genital infections Flashcards
uncomplicated genital chlamydial infection and uncomplicated non-gonoccal urethritis (non-specific urethritis)
also is contact tracing recommended
yes
1st line doxycycline 100mg BD for 7 days
alternative if allergy or unsuitable: azithromycin 1g once daily for 1 day then 500mg once daily for 2 days
treatment of BV
- oral metro 400-500mg BD for 5-7 days
- or high dose metro as single dose (2g for one dose)
- alternatives: topical metro 5 days or topical clinda 5 days
2nd line for uncomplicated genital chlamydia, uncomplicated non-gonoccol urethritis
azithromycin 1g for one dose, then 500mg for 2 days
1st line for uncomplicated genital chlamydia, uncomplicated non-gonoccol urethritis
doxycycline 100mg BD 7 days
cultures of uncomplicated gonorrhoea before or after treatment?
Before treating, obtain cultures from all potentially exposed sites for antimicrobial susceptibility testing
what two things are recommended for uncomplicated gonorrhoea
contact tracing
test of cure following treatment
what is epidemiological treatment
Epidemiologic treatment refers to antibiotics administered when a diagnosis is considered likely on clinical, laboratory, or epidemiologic grounds, but before the results of confirmatory laboratory tests are known.
for sexual contracts of pt with uncomplicated gonorrhoea who present within …… of exposure, consider epidemiological treatment
14 days
for sexual contacts of pt with uncomplicated gonorrhoea who present after 14 days of exposure, what should you do
only consider treating after a positive test
advice on abstaining for people with uncomplicated gonorrhoea
avoid sex until 7 days after pt and partner(s) have completed treatment
1st line for uncomplicated gonorrhoea if antimicrobial susceptibility unknown
ceftriaxone
normally first line is ceftriaxone if susceptibility is unknown. what 1st line for uncomplicated gonorrhoea if microorganism is sensitive to …..
ciprofloxacin, then give ciprofloxacin
normally first line for uncomplicated gonorrhoea is: if susceptibility unknown, ceftriaxone. if susceptibility to ciprofloxacin, then give it. however these are alternatives due to allergy, needle phobia or contraindications then give
gentamicin + azithromcyin
if parenteral admin not possible, give cefixime (unlicensed) + azith
if unable to take standard therapy, give azithormyin
what is the dose of 1st line ceftriaxone for uncomplicated gonorrhoea?
deep IM injection. 1g for one dose
normally deep IM ceftriaxone 1g for one dose is 1st line for uncomplicated gonorrhoea. but if susceptibility to ciprofloxacin, give this. what is the dose
500mg for one dose PO
is contact tracing recommended for PID
yes
1st line treatment options for pt with PID
doxy + metro + single dose IM ceftriaxone
or
ofloxacin + metro
suggested duration: 14 days, except IM ceftriaxone
ofloxacin and metronidazole is a first line option for PID. what is the dose and duration
oflox 400mg BD for 14 days
metro 400mg BD for 14 days
a first line option for PID is doxy + metro + IM ceftriaxone. what is the dose and duration
metro 400mg BD for 14 days
doxy 100mg BD for 14 days
IM ceftriaxone 1g for one dose
what is treatment for PID in severely ill pt
initial: doxy + IV ceftriaxone + IV metro
stich to oral treatment with doxy + metro to complete 14 days
Is contact tracing recommended with syphilis
yes
what is early syphilis
primary
secondary
early latent - less than 2 years since infection
what is late latent syphilis
more than 2 years since infection
what is 1st line for early and late latent syphilis
bezathine benzylpenicillin. one dose for early, and once weekly for three weeks for late. given by deep IM injection
what is the preferred site of infection for deep IM injection of bezathine benzylpenicillin as 1st line treatment for early and late latent syphilis
outer quadrant of gluteus maximum or hochstetters ventrogluteal field
alternative for early and late latent syphilis includes
doxycycline
