The best site to obtain a swab in acute symptomatic gonorrhea is:
The best site to obtain a swab in acute symptomatic gonorrhea is Endocervix Diagnosis of Gonococcal infection: Acute Gonorrhea: Chronic Gonorrhea: a) Endocervical Culture - 80-90% sensitivity b) Urethral Discharge - 50% Sensitivity c) Rectal swab a) Morning drop secretion b) Exudate after prostatic massage c) Centrifuged deposit of urine when no urethral discharge - For DGI (Disseminated gonococcal infection): Blood culture and synol fluid culture - Transpo media: Charcoal impregnated swabs/medium (Stua/Amies media) For longer holding period: CO2 generating system - Gram staining of Cervical swab: N. gonorrhoeae - Kidney shaped, Non-capsulated.
Endocervix
Exudate after prostatic massage
Lateral vaginal wall
Posterior fornix
Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci)