STIs Flashcards
1
Q
Gonorrhea - Weight <150 kg
A
- Ceftriaxone 500 mg IM x 1dose
- if chlamydia (not excluded): Add Doxy x7d or Azithro x1dose (A if pregnant)
2
Q
Gonorrhea - Weight ≥150kg
A
- Ceftriaxone 1 g IM x 1dose
- if chlamydia (not excluded): Add Doxy x7d or Azithro x1dose (A if pregnant)
3
Q
Gonorrhea - Ceftriaxone not an option/Not available
A
- Gent IM x1dose + Azithro 2g x1dose
- Cefixime 800mg x1dose
- if chlamydia (not excluded): Add Doxy x7d or Azithro x1dose (A if pregnant)
4
Q
Primary and Secondary Syphilis
A
- DOC: Benzathine PCN G 2.4 IM x1dose
- if PCN Ax: Doxy 100 BID x14 days OR Tetra 500 QID x14 days OR Azithro 2g x1dose
5
Q
Early Latent Syphilis (<1 year duration)
A
- DOC: Benzathine PCN G 2.4 IM x1dose
- if PCN Ax: Doxy BID x 14days OR Tetra QID x14days
6
Q
Late Latent Syphilis (>1 year duration) or unknown duration
A
- DOC: Benzathine PCN G 2.4 IM qweekly x3weeks
- if PCN Ax: Doxy BID x28days OR Tetra QID x28days
7
Q
Tertiary Syphilis
A
- DOC: Benzathine PCN G 2.4 IM qweekly x3weeks
- if PCN Ax: Doxy BID x28days OR Tetra QID x28days
8
Q
Neurosyphilis
A
- DOC: Aqueous crystalline PCN G IV q4h x10-14days
- Procaine PCN IM daily + Probenacid 500 mg QID x10-14days
- if PCN Ax: Ceftriaxone 2g IM/IV QD x10-14days
- Pregnancy: PCN is only safe option (if pt Ax… you need to desensitize!)
9
Q
Chlamydia
A
- 1st Line: Doxy 100mg BID x7days
- Alternative: Azithro 1g x1dose or Levo 500mg QD x7days
- Pregnancy: Azithro 500mg x1dose(DOC) or Amox 500mg TID x7days
10
Q
Mycoplasma Genitalium - Macrolide-Sus
A
- Macrolide-Sus: Doxy 100 BID x7d, then Azithro 1g x1dose, then azithro 500mg x3days (total A 2.5g)
11
Q
Mycoplasma Genitalium - Macrolide-Resistant or testing NOT available
A
- Doxy 100 BID x7days, then Moxifloxacin 400mg x7days
12
Q
First episode of Genital HSV
A
- Acyclo 400 TID
- Famciclo 250 TID
- Valacyclovir 1g BID
Tx 7-10days (all equivalent)
13
Q
Recurrent Infxns of HSV
A
- Acyclo 800 BID x5days OR 800 TID x2days
- Famcic 125 BID x5days OR 1g BID x1day
- Valacyclo 500 BID x3days or 1g QD x5days
(All equivalent)
14
Q
Severe Disease of HSV
A
Acyclovir IV x2-7d, then oral Tx to complete at least 10 days of Tx
15
Q
Daily Suppressive Tx of HSV
A
- Acyc 400 BID
- Fam 250 BID
- Valacyc 500 or 1g QD
16
Q
HSV and Pregnant
A
Acyclovir or Valacyclovir
17
Q
Trichominiasis - Women
A
- Metro 500mg BID x7days
- Alt: Tinidazole 2g x1dose
18
Q
Trichominiasis - Men
A
- Metro 2g x1dose
- Alt: Tinidazole 2g x1dose
19
Q
Trichominiasis - HIV+
A
- Metro 500mg BID x7days
20
Q
PID
A
- 1st Line: Ceftriaxone IV + Doxy IV/PO + Metro IV/PO x 14days
- Alternative Parenteral Regimen: Unasyn + Doxy IV/PO x14days (Clinda IV + Gent x14 days if Severe Ax)
- IM/Oral Tx Regimen: Ceftriaxone IM x1dose + Doxy PO + Metro PO x14days
