Clinical and Bacteriological Profile of Male Patients with Urethral Discharge at Western Regional Hospital, Nepal

Abstract

Background: Urethral discharge is a symptom of urethritis. Common organisms causing urethral discharge are Neisseria gonorrhea and Chlamydia trachomatis. Cephalosporines, Macrolides and Tetracycline groups of drugs are commonly used for the treatment.
 Materials and Methods: This was a prospective, cross sectional, observational study. The patients were enrolled from the Sexually Transmitted Infections clinic and also from the hospital laboratory in between the period of one year. All the male cases with urethral discharge at STI clinic in between this period were included for clinical examination and laboratory testing. All urine and discharge specimens of urethral discharge patients as referred from other departments directly to the hospital laboratory for relevant tests were also included for the study.
 Results: Neisseria gonorrhea was the most common agent of urethral discharge in male patients. Urethral discharge, dysuria and inguinal lymphadenopathy were common symptoms. All the Neisseria gonorrhea isolates were sensitive to Ceftriaxone and Imipenam.
 Conclusion: Continuous monitoring with culture sensitivity testing of urethral discharge cases is required.