In 2012, the CDC issued new gonorrhea treatment guidelines containing an important change to address increasing antibiotic resistance. They no longer recommend treatment of uncomplicated gonorrhea with cefixime, an oral cephalosporin antibiotic, which is becoming less effective due to bacterial resistance. Instead, the guidelines call for the intramuscular administration of ceftriaxone, a broad-spectrum cephalosporin antibiotic. Nurses should know about and adjust their counseling accordingly to help reduce the incidence of antibiotic resistance, states a new article in Nursing for Women's Health. Given that nurses are often responsible for medication administration, they should be aware of how to correctly prepare and administer ceftriaxone via intramuscular injection. Additionally, since intramuscular administration means patients must see a health care provider for treatment -- a potential barrier to care -- nurses should explain the rationale for this approach and help as possible to make reasonable accommodations for timely treatment. Read the abstract.
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