{"id":4268,"date":"2021-10-15T08:09:20","date_gmt":"2021-10-15T01:09:20","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4268"},"modified":"2026-08-15T00:21:22","modified_gmt":"2026-08-14T17:21:22","slug":"lignes-directrices-concernant-linfection-par-la-gonorrhee","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/fr\/2021\/10\/15\/gonorrhea-infection-guideline\/","title":{"rendered":"Infection \u00e0 la gonorrh\u00e9e : Lignes directrices du CDC pour le traitement de la gonorrh\u00e9e en 2020"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">As doctors we must keep ourselves up to date in medical practice, especially when dealing with sexually transmitted diseases (STDs), because these microorganisms continuously evolve and develop resistance to standard antibiotic treatment over time. Precise treatment with the correct antibiotic strength and adequate duration is essential to completely eradicate STDs.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"507\" data-attachment-id=\"4285\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/10\/15\/gonorrhea-infection-guideline\/bacteria\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Bacteria.jpg?fit=1200%2C760&amp;ssl=1\" data-orig-size=\"1200,760\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Freepik Company S.L. - www.freepik.com&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"We need to keep up date with the Gonorrhea infection treatment due to they are continuously evolving against antibiotic.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;We need to keep up date with the Gonorrhea infection treatment due to they are continuously evolving against antibiotic.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Bacteria.jpg?fit=800%2C507&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Bacteria.jpg?resize=800%2C507&#038;ssl=1\" alt=\"Gonorrhea antibiotic resistance\" class=\"wp-image-4285\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Bacteria.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Bacteria.jpg?resize=300%2C190&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Bacteria.jpg?resize=1024%2C649&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Bacteria.jpg?resize=768%2C486&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Bacteria.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Gonorrhea continuously evolves against antibiotics, requiring guideline updates.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The Centers for Disease Control and Prevention (CDC) plays a major role in global medical practice and frequently updates clinical practice guidelines. This article covers the <a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/pdfs\/mm6950a6-H.pdf\">2020 updated CDC treatment guideline<\/a> on Gonococcal infection. (For clinical symptoms of Gonorrhea, see <a href=\"https:\/\/drsoaraweeurology.com\/2021\/01\/22\/gonorrhea-infection-am-i-infected\/\">this article<\/a>.)<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"4283\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/10\/15\/gonorrhea-infection-guideline\/female-doctor-hands-holding-syringe-and-vaccine-healthcare-and-medical-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Injection.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;Siam Pukkato&quot;,&quot;camera&quot;:&quot;NIKON D810&quot;,&quot;caption&quot;:&quot;Female doctor hands holding syringe and vaccine. Healthcare And Medical concept.&quot;,&quot;created_timestamp&quot;:&quot;1585568471&quot;,&quot;copyright&quot;:&quot;Siam Pukkato&quot;,&quot;focal_length&quot;:&quot;105&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.004&quot;,&quot;title&quot;:&quot;Female doctor hands holding syringe and vaccine. Healthcare And Medical concept.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Ceftriaxone intramuscular injection is considered as first line therapy.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Ceftriaxone intramuscular injection is considered as first line therapy.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Injection.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Injection.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Gonorrhea Ceftriaxone injection treatment\" class=\"wp-image-4283\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Injection.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Injection.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Injection.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Injection.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Injection.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Ceftriaxone intramuscular injection is considered as first-line therapy for gonorrhea.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">First-line Gonorrhea treatment (cervix, urethra, or rectum)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ceftriaxone 500 mg intramuscular injection as a single dose (body weight &lt; 150 kg)<\/li>\n\n\n<li>Ceftriaxone 1 gram intramuscular injection as a single dose (body weight &gt; 150 kg)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Alternative Gonorrhea treatment (cervix, urethra, or rectum)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gentamicin 240 mg intramuscular injection as a single dose + Azithromycin 2 grams orally as a single dose<\/li>\n\n\n<li>Cefixime 800 mg orally as a single dose<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"4282\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/10\/15\/gonorrhea-infection-guideline\/womans-hand-pours-the-medicine-pills-out-of-the-bottle-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Oral-tablet.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D600&quot;,&quot;caption&quot;:&quot;Woman&#039;s hand pours the medicine pills out of the bottle&quot;,&quot;created_timestamp&quot;:&quot;1557129619&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;60&quot;,&quot;iso&quot;:&quot;250&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Woman&#039;s hand pours the medicine pills out of the bottle&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Doxycycline oral tablets is considered in case co-infection is suspected.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Doxycycline oral tablets is considered in case co-infection is suspected.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Oral-tablet.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Oral-tablet.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Gonorrhea Doxycycline co-infection Chlamydia\" class=\"wp-image-4282\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Oral-tablet.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Oral-tablet.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Oral-tablet.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Oral-tablet.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Oral-tablet.