GU Abx Flashcards
1
Q
Candida Vaginitis
A
Topical (intra-vaginal)
- clotrimazole
- miconazole
- tioconazole
Oral
- Fluconazole PO once
Pregnant
- Intravaginal clotrimazole
2
Q
Balanoposthitis
A
Antifungal
- Cotrimazole
- Nystatin cream
Antibacterial
- Topical triplle abx ointment
3
Q
Acute Epididymitis
A
For acute epididymitis likely caused by STI
- Ceftriaxone 250 mg IM in a single dose PLUS
- Doxycycline 100 mg orally twice a day for 10 days
For acute epididymitis most likely caused by STI and enteric organisms (MSM)
- Ceftriaxone 250 mg IM in a single dose PLUS
- Levofloxacin 500 mg orally once a day for 10 days OR
- Ofloxacin 300 mg orally twice a day for 10 days
For acute epididymitis most likely caused by enteric organisms
- Levofloxacin 500 mg orally once daily for 10 days OR
- Ofloxacin 300 mg orally twice a day for 10 days
Treat sexual partner if possible
4
Q
Cervicitis
uncomplicated
A
- Ceftriaxone 250mg IM once PLUS
- Azithromycin 1g PO once OR
- Doxycycline 100mg PO BID x 14 days (7 days for gonorrhea, 14 days for chlamydia)
5
Q
Cervicitis
cephalosporin allergy
A
- Azithromycin 2g PO once PLUS
- Gentamicin 240mg IM once[
6
Q
Cervicitis
partner Tx
A
- Cefixime 400mg PO once PLUS
- Azithromycin 1g PO once OR
- Doxycycline 100mg PO BID x 7 days
7
Q
Cervicitis
pregnant
A
- Only treat if the patient is symptomatic and avoid breast feeding until 24-hrs after last dose*
- Metronidazole 2g PO once[5]
8
Q
Acute Cystitis
outpatient
A
- Nitrofurantoin ER 100mg BID x 5d, OR
- TMP/SMX DS (160/800mg) 1 tab BID x 3d, OR
- Cephalexin 250mg QID x 5d, OR
- Ciprofloxacin 250mg BID x3d
- Avoid using fluoroquinolone for the first-line treatment of uncomplicated urinary tract infections (UTIs) in women.[7]
- Fosfomycin 3 g PO once
- Lower clinical and microbiologic success compared to nitrofurantoin TID for 5 days [8]
9
Q
Complicated Cystitis
A
- Ciprofloxacin 500mg BID x10-14d, OR
- Cefpodoxime 200 mg BID x10-14d
- Ceftriaxone 250mg IM x1 AND azithromycin 1gm PO x1 AND nitrofurantoin ER 100mg BID x5d, OR
- Levofloxacin 500mg QD x 14d (covers urinary pathogens, GC, and chlamydia)
10
Q
Inpatient Cystitis management
A
- Ciprofloxacin 400mg IV q12hr, OR
- Ceftriaxone 1gm IV QD, OR
- Cefotaxime 1-2gm IV q8hr, OR
- Gentamicin 3mg/kg/day divided q8hr +/- ampicillin 1–2 gm q4hr, OR
- Piperacillin/Tazobactam 3.375 gm IV q6hr, OR
- Cefepime 2gm IV q8hr, OR
- Imipenem 500mg IV q8hr
11
Q
Bacterial Vaginosis
A
- Metronidazole 500 mg PO BID for 7 days OR
- Metronidazole gel 0.75%, one full applicator (5 g) intravaginally, qd for 5 days OR
- Clindamycin cream 2%, one full applicator (5 g) intravaginally qHS for 7 days
12
Q
Bacterial Vaginosis (pregnant)
A
