Routes of Infection•Sexual intercourse•Mother to child•Self infection•Contaminated formites•Blood
Risk behavior and risk groups•Multiple sexual partners, wife inheritance•Early onset of sexual activity•Sexual acts•Unprotected sexual contact•Commercial sexual workers, beach boys•Migrants•Adolescent and youth•Drug abusers•Confined groups ( prisoners, boarding, refugees)
Gonorrhea•Gonorrheais: an infection that is spread through sexual contact with another person•caused by a bacterium, Neisseria gonorrhoeae•second only to Chlamydial infections in the number of reported cases.•The Gonorrhea germs are found in the mucous areas of the body: Genital tract , Penis, Rectum ,Throat , AND Vagina •In women•The opening (cervix) to the womb (uterus) from the birth canal is the first place of infection •The disease can spread into the Uterus and fallopian tubes, resulting in Pelvic Inflammatory Disease (PID) which can cause infertility in up to 10% of infected women and tubal (ectopic) pregnancy •
•Risk Groups•Any person who is sexually active can be infected with Gonorrhea •Common among younger people, ages 15-30, who have multiple sex partners •Increases in Gonorrhea have been found among men who have sex with men •Occurs more frequently in urban areas than in rural areas •It is the most common reportable sexually transmitted infection in the United States, with an estimated 800,000 cases of Gonorrhea reported annually , doctor or health practitioner
•Gonorrhea is spread•Through sexual contact including:–penis to vagina (infection rate for males 30-50%, females 60-90%)–penis to mouth,–penis to rectum–mouth to vagina•From mother to childas the child passes through the birth canal during delivery causing: eye infections•Other Risk Factors•An infected person can spread the infection to another area of their body by touching the infected area and transferring the excretions•Clothing or wash cloths of infected people can spread the infection
•Symptoms of Gonorrhea•In Men:–Creamy or green, pus-like discharge from the penis–Painful urination (burning sensation)–Testicular pain•In Women:–Creamy or green, pus-like or bloody vaginal discharge–Irritation of the vulva–Lower abdominal pain–Painful intercourse–Painful urination (burning sensation)–Rectal infection–Throat infection
•Rectal infection:–Constipation–Creamy, pus-like discharge–Itching–Painful bowel movement with blood in feces–Rectal bleeding•Symptoms usually appear 2-7 days after infection in males, but it can sometimes take up to 30 days for symptoms to appear.