Case 5: Brian, a 30-year-old man presenting with a 2-3 day history of urethral discharge and moderate-severe dysuria.

Goal: To improve health care providers' ability to recognize, diagnose and treat urethritis.

Objectives:

1. Identify the potential infectious etiologies of urethritis in men.
2. Differentiate the clinical presentation of gonococcal urethritis (GC) and non-gonococcal urethritis (NGU).
3. Choose the appropriate diagnostic testing for gonococcal urethritis.
4. Choose the appropriate treatment regimen for gonococcal urethritis.
5. Describe the optimal partner management activities for a person diagnosed with urethral GC.
6. Outline an approach to risk reduction counseling for a person diagnosed with urethral GC.

Development Team:

Clinical content

Clinical content for this case was developed by Thomas Cherneskie MD, MPH, Medical Director, Chelsea STD Clinic, NYC Department of Health and Mental Hygiene and Faculty Member, Region II STD/HIV Prevention Training Center.

Risk Reduction content

Content on risk reduction was developed by Mark Thrun, MD, Director, HIV Prevention, Denver Public Health and Director, Denver STD/HIV Prevention Training Center (Part II).

Partner Management content

Content on Partner Management was developed by Tammy Foskey, MA, Assistant Director of the Texas STD/HIV Prevention Training Center.

Disclosure:

CDC, our planners, and our content experts wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters.

Presentations will not include any discussion of the unlabeled use of a product or a product under investigational use.

Content Expert Reviewers:

• Emily J. Erbelding, MD, MPH, Associate Professor of Medicine, Johns Hopkins University and Faculty Member, Region III STD/HIV Prevention Training Center
• Lori Newman, MD, Medical Officer, Division of STD Prevention, National Center for HIV, STD and TB Prevention, CDC
• Negusse Ocbamichael,PA-C, Clinical Research Director, HIV Prevention Trials Unit, University of Washington and Lead Clinical Preceptor, Seattle STD/HIV Prevention Training Center
• Marianne Scharbo-DeHaan, PhD, CNM, Section Chief, Medical Education and Evaluation, Division of STD Prevention, National Center for HIV, STD and TB Prevention, CDC
• Jane R. Schwebke, MD, Professor of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham
• Bradley Stoner, MD, PhD, Professor of Medical Anthropology and Associate Professor of Medicine/Infectious Disease, Washington University and Medical Director, St. Louis STD/HIV Prevention Training Center

Project Management:

Seattle STD/HIV Prevention Training Center,
University of Washington

Online Course Design and Programming:

Henry Sobel, President, Huge Media, Berkeley, California

Project Funding:

Region II STD/HIV Prevention Training Center, New York City Department of Health and Mental Hygiene

California STD/HIV Prevention Training Center, California Department of Health Services

New England STD/HIV Prevention Training Center, Massachusetts Department of Public Health

Seattle STD/HIV Prevention Training Center, University of Washington

This project was made possible through funding by the Centers for Disease Control and Prevention.