STI important Flashcards
5 P’s
partners, practices, protection, past, pregnancy
HIV pre-exposure prophylaxis
at risk adults and adolescents >35kg to reduce risk of sexually acquired HIV. excludes individuals at risk from receptive vaginal sex
herpes testing is reserved for ___ illnesses
systemic
which STIs do you report to the department of health
AIDS, HIV, chancroid, chlamydia, gonococcus, syphilis, hepatitis
EPT
treating heterosexual MALE partners of WOMEN diagnosed with chlamydia, gonorrhea, or trichomoniasis
EPT for gonorrhea
cefixime 800 mg 1 dose + doxycycline 100 mg BID x 7d
EPT for chlamydia
azithromycin 1 gm PO x1
EPT for trichomoniasis
metronidazole 2 g PO x 1 for male partner of female`
for EPT, when to return for evaluation
7-10 days
signs of bacterial vaginosis
discharge is odorous
EPT for bacterial vaginosis?
no
signs of trichomoniasis
discharge is yellow/green
EPT for trichomoniasis?
yes
signs of candidiasis
discharge is cheesy
EPT for candidiasis?
no
preferred agent for syphilis
benzathine penicillin, even if pregnant and allergic to penicillin: desensitize
agent for chlamydia in pregnancy
azithromycin
agent for gonorrhea in pregnancy
ceftriaxone
agent for bacterial vaginosis/trichomoniasis in pregnancy
metronidazole
preferred agent for chlamydia
doxycycline 100 mg PO BID x 7d
alternative agents for chlamydia
azithromycin 1 g PO once, levofloxacin 500 mg PO daily x 7d
preferred agent for gonorrhea
ceftriaxone 500 mg PO or 1 g IM once
alternative agents for gonorrhea
cefixime 800 mg PO once, gentamycin 240 mg IM once + azithromycin 2 g PO once
preferred agent for trichomoniasis
metronidazole 500 mg PO BID x 7d (women) or 2 g PO once (men)
alternative agent for trichomoniasis
tinidazole 2 g PO once
agents for bacterial vaginosis
metronidazole 500 mg PO BID x 7d, metronidazole gel 0.75% 1 full applicator (5g) intravaginally daily x 5d, clindamycin cream 2% 1 full applicator (5g) intravaginally at bedtime x 7d
