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What is The best site to obtain a swab in acute symptomatic gonorrhea is: and explain in detail?
The best site to obtain a swab in acute symptomatic gonorrhea is Endocervix Diagnosis of Gonococcal infection: Acute Gonorrhea: Chronic Gonorrhea: a) Endocervical Culture - 80-90% sensitivity b) Urethral Discharge - 50% Sensitivity c) Rectal swab a) Morning drop secretion b) Exudate after prostatic massage c) Centrifuged deposit of urine when no urethral discharge - For DGI (Disseminated gonococcal infection): Blood culture and synol fluid culture - Transpo media: Charcoal impregnated swabs/medium (Stua/Amies media) For longer holding period: CO2 generating system - Gram staining of Cervical swab: N. gonorrhoeae - Kidney shaped, Non-capsulated.