Doctor insights on:
Neisseria Gonorrhoeae Rna Tma
Yes: I've autopsied two people who have died of it. One from fitz-hugh-curtis infection around the liver, the other from sepsis. ...Read more
How long does neisseria gonorrhea live outside the body? From the information that is available I can find no published papers to say what the lifespan of neissria gonorrhea can survive. The information says it can't survive for long. How long? The discha
No risk, no worry: Probably only a few minutes, i.e. when the infected fluid dries. But it doesn't matter, really. Gonorrhea and other STDs are never caught from a contaminated environment. There is no risk from sharing toilets, towels, clothing, or touching contaminated surfaces. Use common sense hygiene but otherwise don't worry about it. ...Read more
Infection: Infection by neiserria gonorrhea, also known as gonococcus, is a std with symptoms that range from the classic urethritis with discharge to pelvic inflammatory disease (in women) to disseminated gonococcal infection, causing nontraumatic arthritis and rash. Treatment is usually with a third generation cephalosporin like ceftriaxone. ...Read more
Often painful: Gonorrhea in women may be very painful (pelvic inflammatory disease can be caused by gonorrhea). Men usually have urethral (penile) pain but gonorrhea may extend into deeper (and more painful) structures. In both sexes, gonorrhea can cause more remote and painful infections involving the liver and joints among other sites. ...Read more
No: Early recognition and proper rx of this problem with prescription meds solves many problems. Although the gc symptoms may be so noticable that few can overlook them, there are often more than one std present at a time & all need to be recognized & eliminated. This reduces spread and the life altering complications(ie infertility) involved. Since rx for one std may not eliminate all, get evaluated. ...Read more
Be careful please: As of 2010 injectable Ceftriaxone appears to be one of the few effective antibiotics. Because of increasing rates of antibiotic resistance local susceptibility patterns need to be taken into account when deciding on treatment. Many antibiotics that were once effective including penicillin, tetracycline and fluoroquinolones are no longer recommended because of high rates of resistance. Thanks. ...Read more
Will a higher volume than recomended of urine given for an aptima 2 tma gonorrhea test still yield accurate neg results?
C.trachomatis RNA TMA Result: Detected. Standard range: Not detected. Test performed using the Aptima Combo2 ® assay gen-probe(r)
You have chlamydia: "Detected" means the test found chlamydia -- i.e. a positive result. Return to the doctor or clinic where the test was done for treatment. (If you tested yourself at a lab, see a doctor or clinic ASAP.) Your current or recent sex partner(s) also need treatment. Good luck! ...Read more
I took a HIV-1/2 Fourth Generation test and the results were reactive. Week later my HIV RNA, QL TMA came back negative. What does this mean?
Would a 4th generation HIV test be a reliable test for someone with CVID or would an HIV RNA TMA be better recommended.
4th generation: The standard 4th generation test would be fine. ...Read more
What is the likelihood of a false negative on a PCR RNA TMA HIV test at 15-20 days post PEP/post exposure? I have heard of false positives.
The new FDA approved early HIV test is the HIV RNA TMA. I understand it is a pooled NAAT test. Does being pooled make it less accurate? PCR better?
Paranoia about HIV exposure. 4th Gen test, negative at 9th, 17th, and 37th day. RNA QL TMA early test, negative at 17th and 37th day. Can I rest easy?
Rest easy: There are 2 types of HIV tests, viral antibody tests are the most common and inexpensive. 95% of people who have contracted AIDS show positive within 90 days, but it can take 6 months. Then there are tests looking for the virus itself (viral load) these will be positive within 2 weeks or sooner. These are the early tests such as RNA QL TMA. Based on that, Be safe and relax. Good health ...Read more
Doctor my question from a high risk to HIV. My tests were HIV RNA TMA and 4th gen duo at 40 days and 60 days, and 4th gen at 4 months. Conclusive?
Yes: Unless something else risky happened more recently. Be thankful for good health. ...Read more
First unprotected sex on 9th June. Antibody test on 14th June & 14 July. Aptima HIV-1 RNA, Qualitative, TMA on 20th may. All negative. Should I worry?
+ gonorrhoeae DNA amplification test, but, neg. Amp RNA test(source urine). Do they have gonorrhoeae? Is one test more reliable?
Complicated: Although these tests are very sensitive there are false positive results because of the potential presence of other benign species of neisseria. If you had to compare the two it would be without much relevant data. Bacterial culture will provide both a definitive diagnosis and allow determination of antibiotic sensitivities. ...Read more
STD: Gonorrhea is spread by sexual contact. That is: mucous membrane on mucous membrane. Can be spread from genitals to eye and from eye to throat and from throat back to genitals or any combo in between. If your mucous membrane comes in contact with someone else's mucous membrane you may contract the disease. Gonorrhea in a female can cause inferility. ...Read more
Sxs: Women or men with gonorrhea may be asymptomatic. Rectal symptoms for men or women can include drainage, itching, bleeding & painful bowel movements. Pharyngeal gonorrhea can cause sore throat. Men may have pain with urination & discharge that is green, yellow or white. They may develop pain of the testes or scrotum. Women may have pain with urination, vaginal bleeding or vaginal discharge. ...Read more
Several options: In most geographic areas, including all the US, the standard recommended treatment is a single shot of ceftriaxone (Rocephin®) plus either a single oral dose of azithromycin (Zithromax®) or 7 days of doxycycline. Oral cefixime sometimes can safely be given instead of the ceftriaxone shot. There are other options if these antibiotics can't be given, such as allergy to them. ...Read more