Active Ingredients: Ciprofloxacin
Methylene blue stain, which is much more rapid and easier to perform in the examination room, is used in the Nordic countries. Differentiating gonococcal urethritis from NGU has been shown to be equal with the two staining methods.
The quality of the smear is heavily dependent on how the smear is taken and there is both inter- and intra-observer variation when interpreting the result.
The smear should be taken about 0.
A plastic loop is less painful than a Dacron swab, which is less painful than a Rayon swab. Based on reported sensitivities of microscopy for detection of CT, blunt spatula is better than swab. If a urethral discharge is present and can be adequately sampled without placing the loop, spatula or swab inside the meatus, this would be the recommended method for preparing a smear as it is likely to be preferred by the patient.
However, this has not been compared to the standard technique in a clinical trial. Investigations All cases of urethritis should be screened for C. In addition, if available, specific test for M.
If suspected because of clinical or epidemiological reasons, tests for Trichomonas vaginalis, adenovirus and HSV should also be included.
Men who have sex with men MSM should be tested for C.
All tests positive for C. For chlamydia the time after micturition do not seem to matter, but for M.
A urinary tract infection UTI is rare in young males, and screening for a UTI in young men with urethritis is not indicated. If the patient complains of severe dysuria, haematuria microscopic or macroscopic, nocturia, urinary frequency, urgency, or is at low risk for a sexually transmitted infection, a urinary dipstick analysis on a mid-stream urine specimen should be considered and a mid-stream urine sent for culture and sensitivities.
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