GU infections, bacterial

Question 1

What is the antibacterial therapy of choice for bacterial vaginosis?

Answer 1

Oral metronidazole (5-7 days) or high-dose metronidazole as a single dose.

Alternatively, topical metronidazole for 5 days or topical clindamycin for 7 days.

Question 2

What is the duration of treatment of oral metronidazole for bacterial vaginosis?

Answer 2

5-7 days.

Question 3

What are the treatment options for chlamydia?

Answer 3

Azithromycin (stat dose) or doxycycline (7 days).

Erythromycin (14 days)

Question 4

Treatment for uncomplicated gonorrhoea

Answer 4

Azithromycin + i/m ceftriaxone as single-dose.

Question 5

Treatment for uncomplicated gonorrhoea (parenteral administration not possible)

Answer 5

CefIXIme + azithromycin

Question 6

Treatment for pelvic inflammatory disease

Answer 6

Doxycycline + metronidazole + single-dose i/m ceftriaxone

OR

ofloxacin + metronidazole

Suggested duration of treatment 14 days (except I/m ceftriaxone)

Question 7

What is the antibacterial therapy for early syphillis?

Answer 7

Benzathine benzylpenicillin single dose repeat after 7 days for women in the third trimester.

Alternatively, doxycycline or erythromycin (14 days).

Question 8

Who should receive a repeat dose of benzathine benzylpenicillin 7 days later in the treatment of early syphilis?

Answer 8

Women in the third trimester of pregnancy.

Question 9

What is the treatment for latent syphilis (asymptomatic infection of more than 2 years)?

Answer 9

Benzathine benzylpenicillin (2 weeks)

Doxycycline 28 days.

Question 10

What is the treatment of asymptomatic contacts of patients with infectious syphilis?

Answer 10

Doxycycline (14 days)