STI treatment Flashcards
what is reported to man health
gonorrhea chlamydia syphilis HepB/C HIV
red flags for gonorrhea
fever, chills, joint pain = disseminated
gonorrhea treatmetn in >9
ceftriaxone 250 IM single dose
azithro 1g PO single dose
gonorrhea alternative treatment in >9
azithro 2g PO single dose
test of cure recommended
why is azitrho 1g preferred over doxycycline 100 x 7day as an alternative
issues regarding compliance
tetracycline resistance
gonorrhea in <9
cefixime 8mg/kg PO BID(needs follow up culture) or ceftriaxone 50mg/kg IM x 2 doses + azithro 20mg/kg PO single dose
always use a macrolide in a kid with gonorrhea?
no due to pyloric stenosis
testing should be done for chlamydia
treatment of disseminated gonhorrea in adults
ceftriaxone 2g IV daily + azithro 1g PO single dose arthritis x 7days meningitis x 14 endocarditis x 28 opthalmia single dose
ophthalmia neonatorum treatment
ceftriaxone 25mg/kg IM single dose
irrigate eyes with normal saline hourly
do testing for chlamydia
hospitalization and consultation with an expert
treatment for neonates with disseminated infection
cefotaxime 50mg/kg IV q6h x14days
consult expert
test for chlamydia
adult gonorrhea treatment for patients with cephalosporin resistance or allergy or anaphylactic reaction to penicillin
azithro 2g single dose + gentamicin 240mg IM/IV
adult gonorrhea treatment with macrolide resistance and contraindications to cephalosporins
gentamicin 240mg IM/IV
when should you repeat screening for ppl with gonorrheal infection
6 months post treatment
when is a test of cure required in gonorrhea
anyone treated with an alternative regimen
use cultures taken 3-7 days after the completion of therapy
treatment for chlamydia
azithromycin 1g PO in single dose
children 12-15mg/kg
if vomiting occurs more than 1hr post admin do you need a repeat dose
no
alternative therapy for chlamydial infections to azithro
100 BID for 7 days
therapy for pregnant women
erythromycin 500 QID for 7 days
limited data on safety of azithro in pregnancy
weigh risk of theoretical effects vs non compliance
pregnant women allergic to erythromycin or azithromycin treatment for chlamydia
amox 500 tid for 7 days
treatment of primary, secondary, adn early latent syphillis
benzanthine penicillin G 2.4 million units IM as a single dose
treatment of primary, secondayr, early latent syphilis with penicillin allergy
doxycycline 100 BID for 14 days
ceftriaxone 1g IV/IM for 10 days (exceptional circumstances
treatment of late latent, latent of unknown duration, tertiary syphilis
benzathine penicillin G 2.4 million units IM for 3 dases
treatment of late latent, latent of unknown duration, and tertiary syphilis in penicillin allergy
consider penicillin desensitization
doxy 100 BID for 28 days
ceftriaxone 1g IV/IM for 10 days (exceptional circumstances)
treatment of epidemiological treatment of sexual contact in the preceding 90 days to primary, secondayr, and early latent syphilis
benzathine pen G 2.4 million units IM as a single dose
treatment of pregnant women in primary, secondary, and early latent syphillis
benzathine pen G 2.4million units IM weekly for 1-2 doses
alternative for pregnant women in beginning/later stages of syphilis
no satisfactory alternative
strongly consider penicillin desensitization
insufficient data exists to recommend ceftriaxone
treatment for pregnant women in later stages of syphilis
benzathine pen G 2.4mill units IM weekly for 3 doses
trichomonas treatment
metronidazole 2g PO in a single dose
or metro 500mg BID for 7 days
NOT INTRAVAGINAL
do you treat the partner in trichomonas
yes increases effectiveness to 95%
gardisal dosing for ages 9-14
2 doses 0 and 6 months
gardisal dosing for males 15-26 and females 15-45
3 doses
0,2,6 months
treatment for first genital herpes episode
acyclovir 400mg TID for 7-10 days
suppresive therapy for genital herpes
acyclovir 400mg BID
