Final answer:
During pregnancy, gonorrhea is typically treated with a combination of ceftriaxone and azithromycin, avoiding tetracyclines and fluoroquinolones due to potential harm to the fetus.
Step-by-step explanation:
Recommended Treatment for Gonorrhea in Pregnancy
The recommended treatment for gonorrhea during pregnancy is a critical consideration given the potential complications for both the mother and the unborn child.
Due to the growing concern of antibiotic resistance in Neisseria gonorrhoeae, particularly to fluoroquinolones, cephalosporins such as ceftriaxone are often used as a first-line treatment.
The Centers for Disease Control and Prevention (CDC) suggests a combination regimen, typically including ceftriaxone and azithromycin, to also address potential co-infection with Chlamydia trachomatis, which is common.
It is important to note that tetracyclines and fluoroquinolones are usually avoided in pregnancy due to potential adverse effects on the fetus. Furthermore, treating sexual partners is also recommended to prevent reinfection and further transmission.
In cases of allergy to recommended antibiotics or other contraindications, it is important to consult health care providers for alternative treatment options.
The CDC monitors antibiotic resistance in pathogens like N. gonorrhoeae and updates treatment guidelines accordingly, highlighting the importance of adhering to the latest recommendations to ensure effective treatment and slow the spread of resistance.