Oops, so sorry! Also apologize for the typo. I deserve to be zapped. Pls give me a chance to redeem myself.
Here is the link to CDC STD Treatment Guidleines 2006:
http://www.cdc.gov/std/treatment/2006/toc.htm
Here is the info that's is particularly relevant to our worried bro.
On NGU:
"Follow-Up for Patients Who Have Urethritis
Patients should be instructed to return for evaluation if symptoms persist or recur after completion of therapy. Symptoms alone, without documentation of signs or laboratory evidence of urethral inflammation, are not a sufficient basis for retreatment. Patients should be instructed to abstain from sexual intercourse until 7 days after therapy is initiated, provided their symptoms have resolved and their sex partners have been adequately treated. Persistence of pain, discomfort, and irritative voiding symptoms beyond 3 months should alert the clinician to the possibility of chronic prostatitis/chronic pelvic pain syndrome in men. Persons whose conditions have been diagnosed as a new STD should receive testing for other STDs, including syphilis and HIV.
Partner Referral
Persons with NGU should refer for evaluation and treatment all sex partners within the preceding 60 days. Because a specific diagnosis might facilitate partner referral, testing for gonorrhea and chlamydia is encouraged. "
On GU:
"Follow-Up
Patients who have uncomplicated gonorrhea and who are treated with any of the recommended or alternative regimens do not need a test of cure. Patients who have symptoms that persist after treatment should be evaluated by culture for N. gonorrhoeae, and any gonococci isolated should be tested for antimicrobial susceptibility. Persistent urethritis, cervicitis, or proctitis also might be caused by C. trachomatis or other organisms.
A high prevalence of N. gonorrhoeae infection is observed in patients who have had gonorrhea in the preceding several months (141,142). The majority of infections identified after treatment with one of the recommended regimens result from reinfection rather than treatment failure, indicating a need for improved patient education and referral of sex partners. Clinicians should consider advising all patients with gonorrhea to be retested 3 months after treatment. If patients do not seek medical care for retesting in 3 months, providers are encouraged to test these patients whenever they next seek medical care within the following 12 months, regardless of whether the patient believes that their sex partners were treated. Retesting is distinct from test of cure to detect therapeutic failure, which is not recommended."
Click the link & read carefully yourself.
I've a few caveats for our bro though:
1) CDC guidelines are for residents of the U.S.
2) These are guidelines only & actual treatment should be individualized
3) The optimal treatment & follow up of patients in S'pore could be different
because of differences in bacterial resistance, genetics, etc.
In conclusion, go to see your doc ASAP for follow up. Don't forget blood tests for HIV, syphilis, hepatitis B/C for yourself and your partner/partners as well. Hepatitis C is relatively rare in S'pore but very prevalent here in America.
Good luck!
28-03-2007, 07:48 AM
