibiotics are the standard treatment. […] Antibiotics are the main treatment for urethritis, either alone or in combination. Some of the antibiotics used to treat urethritis include: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] Your provider may start you on antibiotics even before getting results back if they believe you have an infection. […] If you have urethritis from friction or from using irritating chemicals like soap or spermicide, your provider will suggest that you stop wearing tight clothing, stop using the irritant and cut back on the time you spend doing the activity that causes friction. […] Make sure to take all of your antibiotics as instructed by your healthcare provider. Usually, you’ll need to take the medications for a week to 10 days. You’ll probably begin to feel better after a few days, but it’s important to make sure that you take the entire prescription. […] If you have urethritis and you’re treated with the correct medication, you should be cured entirely. It’s important to note that your sexual partners must also take the medication. If only one of you is treated, you can continue to pass the infection back and forth. […] Urethritis can be cured.

• #51 Urethritis: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/2012150-overview

  Symptoms of urethritis spontaneously resolve over time, regardless of treatment. […] Administer antibiotics that cover both GU and NGU. Regardless of symptoms, administer antibiotics to the following individuals: […] Antibiotics used in the treatment of urethritis include the following: Azithromycin, Ceftriaxone, Cefixime, Gentamicin, Doxycycline, Erythromycin, Levofloxacin, Ofloxacin, Moxifloxacin.

• #52 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. Administer antibiotics to prevent morbidity and to reduce disease transmission to others. Treating recent sexual contacts (those having sexual contact with the patient within 60 days prior to symptom onset) also prevents reinfection of the index patient. […] Antibiotic therapy for urethritis should cover both gonococcal urethritis (GU) and nongonococcal urethritis (NGU). The choice of antibiotics should be based on effectiveness, adverse effects, cost, and compliance. In most situations, optimal treatment is with single-dose therapy administered in the emergency department or the physician’s office. […] Currently, the CDC recommends a single dose of ceftriaxone 500 mg IM (1 g IM in patients weighing 150 kg) for the treatment of GU. If ceftriaxone is unavailable, administer cefixime 800 mg orally in a single dose. If the patient has a cephalosporin allergy or a type 1 hypersensitivity reaction to penicillins, treat with gentamicin 240 mg IM plus azithromycin, 2 g orally. If chlamydial infection has not been excluded, treatment should also include doxycycline, 100 mg orally twice a day for 7 days.

• #53 Urethritis: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/2012150-overview

  Symptoms of urethritis spontaneously resolve over time, regardless of treatment. […] Administer antibiotics that cover both GU and NGU. Regardless of symptoms, administer antibiotics to the following individuals: […] Antibiotics used in the treatment of urethritis include the following: Azithromycin, Ceftriaxone, Cefixime, Gentamicin, Doxycycline, Erythromycin, Levofloxacin, Ofloxacin, Moxifloxacin.

• #54 Urethritis: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22858-urethritis

  Antibiotics are the standard treatment. […] Antibiotics are the main treatment for urethritis, either alone or in combination. Some of the antibiotics used to treat urethritis include: Azithromycin, Doxycycline, Ofloxacin, Levofloxacin, Ceftriaxone, Cefixime. […] Your provider may start you on antibiotics even before getting results back if they believe you have an infection. […] If you have urethritis from friction or from using irritating chemicals like soap or spermicide, your provider will suggest that you stop wearing tight clothing, stop using the irritant and cut back on the time you spend doing the activity that causes friction. […] Make sure to take all of your antibiotics as instructed by your healthcare provider. Usually, you’ll need to take the medications for a week to 10 days. You’ll probably begin to feel better after a few days, but it’s important to make sure that you take the entire prescription. […] If you have urethritis and you’re treated with the correct medication, you should be cured entirely. It’s important to note that your sexual partners must also take the medication. If only one of you is treated, you can continue to pass the infection back and forth. […] Urethritis can be cured.

• #55 Urethritis

  https://www.nhs.uk/conditions/urethritis/

  Urethritis is usually treated with antibiotics. It may take a week or two for your symptoms to disappear completely. […] Any current sexual partners may also need treatment. […] Avoid having sex (including oral sex) until you and any sexual partners have finished treatment and the symptoms have gone. […] You may be asked to come back for another appointment in 1 to 2 weeks to check the treatment has worked.

• #56 Nongonococcal Urethritis (NGU): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/4426-nongonococcal-urethritis

  Nongonococcal urethritis (NGU) is usually a sexually transmitted infection, although urethral trauma can also cause it. Healthcare providers treat NGU with antibiotics. Make sure to take all of your medicine. […] Healthcare providers will prescribe antibiotics to destroy the germs that cause nongonococcal urethritis. A provider may prescribe: Doxycycline. Youll take doxycycline twice a day for a week. […] If youre allergic to these medications, or they dont get rid of the infection, your provider may prescribe erythromycin or ofloxacin. […] You and your partner(s) should receive treatment. If only one partner receives treatment, you may continue to pass NGU back and forth to each other. […] It may take a week or two for your symptoms to go away after starting antibiotics. […] Schedule an appointment with a healthcare provider if you notice that you or your partner have any symptoms of NGU. Its also a good idea to get annual (yearly) or more frequent STI testing if youre sexually active with multiple partners.

