Chapter 170 - Syphilis Flashcards

1
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

RECOMMENDED
TREATMENT

Primary or secondary
HIV-uninfected

A

Benzathine penicillin G, 2.4 million units, administered IM in a single dose

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2
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

ALTERNATIVE TREATMENT
FOR PENICILLIN-ALLERGIC
PERSONS (NONPREGNANT
WOMEN ONLY)

Primary or secondary
HIV-uninfected

A

Doxycycline 100 mg orally
twice daily for 14 days

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3
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

SCHEDULE FOR
FOLLOWUP AFTER
TREATMENT

Primary or secondary
HIV-uninfected

A

6 and 12 months

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4
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

TIME FRAME
TO EXPECT
FOURFOLD
DECLINE IN TITER

Primary or secondary
HIV-uninfected

A

6 to 12 months

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5
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

RECOMMENDED
TREATMENT

Primary or secondary
HIV-infected

A

Benzathine penicillin G, 2.4 million units, administered IM in a single dose

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6
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

ALTERNATIVE TREATMENT
FOR PENICILLIN-ALLERGIC
PERSONS (NONPREGNANT
WOMEN ONLY)

Primary or secondary
HIV-infected

A

Doxycycline 100 mg orally twice daily for 14 days

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7
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

SCHEDULE FOR
FOLLOWUP AFTER
TREATMENT

Primary or secondary
HIV-infected

A

3, 6, 9, 12, and 24 months

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8
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

TIME FRAME
TO EXPECT
FOURFOLD
DECLINE IN TITER

Primary or secondary
HIV-infected

A

6 to 12 months

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9
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

RECOMMENDED
TREATMENT

Early latent
HIV-uninfected

A

Benzathine penicillin G, 2.4 million units, administered IM in a single dose

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10
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

ALTERNATIVE TREATMENT
FOR PENICILLIN-ALLERGIC
PERSONS (NONPREGNANT
WOMEN ONLY)

Early latent
HIV-uninfected

A

Doxycycline 100 mg orally twice daily for 14 days

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11
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

SCHEDULE FOR
FOLLOWUP AFTER
TREATMENT

Early latent
HIV-uninfected

A

6, 12, and 24 months
after treatment

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12
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

TIME FRAME
TO EXPECT
FOURFOLD
DECLINE IN TITER

Early latent
HIV-uninfected

A

12 to 24 months

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13
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

RECOMMENDED
TREATMENT

Early latent
HIV-infected

A

Benzathine penicillin G,
2.4 million units, administered IM in a single dose

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14
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

ALTERNATIVE TREATMENT
FOR PENICILLIN-ALLERGIC
PERSONS (NONPREGNANT
WOMEN ONLY)

Early latent
HIV-infected

A

Doxycycline 100 mg orally twice daily for 14 days

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15
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

SCHEDULE FOR
FOLLOWUP AFTER
TREATMENT

Early latent
HIV-infected

A

6, 12, 18, and 24 months

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16
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

TIME FRAME
TO EXPECT
FOURFOLD
DECLINE IN TITER

Early latent
HIV-infected

A

12 to 24 months

17
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

RECOMMENDED
TREATMENT

Late latent (>1 year), or latent of unknown duration
HIV-uninfected

A

Benzathine penicillin G: 3 doses of 2.4 million units IM given at 1 week intervals

18
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

ALTERNATIVE TREATMENT
FOR PENICILLIN-ALLERGIC
PERSONS (NONPREGNANT
WOMEN ONLY)

Late latent (>1 year), or latent of unknown duration
HIV-uninfected

A

Doxycycline 100 mg orally twice daily for 28 days

19
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

SCHEDULE FOR
FOLLOWUP AFTER
TREATMENT

Late latent (>1 year), or latent of unknown duration
HIV-uninfected

A

6, 12, and 24 months after treatment

20
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

TIME FRAME
TO EXPECT
FOURFOLD
DECLINE IN TITER

Late latent (>1 year), or latent of unknown duration
HIV-uninfected

A

12 to 24 months

21
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

RECOMMENDED
TREATMENT

Late latent (>1 year), or latent of unknown duration
HIV-infected

A

Benzathine penicillin G: 3 doses of 2.4 million units IM given at 1 week intervals

22
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

ALTERNATIVE TREATMENT
FOR PENICILLIN-ALLERGIC
PERSONS (NONPREGNANT
WOMEN ONLY)

Late latent (>1 year), or latent of unknown duration
HIV-infected

A

Doxycycline 100 mg orally twice daily for 28 days

23
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

SCHEDULE FOR
FOLLOWUP AFTER
TREATMENT

Late latent (>1 year), or latent of unknown duration
HIV-infected

A

6, 12, 18, and 24 months

24
Q

TABLE 170-5
Centers for Disease Control and Prevention Recommendations for Treatment and Followup of Adults with Primary, Secondary, Early Latent, or Late Latent Syphilis

TIME FRAME
TO EXPECT
FOURFOLD
DECLINE IN TITER

Late latent (>1 year), or latent of unknown duration
HIV-infected

A

12 to 24 months