Pharmacology Antibiotics #6

Question

The clinic nurse is providing instructions for a male patient who has been prescribed two antibiotics (ceftriaxone and doxycycline) for a diagnosis of gonorrhea. The nurse instructs the patient on the importance of taking both until complete because of the risk of which complication?

Answers

  1. Drug-resistant strains may overwhelm the patient.
    • Rationale:

      This answer is not correct because although there are drug-resistant strains of gonorrhea, the patient is prescribed ceftriaxone and doxycycline because often patients become co-infected by chlamydia as well as gonorrhea. Dual treatment is recommended to treat both infections.

  2. The two-combo drug regimen will prevent the bacteria from laying dormant until activated.
    • Rationale:

      This answer is not correct because the dual drug regimen of ceftriaxone and doxycycline is not prescribed to prevent the bacteria from laying dormant. Instead, dual therapy with ceftriaxone and doxycycline is recommended for patients with gonorrhea since those patients have a significant risk for having coexisting infection of chlamydia with gonorrhea.

  3. Without two antibiotics, the infection will last twice as long.
    • Rationale:

      This answer is not correct because the dual antibiotics are not prescribed to prevent the infection from lasting twice as long. Instead, dual therapy with ceftriaxone and doxycycline is recommended for patients with gonorrhea since those patients have a significant risk for having coexisting infection of chlamydia with gonorrhea.

  4. The patient will become co-infected with chlamydia as well as gonorrhea.
    • Rationale:

      This answer is correct because dual therapy with ceftriaxone and doxycycline is recommended for patients with gonorrhea since those patients have a significant risk for having coexisting infection of chlamydia with gonorrhea.

Overview

Patients with gonorrhea have a significant risk for having a coexisting infection of chlamydia.

Explanation

Learning Outcomes

Dual therapy with ceftriaxone and doxycycline is recommended for patients with gonorrhea since those patients have a significant risk for having coexisting infection of chlamydia with gonorrhea. Gonorrhea is a sexually transmitted disease that both men and women can contract, especially in individuals 15-24 year old. A baby can contract the infection from a pregnant woman infected with gonorrhea. Infections can occur in the throat, rectum, and genitals. Medications used to treat gonorrhea should not be shared with others, but taken as ordered. The sexual partner of the patient should also be treated. According to the CDC, after finishing the complete treatment therapy, the patient should wait at least seven days before having sex.

Test Taking Tip

Teaching is an extremely important part of treatment of sexually transmitted infections to help adequately treat and prevent reinfection.

Video Rationale