When it's time to give a smear to gonorrhea

Gonorrhea is a sexually transmitted disease of an infectious nature that is caused by gram-negative diplococcus Neisseria gonorrhoeae. Transmission of the pathogen is sexually transmitted from partner to partner. With this disease, there is a lesion of the mucosa of the genitourinary system, as well as conjunctiva of the eyes, the mucous membrane of the rectum, and the oropharynx.

According to gonorrhea statistics, about 200 million adults are ill. In this case, infection occurs in both male and female.

How can you get gonorrhea

The main way of transmission of the pathogen is, of course, sexual, when during sexual intercourse the transmission of the pathogen from the patient or carrier to a healthy person occurs. Do not forget that all kinds of sexual contacts( genital, oral, anal) can lead to infection with the gonorrhea.

The second mechanism of transmission is vertical, when infection is transmitted during pregnancy from mother to fetus. One of the complications of such infection is gonoblenorea, which leads to blindness of the child.

The third way of transmission is a household one, carried out using one towel, bed and underwear and other personal care products.

What is the manifestation of gonorrhea?

Manifestations of this disease have some peculiarities in men and women. So in men, it proceeds according to the type of urethritis, prostatitis, orchitis, epididymitis. In women, however, they manifest more often when infection of the gonococcus with cystitis, cervicitis, urethritis.

There are a number of symptoms common to the manifestation of gonorrhea in both sexes, which include:

• a burning sensation that increases with urination;
• soreness during the act of urination;
• presence of inflammatory changes in the mucosa of the urethra;
• the presence of abundant purulent discharge of yellowish color.

These symptoms appear 3-7 days after infection. The duration of the course of the disease is 3-4 weeks, after which there is either a cure with a full recovery, or the process acquires a chronic course.

Bacteriographic method for detection of gonorrhea

The bacteriographic method for diagnosing gonorrhea infection is the most common and widely used study. To perform this diagnostic procedure, you need to take a smear on gonorrhea from the surface of the affected mucous membrane, for example, the vagina, urethra, rectum, cervical canal.

How do they take a smear for gonorrhea?

Depending on the patient's sex, there are some features in the fence of the material being examined. So a smear on gonorrhea in women is taken from the mucous membrane of the vagina, the cervical canal and the urethra, but the smear for gonorrhea in men is taken only from the urethra. It is mandatory for 4-5 days before taking the material to stop taking antibacterial drugs, and immediately before the smear to refrain from urinating, sexual intercourse, any hygiene procedures.

When taking a smear for gonorrhea in women in the vagina, a "mirror" is inserted and a special swab collects all the vaginal discharge, cervical canal and urethra, after which a small amount is applied to the slide. This procedure is accompanied by only a slight discomfort. In this case, the swab should be taken on the second-third day of menstruation, since at this time the probability of detection of the pathogen is maximal.

Here is a smear for gonorrhea in men to take heavier because of the anatomical features of the structure. This procedure is carried out using a special probe, which is inserted into the urethra. Immediately before the fence, you can massage the prostate or urethra with a probe. The fence of the material in men is more unpleasant and painful procedure, than for the female.

Analysis of the results of

After taking the smear, it is painted with methylene blue, fixing with iodine solution and washing with alcohol solution. After this staining, gonococci become blue, while the cytoplasm has a pale blue color. Then the staining of the smear on the Gram is done, which helps to differentiate gonococci most accurately.

The sensitivity of this method is from 40 to 86% and is determined by the quality of the smear. Qualification of the laboratory assistant and many other factors. The specificity of the bacterioscopy is 90%, after the discovery of gonococci under a microscope, the conduct of other studies is not required.

Smear sampling and its bacterioscopic examination are the most accessible, simple, fast and effective method for detecting gonorrhea!