The bacteriological examination of genital specimens is very valuable for clinical diagnosis, identification of sexually transmitted diseases or bacterial infections that exclude sexually transmitted diseases. Gonorrhea is a sexually transmitted disease caused by gonorrhea, which is transmitted directly through unclean sexual intercourse. It can also be transmitted through clothing, potty, equipment, etc. contaminated by gonorrhea, or transmitted to the newborn through the birth canal of the mother.

Basic Information

Specialist classification: Infectious disease inspection and classification: pathogenic microorganism inspection

Applicable gender: whether men and women apply fasting: not fasting

Analysis results:

Below normal:

Normal value:
no

Above normal:

negative:
Normal, not infected with gonococcal bacteria.

Positive:
Prompt to be infected with gonococcal bacteria.

Tips: Keep the fine tradition of monogamy, prohibit sexual intercourse, and the husband and wife are sick and suspend sex life. Normal value

Gram-negative diplococcus was not found on the smear, and Neisseria gonorrhoeae was not detected in the culture.

Clinical significance

Abnormal results:

The direct secretion of positive secretions revealed that Gram-negative diplococcus was present inside and outside the cell. When it resembled Neisseria gonorrhoeae, the patient had typical clinical symptoms and could make a preliminary diagnosis of gonorrhea. If the diplococcus is not in the cell, it is suspicious, but it should be noted that most of the Neisseria gonorrhoeae in the early stage of gonorrhea are concentrated outside the cell, and then can appear in the cell. Patients have a large amount of purulent secretion in the acute phase, accompanied by urethral orifice or vaginal congestion and edema. Male patients have a diagnostic significance, while female patients should be diagnosed with caution, and should be diagnosed in combination with clinical or culture results. If Neisseria gonorrhoeae is cultured, gonorrhea can be diagnosed.

Need to check the crowd:

There are urethral or vaginal purulent secretions, accompanied by congestion and edema, suspected gonorrhea patients.

Positive results may be diseases: gonorrhea, pregnancy combined with gonorrhea, gonorrhea complication prostatitis, gonorrhea complications seminal vesiculitis considerations

Taboo before inspection:

1. Maintain a fine tradition of monogamy, prohibit sexual intercourse, and have a sick couple and suspend sex life.

2, suspected patients, should go to the regular hospital for medical treatment, thorough treatment, review after the cure.

3, 30 days of sexual partners who have been exposed to gonorrhea, should be checked, if necessary, for preventive treatment.

4, after 6 weeks of illness should be routinely used for syphilis serological examination, if necessary, for the detection of AIDS antibodies.

Requirements for inspection:

Sterile operations should be strictly followed when collecting specimens to reduce contamination of the bacteria.

Inappropriate people: generally no special population.

Inspection process

1. Male: first wipe the urethral opening with a sterile cotton swab, then take the concentrated secretions from the urethral opening or take the secretions of the urethra, and use a small cotton swab or a platinum ring to extend into the urethra and remove it 1~2cm. Patients without concentrated secretions took prostatic fluid after prostate massage.

2. Female: After removing the secretion from the cervix with a vaginal device, the cotton swab or platinum ring is inserted into the cervix mouth 1~2cm.

Not suitable for the crowd

Those who do not have an indication for examination should not do this check.

Adverse reactions and risks

Generally no complications and harm.