What is the recommended treatment for gonorrhea during pregnancy?

The recommended treatment for gonorrhea during pregnancy is ceftriaxone 250mg administered intramuscularly. This choice is based on several key factors regarding the infection and its implications during pregnancy.

Ceftriaxone is a third-generation cephalosporin that is effective against Neisseria gonorrhoeae, the bacteria that causes gonorrhea. Its efficacy in treating this infection is well-documented, and it is particularly vital to treat gonorrhea in pregnant individuals to prevent complications such as preterm birth, premature rupture of membranes, and the transmission of the infection to the newborn, which can lead to serious conditions, including neonatal conjunctivitis.

The intramuscular route is preferred in this case as it provides a single, effective dose that ensures compliance and immediate action. Additionally, ceftriaxone's safety profile is well established during pregnancy.

Other treatments, while effective for other infections, are not suitable for gonorrhea. For instance, amoxicillin is not reliable against gonorrhea infection, and although penicillin G is used for various bacterial infections, it is not effective against gonorrhea. Metronidazole, while useful for treating bacterial vaginosis and trichomoniasis, does not target