Causative organism | Haemophilus ducreyi |
Incubation period | 6 days to 2 weeks |
How far to trace back | 2 weeks before ulcer appeared or since arrival in endemic area |
Usual testing method | Nucleic acid amplification testing or culture |
Common symptoms | Painful anogenital ulcers; enlarged tender inguinal nodes (buboes) which may break down and discharge |
Likelihood of transmission per act of unprotected intercourse | High |
Likelihood of long-term sexual partner being infected | High; asymptomatic infection is thought to occur sometimes in women |
Protective effect of condoms | Probably high |
Transmission by oral sex | Rare |
Duration of potential infectivity | Weeks |
Important sequelae | Local tissue destruction, inguinal abscesses and draining sinuses Enhanced HIV transmission |
Direct benefit of detection and treatment of contacts | Cure |
Usual management of contacts | Counselling, clinical examination and testing of lesions for chancroid Presumptively treat partners with azithromycin 1g as a single dose or ceftriaxone 500mg as a single dose by intramuscular injection |
Contact tracing priority | High as not endemic in Australia or New Zealand. Specialist support for contact tracing should be sought if local acquisition or transmission is possible (see Appendix B) |
Notification | Notifiable by all doctors in all Australian states and territories, and in New Zealand, and by laboratory on positive isolation in Australian states and territories |