Treatment of STDs

Question 1

Gonorrhea

Answer 1

Ceftriaxone + (for chlamydia) Azithromycin (single dose) or Doxycycline (7 days)

Question 2

Syphillis

Answer 2

Penicillin G

Question 3

Trichomoniasis

Answer 3

Metronidozole (single dose) or Tinidazole (single dose)

Both are members of nitroimidozole family- used for anaerobic bacteria and sensitive protozoans (should abstain from alcohol 24 and 72 hr respectively)

Question 4

Bacterial Vaginosis

Answer 4

Metronidozole (7 days) or Metronidazole gel (5 days) or clindamycin cream (7 days)

Question 5

Pelvic inflammatory disease

Answer 5

Goal: cover gonnorhea, chlamydia, anaerobes, gram neg facultative bacteria, and strep

Parental
Cefotetan (IV q12 hrs) or Cefoxitin (IV q12 hrs) + Doxycline (oral or IV q12 hrs)

Cefotetan and cefoxitin- 2nd gen cephalosporins but called cephamycins; avoid alcohol (some oral drugs formulated with ethanol)

Oral
Levofloxacin (14 days) or Ofloxacin (14 days) w/ or w/o metronidazole (14 days)

Levofloxacin and ofloxacin- fluroquinolone

Question 6

Herpes

Answer 6

First outbreak: Acyclovir (7-10 days)

Suppressive therapy: Acyclovir (twice daily)