Manejo diagnóstico de la artritis gonocócica

Abstract

Introduction: Neisseria gonorrhoeae, a sexually transmitted pathogen with great global impact. People who have it have a risk of 0.5 to 3% of developing a disseminated gonococcal infection, which is why it is rare and rarely associated with septic arthritis. It is important due to the increase in incidence at the international level and in older age groups. Objective: To determine the guidelines on the diagnostic management of gonococcal arthritis through the analysis of indexed scientific articles, which allows a correct diagnosis and timely treatment. Methodology: Descriptive study based on the compilation of scientific information in databases such as COCRHANE, PUB-MED, SCIELO, in indexed journals. Conclusions: Regarding its definitive diagnosis, it is performed with the evidence of Neisseria Gonorrhoeae in a non-mucosal site and in the second line, a mucosal test, being of great interest the nucleic acid amplification test (NAAT) that shows great effectiveness for the detection of neisseria. gonorrhoea. Due to the resistance of the gonococcus to penicillin, tetracycline and fluoroquinolone its use has been discontinued, replacing it with combination therapy of ceftriaxone and azithromycin.