Genito-urinary system Flashcards
1
Q
Give examples of genitourinary infections
A
- Chlamydia (Chlamydia trachomatis)
- Bacterial vaginosis
- UTI (E coli)
2
Q
What is the treatment for chlamydia?
A
- First line: doxycycline
- Alt: azith 1g 1 day and 500mg 2 days
3
Q
What is the treatment for bacterial vaginosis?
A
- First line: metronidazole 2g - single dose OR 400 to 500mg BD - 5 to 7 days
- Alt: topical clindamycin - 7 days or metronidazole - 5 days
4
Q
What is the treatment for lower UTI?
A
Female: 3 days, Male: 7 days
- First line: trimethoprim OR nitrofurantoin
- Second line in females (no improvement >48H): nitrofurantoin, fosfomycin, pivmecillinam
- No improvement for men: consider alt diagnosis (kidney infection/prostatitis)
5
Q
What is the treatment for lower UTI for pregnant women?
A
pregnant: 7 days
- First line: nitrofurantoin
- Alt: amox OR cefalexin