Patients should attend 1 week after therapy for evaluation and test of cure. All infected sites should be cultured. Investigations to exclude concurrent STDs should be considered. Single dose penicillin regimens usually eliminate incubating syphilis but not primary, secondary or late syphilis. Spectinomycin is not treponemocidal. Treatment for chlamydia is indicated if the patient develops post-gonococcal urethritis.
No vaccine is commercially available. Washing with soap and water and the use of topical chemicals are not effective in the prevention of sexually transmitted gonorrhoea. Antibiotic prophylaxis is unreliable and is not recommended. Proper condom usage affords some protection.
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