แนวทางการดูแลรักษาโรคหนองในเฉพาะที่
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Abstract
Gonorrhea has been listed as one of the most concerned sexually transmitted infections (STI) by the World Health organization. This is in line with the situation in Thailand in that the rising incidence of gonorrhea cases has been observed from 2012-2016. The explanations include resistance potential of Neisseria gonorrhoeae, partly asymptomatic nature of the disease, expensive diagnostic tools, inadequate treatment and poor follow-up. Cephalosporin is the main treatment regimen; however, there are recently reported cases of its resistance. One of the cases is an English man who had sexual relation with a Thai woman. As an index case of STI is like the tip of iceberg, the story affects many treatment guidelines of gonorrhea in that the dosage of cephalosporin must be doubled from the beginning. Likewise, Thailand has launched the new treatment guideline in 2019. The article aims to update knowledge relating to gonorrhea in all aspects.
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References
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