Exam 4 - STI Treatment Flashcards
Gonorrhea
uncomplicated treatment is based on what
weight (150kg)
gonorrhea
uncomplicated
<150
no chlamydia
ceftriaxone 500mg IM x1
gonorrhea
uncomplicated
chlamydia not excluded
doxy 100 bid x7 days
aztih 1g x1 if pregnant
gonorrhea
uncomplicated
>150 kg
chlamydia excluded
ceftriaxone 1g IM x1
what if ceftriaxone is not available for gonorrhea treatment
Gent 240 + Azith or
cefixime 800 + chlamydia coverage
what is the test of cure recommendation for gonorrhea
7-14 days after initial treatment
what is the drug of choice for all stages of syphilis
Benz Pen G
how long is pen g given in primary/secondary syphilis
IM 1 time dose
what is the treatment for primary, secondary, early latent syphilis WITH a pen allergy
doxy 100mg PO BID x14 days or
tetra 500mg PO QID x14 days
what is the treatment for a primary/secondary syphilis patient who has a pen allergy and is pregnant
azithromycin 2g PO x1 dose
what is the pen g duration for an early latent syphilis patient
IM 1 time dose
what is the pen g treatment duration for a late latent or tertiary syphilis patient
IM once weekly for 3 weeks
what is the treatment for late latent/tertiary syphilis if they have a pen allergy
doxy 100mg BID x28 days or tetra 500mg QID x28 days
what are the treatments for neurosyphilis
aq Pen G x 10-14 days
procaine pen + probenecid x10-14 days
allergy –> ceftriaxone 10-14 days
what is the only safe option for syphilis in pregnant patients
pen g
if allergic, must desensitize
what is the general treatment option for chlamydia
doxy 100 BID x7 days
what are alternative for chlamydia
aztih 1g x1 dose
levo 500 QD x 7 days
what can be given for pregnant patients with chlamydia
azith 500 PO x1 dose or amox 500 TID x7 days
how is mycoplasma genitalium treatment decided
based of culture testing
mycoplasma macrolide susceptible treatment
doxy 100 bid x7 days then
azith 1g x1 then azith 500 x3 days
mycoplasma macrolide resistant treatment/no testing
doxy 100mg x 7 days then moxi 400 x 7 days
what are the drugs for initial treatment of genital herpes
acyclovir
famciclovir
valacyclovir
what is the duration for initial treatment of genital herpes
treat for 7-10 days
how long should acyclovir be used in recurrent treatment of genital herpes
2 days
how long should famciclovir be used in recurrent treatment of genital herpes
1 days
how long should valacyclovir be used in recurrent treatment of genital herpes
5 days
what is the treatment of severe genital herpes
acyclovir 5-10mg/kg/dose IV q8 2-7 days followed by 10 days of oral therapy
how long to treat episodic genital herpes in HIV patients
5-10 days
when should treatment be started for pregnancy genital herpes
start at 36 weeks gestation
what is the only option for trichomoniasis
metronidazole IV, oral, IM
what is the treatment duration of trichomoniasis in women
7 days
what is the treatment duration for trichomoniasis for men
1 time dose
what is the treatment duration for HIV patients who have trichomoniasis
7 days
