Disseminated Gonococcal Infection Case Report Form

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.

Disseminated Gonococcal Infection Case Report Form

Disseminated Gonococcal Infection Case Report Form is a 6-page legal document that was released by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention on March 1, 2020 and used nation-wide.

FAQ

Q: What is a Disseminated Gonococcal Infection (DGI) Case Report Form?A: A Disseminated Gonococcal Infection (DGI) Case Report Form is a document used to gather information about a specific case of DGI.

Q: What is Disseminated Gonococcal Infection (DGI)?A: Disseminated Gonococcal Infection (DGI) is a complication of untreated gonorrhea that occurs when the infection spreads from the primary site of infection to other parts of the body.

Q: Why is a DGI Case Report Form needed?A: A DGI Case Report Form is needed to collect accurate and detailed information about DGI cases for surveillance, research, and public health purposes.

Q: What information is typically included in a DGI Case Report Form?A: A DGI Case Report Form typically includes information about the patient's demographics, symptoms, laboratory results, treatment, and any complications associated with the infection.

Q: Who completes a DGI Case Report Form?A: A healthcare provider or a public health official typically completes a DGI Case Report Form.

Q: Is DGI a common infection?A: No, DGI is not a common infection, but it can occur in individuals who have untreated gonorrhea.

Q: What are the symptoms of DGI?A: Symptoms of DGI can include joint pain, skin rash, fever, and chills.

Q: Can DGI be treated?A: Yes, DGI can be treated with antibiotics.

Q: What are the complications of DGI?A: Complications of DGI can include septic arthritis, endocarditis, and meningitis.

Q: How can DGI be prevented?A: DGI can be prevented by practicing safe sex, getting tested for gonorrhea regularly, and receiving prompt treatment for gonorrhea infections.

ADVERTISEMENT

Form Details:

  • The latest edition currently provided by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more legal forms and templates provided by the issuing department.

Download Disseminated Gonococcal Infection Case Report Form

4.5 of 5 (28 votes)
  • Disseminated Gonococcal Infection Case Report Form

    1

  • Disseminated Gonococcal Infection Case Report Form, Page 2

    2

  • Disseminated Gonococcal Infection Case Report Form, Page 3

    3

  • Disseminated Gonococcal Infection Case Report Form, Page 4

    4

  • Disseminated Gonococcal Infection Case Report Form, Page 5

    5

  • Disseminated Gonococcal Infection Case Report Form, Page 6

    6

  • Disseminated Gonococcal Infection Case Report Form, Page 1
  • Disseminated Gonococcal Infection Case Report Form, Page 2
  • Disseminated Gonococcal Infection Case Report Form, Page 3
  • Disseminated Gonococcal Infection Case Report Form, Page 4
  • Disseminated Gonococcal Infection Case Report Form, Page 5
  • Disseminated Gonococcal Infection Case Report Form, Page 6
Prev 1 2 3 4 5 6 Next
ADVERTISEMENT