Chapter 170 - Syphilis Flashcards
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
Benzathine penicillin G, 2.4 million units, administered IM in a single dose
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
Doxycycline 100 mg orally
twice daily for 14 days
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
6 and 12 months
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
6 to 12 months
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
Benzathine penicillin G, 2.4 million units, administered IM in a single dose
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
Doxycycline 100 mg orally twice daily for 14 days
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
3, 6, 9, 12, and 24 months
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
6 to 12 months
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
Benzathine penicillin G, 2.4 million units, administered IM in a single dose
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
Doxycycline 100 mg orally twice daily for 14 days
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
6, 12, and 24 months
after treatment
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
12 to 24 months
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
Benzathine penicillin G,
2.4 million units, administered IM in a single dose
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
Doxycycline 100 mg orally twice daily for 14 days
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
6, 12, 18, and 24 months