2.6.2 Urethral discharge
Men complaining of urethral discharge or dysuria should be carefully examined for evidence of discharge; swabs should be obtained for gram stain or PCR testing (where available). Active tracing of the patient’s social contacts and treatment of sexual partners should be provided as a routine part of care. The most common pathogens causing male urethral discharge in Haiti are Neisseria gonorrhea and Chlamydia trachomatis. Because chlamydia and gonorrhea may be asymptomatic in women, once a man is diagnosed with an STI, his partner(s) should receive empiric treatment for the infection. Protocol 2.8 gives the recommended course of management of urethral discharge.
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