Elana S. Rosenthal, MD

A. Send urine for Neisseria gonorrhoeae/Chlamydia trachomatis nucleic-acid amplification testing (NAAT), and treat with ceftriaxone 500 mg intramuscularly once

B. Send urine for Neisseria gonorrhoeae/Chlamydia trachomatis NAAT, and treat with ceftriaxone 1 g intramuscularly once and azithromycin 1 g orally once

C. Send urine for Neisseria gonorrhoeae/Chlamydia trachomatis NAAT, send urine for gonococcal culture, and treat with ceftriaxone 500 mg intramuscularly once and doxycycline 100 mg orally twice per day for 7 days

D. Send urine for Neisseria gonorrhoeae/Chlamydia trachomatis NAAT, send urethral swab for gonococcal culture, and treat with ceftriaxone 500 g intramuscularly once and doxycycline 100 mg orally twice per day for 7 days

Elana S. Rosenthal, MD

Elana S. Rosenthal, MD

Associate Professor

University of Maryland

Baltimore, MD

May 12, 2025: Management of Antimicrobial Resistant Gonorrhea