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Doxycycline oral tablets are considered when Chlamydia co-infection cannot be excluded.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">When co-infection with Chlamydia cannot be excluded<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Add Doxycycline 100 mg orally twice a day for 7 days<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In the rare case of Ceftriaxone treatment failure, specimen culture is recommended for accurate antibiotic selection. Any questions, you can discuss with your trusted urologist.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4286\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/10\/15\/gonorrhea-infection-guideline\/culture\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Culture.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Freepik Company S.L. - www.freepik.com&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"In rare condition, Ceftriaxone treatment failure, specimen culture is truly recommended.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;In rare condition, Ceftriaxone treatment failure, specimen culture is truly recommended.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Culture.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Culture.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Gonorrhea specimen culture\" class=\"wp-image-4286\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Culture.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Culture.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Culture.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Culture.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/10\/Culture.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">In rare Ceftriaxone treatment failure, specimen culture is recommended for accurate antibiotic selection.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">You can visit my official homepage <a href=\"https:\/\/drsoaraweeurology.com\/\">here<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Gonorrhea Treatment<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is the current first-line treatment for gonorrhea?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">According to the CDC 2020 guideline, the first-line treatment for uncomplicated gonococcal infection of the cervix, urethra, or rectum is a single intramuscular dose of Ceftriaxone \u2014 500 mg for patients under 150 kg and 1 gram for patients over 150 kg. This injection-based regimen replaced previous dual-therapy approaches due to increasing antibiotic resistance in Neisseria gonorrhoeae.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What if I am allergic to Ceftriaxone or it fails to treat gonorrhea?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Alternative regimens include Gentamicin 240 mg IM + Azithromycin 2 grams orally as single doses, or Cefixime 800 mg orally as a single dose. In the rare event of confirmed Ceftriaxone treatment failure, a culture and sensitivity test is strongly recommended to guide the selection of an effective alternative antibiotic, as treatment-resistant gonorrhea strains are emerging globally.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Should Chlamydia be treated at the same time as gonorrhea?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Gonorrhea and Chlamydia frequently co-occur as sexually transmitted infections. When Chlamydia co-infection cannot be excluded based on clinical assessment or testing, Doxycycline 100 mg orally twice daily for 7 days is added to the gonorrhea treatment regimen. Treating both simultaneously prevents under-treatment and reduces the risk of ongoing transmission and complications such as pelvic inflammatory disease.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have been diagnosed with gonorrhea or have symptoms of a sexually transmitted infection, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is the current first-line treatment for gonorrhea?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Per CDC 2020 guidelines: Ceftriaxone single IM dose \u2014 500 mg for patients <150 kg, 1 gram for >150 kg. This replaced dual-therapy approaches due to increasing antibiotic resistance in Neisseria gonorrhoeae.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What if I am allergic to Ceftriaxone or it fails to treat gonorrhea?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Alternatives: Gentamicin 240mg IM + Azithromycin 2g orally as single doses, or Cefixime 800mg orally as a single dose. For confirmed Ceftriaxone failure, culture and sensitivity testing is recommended to select an effective alternative.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Should Chlamydia be treated at the same time as gonorrhea?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Yes, when Chlamydia co-infection cannot be excluded. Add Doxycycline 100mg orally twice daily for 7 days. Treating both simultaneously prevents under-treatment and reduces transmission and complications such as pelvic inflammatory disease.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>As doctors we must keep ourselves up to date in medical practice, especially when dealing with sexually transmitted diseases (STDs), because these microorganisms continuously evolve and develop resistance to standard antibiotic treatment over time. Precise treatment with the correct antibiotic strength and adequate duration is essential to completely eradicate STDs. The Centers for Disease Control [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10049,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"CDC 2020 gonorrhea treatment guideline: first-line Ceftriaxone dosing, alternatives, and Chlamydia co-treatment with Doxycycline. By Dr. Soarawee, Bangkok.","jetpack_seo_html_title":"Gonorrhea Treatment: CDC 2020 Guideline | Dr. Soarawee Bangkok","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1365],"tags":[1421,1510],"class_list":["post-4268","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sexual-transmitted-diseases","tag-gonorrhea","tag-std"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-16Q","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Gonorrhea-CDC-2020.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/4268","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/comments?post=4268"}],"version-history":[{"count":23,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/4268\/revisions"}],"predecessor-version":[{"id":9707,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/4268\/revisions\/9707"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/media\/10049"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/media?parent=4268"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/categories?post=4268"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/tags?post=4268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}