Clinical Pathways
Clinical Pathways
Urethritis, Cervicitis
Urethritis, Cervicitis

Urethritis, Cervicitis

View The Full Pathway

Action

Obtain Samples For Testing

Women

  • Nucleic acid amplification test (NAAT) of vaginal swab, first-catch urine, or endocervical specimens (Class I)
    • For Gonorrhea, the sensitivity of testing of urine in women appears to be slightly lower compared with vaginal samples.
    • Patient-performed vulvovaginal swabs are as accurate as clinician-performed tests

Men

  • Nucleic acid amplification test (NAAT) of first-catch urine or urethral swab (Class I)

Decision

Treat based on clinical suspicion and exam findings:

  • Consider → Chlamydia, Gonorrhea

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Background

Mycoplasma Genitalium

Though chlamydia and gonorrhea remain the most common bacterial STIs in the US, Mycoplasma genitalium is an important emerging infection that has already developed genetic mutations to resist certain antimicrobial treatments. M genitalium can cause nongonococcal urethritis (NGU) in men as well as mucopurulent cervicitis and pelvic inflammatory disease (PID) in women.21^{21} M genitalium has the potential to lead to an ascending infection and impact female fertility.22^{22}

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References
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