• #57

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2089

  Urethritis is usually treated with antibiotics. Most cases clear up with treatment. Proper treatment is very important. If you don’t treat it, the infection can lead to lasting damage of the urethra. Other parts of the urinary system can also be damaged. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Do not have sex until you are done with treatment. If you do have sex, be sure to use a condom. Your sex partner or partners should be tested too if your urethritis was caused by an STI.

• #58 Urethritis Treatment & Management: Medical Care, Consultations, Prevention

  https://emedicine.medscape.com/article/438091-treatment

  Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. Administer antibiotics to prevent morbidity and to reduce disease transmission to others. Treating recent sexual contacts (those having sexual contact with the patient within 60 days prior to symptom onset) also prevents reinfection of the index patient. […] Antibiotic therapy for urethritis should cover both gonococcal urethritis (GU) and nongonococcal urethritis (NGU). The choice of antibiotics should be based on effectiveness, adverse effects, cost, and compliance. In most situations, optimal treatment is with single-dose therapy administered in the emergency department or the physician’s office. […] Currently, the CDC recommends a single dose of ceftriaxone 500 mg IM (1 g IM in patients weighing 150 kg) for the treatment of GU. If ceftriaxone is unavailable, administer cefixime 800 mg orally in a single dose. If the patient has a cephalosporin allergy or a type 1 hypersensitivity reaction to penicillins, treat with gentamicin 240 mg IM plus azithromycin, 2 g orally. If chlamydial infection has not been excluded, treatment should also include doxycycline, 100 mg orally twice a day for 7 days.

• #59 Diagnosis and Treatment of Urethritis in Men | AAFP

  https://www.aafp.org/pubs/afp/issues/2010/0401/p873.html

  Symptoms of urethritis in men typically include urethral discharge, penile itching or tingling, and dysuria. […] The goals of treatment include alleviating symptoms; preventing complications in the patient and his sexual partners; reducing the transmission of coinfections (particularly human immunodeficiency virus); identifying and treating the patient’s contacts; and encouraging behavioral changes that will reduce the risk of recurrence. […] The combination of azithromycin or doxycycline plus ceftriaxone or cefixime is considered first-line empiric therapy in patients with urethritis. […] The goals of treatment are to alleviate symptoms, prevent complications, reduce transmission of coinfections (particularly human immunodeficiency virus [HIV]), identify and treat contacts, and encourage behavioral changes to reduce the risk of recurrence.

• #60 Diagnosis and Treatment of Urethritis in Men | AAFP

  https://www.aafp.org/pubs/afp/issues/2010/0401/p873.html

  Symptoms of urethritis in men typically include urethral discharge, penile itching or tingling, and dysuria. […] The goals of treatment include alleviating symptoms; preventing complications in the patient and his sexual partners; reducing the transmission of coinfections (particularly human immunodeficiency virus); identifying and treating the patient’s contacts; and encouraging behavioral changes that will reduce the risk of recurrence. […] The combination of azithromycin or doxycycline plus ceftriaxone or cefixime is considered first-line empiric therapy in patients with urethritis. […] The goals of treatment are to alleviate symptoms, prevent complications, reduce transmission of coinfections (particularly human immunodeficiency virus [HIV]), identify and treat contacts, and encourage behavioral changes to reduce the risk of recurrence.

• #61 Urethritis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK537282/

  Urethritis is a lower urinary tract infection that causes inflammation of the urethra. Testing and treatment are crucial to prevent the spread of STIs. Diagnosis depends on a comprehensive patient history, physical examination, and appropriate laboratory tests to confirm the presence of infection. Although symptoms may resolve spontaneously, antibiotic treatment is usually advised, particularly in cases where infection is confirmed or for sexual partners of affected individuals. […] Antibiotic treatment is recommended for the following situations: Patients with positive gram stain or cultures; Sexual contact with these patients; Patients with clinical urethritis who have negative gram stains or cultures but who are unlikely to return for follow-up. In cases where a specific cause cannot be identified, or follow-up is challenging, antibiotics that target both gonococcal and nongonococcal organisms are advised, regardless of symptoms. A recommended regimen includes ceftriaxone 250 mg administered intramuscularly, combined with either azithromycin 1 g administered orally as a single dose or doxycycline 100 mg taken orally twice daily for 7 days.

• #62 Diagnosis and Treatment of Urethritis in Men | AAFP

  https://www.aafp.org/pubs/afp/issues/2010/0401/p873.html

  Symptoms of urethritis in men typically include urethral discharge, penile itching or tingling, and dysuria. […] The goals of treatment include alleviating symptoms; preventing complications in the patient and his sexual partners; reducing the transmission of coinfections (particularly human immunodeficiency virus); identifying and treating the patient’s contacts; and encouraging behavioral changes that will reduce the risk of recurrence. […] The combination of azithromycin or doxycycline plus ceftriaxone or cefixime is considered first-line empiric therapy in patients with urethritis. […] The goals of treatment are to alleviate symptoms, prevent complications, reduce transmission of coinfections (particularly human immunodeficiency virus [HIV]), identify and treat contacts, and encourage behavioral changes to reduce the risk of recurrence.

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