STI-GC BASHH 2018 Flashcards

1
Q

What is 1st line treatment GC (no sensitivity)

A

1g Ceftriaxone IM STAT

(same in pregnancy/BF)

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2
Q

Epidemiological treatment of GC in sexual partners is only recommended if presenting with …….days of exposure to infection

A

14 days

> 14 days await test first
Could test first if asymptomatic < 14 days

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3
Q

If using non first line treatment for GC all regimes include what drug as dual therapy? (not pregnant/BF)

A

Azithromycin 2g stat

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4
Q

Who should you tell if possible ceftriaxone resistant GC?

A

PHE (and ghostbusters)

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5
Q

How long should you avoid sexual contact for after GC treatment?

A

7 days

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6
Q

How long should PN cover is asymptomatic GC at any site?

A

3/12

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7
Q

How long should PN cover if symptomatic male urethral GC

A

2/52

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8
Q

Who should be offered TOC in GC?

A

Everyone (at 2 weeks should be negative whatever NAAT used)

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9
Q

If pregnant or BF and can’t give ceftriaxone what are alternatives?

A

Spectinomycin 2g or Azithromycin 2g

AZT says should have sensitivity first and only if no alternate

Spectinomycin says if no alternate and caution in BF as not known if excreted

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10
Q

What is oral alternative to Ceftriaxone if needle phobic?

A

400mg Cefixime stat and AZT 2g

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11
Q
A
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