Second Chance - STIs | Super Survey Maker

Treatment for Chlamydia include:

Azithromycin 1 gram PO in a single dose

Doxycycline 100 mg PO BID for 7 days

Treatment for Gonorrhea include:

Ceftriaxone 250 mg IM in a single dose PLUS Azithromycin 1 gram PO in a single dose

Azithromycin 1 gram PO in a single dose

Treatment for Gonorrhea include: (cephalosporin allergy)

Gemifloxacin 320 mg PO single dose + Azithromycin 2 g PO single dose

Switch to Doxycycline 100 mg PO BID for 7 days (still use Ceftriaxone)

Treatment for 1st ep of genital herpes:

Valacyclovir 1g PO BID x 7 days

� Valacyclovir 500 mg PO BID for 3 days

Treatment for subsequent eps of herpes:

� Valacyclovir 1 g PO daily for 5 days

Valacyclovir 1g PO BID x 7 days

Syphillis treatment for primary & secondary?

Benzathine penicillin G 2.4 million units IM in a single dose

ALWAYS GIVE IT INTRAMUSCULARLY

PCN allergy non-pregnant: Doxy 100mg PO BID x 14 days

Latent syphillis tx?

Benzathine penicillin G 2.4 million units IM in a single dose

Tertiary syphillis tx?

Benzathine penicillin G 2.4 million units IM weekly for 3 weeks (7.2 million units total)

PCN allergy? consult ID

Neurosyphilis tx?

Aqueous crystalline penicillin G 18-24 million units per day delivered as either 3-4 million units IV Q4H or continuous infusion for 10-14 days

Ceftriaxone 2 g IM or IV for 10 to 14 days for PCN allergy and not pregnant

Trichomoniasis tx?

Metronidazole 2g PO x 1 dose

Counseling for chlamydia and gonorrhea?

No sex until 7 days after tx initiated if sx resolve

Re-evaluate only when sx persist or pregnant

Test of cure for chlamydia only if pregnant after 3-4wks post-tx

When should re-test occur for chlamydia and gonorrhea?

3mo after tx or within following 12 months when patient seeks care

Characteristic of syphillis?

Painless genital chancre

Profuse and purulent discharge

Mucoid discharge

Characteristic of gonorrhea?

Painless genital chancre

Profuse and purulent discharge

Mucoid discharge

Characteristic of chlamydia?

Painless genital chancre

Profuse and purulent discharge

Mucoid discharge

Characteristic of Trichomoniasis?

Painless genital chancre

Profuse and purulent discharge

Mucoid discharge

Malodorous yellow-green vaginal discharge

Counseling for Trichomoniasis?

Re-screen females in 3 months

No sex until tx complete and asymptomatic

Avoid EtOH during tx and 7rs after completion

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