thera STD Tx's

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coal
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246807
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thera STD Tx's
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2013-11-14 00:07:33
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thera STD Tx
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thera STD Tx's
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  1. Tx of primary,secondary & early latent syphilis
    • benzathine penicillin G
    • 2.4 millions units IM once
  2. Tx of primary, secondary & early latent syphilis if penicillin allergy
    • doxycycline
    • 100mg bid 14d
  3. Tx of late latent and tertiary syphilis
    • benzathine penicillin G
    • 2.4 million units IM at one week intervals X 3 doses
  4. Tx of late latent and tertiary syphilis if penicillin allergy
    • doxycycline
    • 100mg bid 28d
  5. Tx of neurosyphilis
    • penicillin G
    • 18-24 million units IV daily in divided doses X 10-14 days
  6. alternative Tx of neurosyphilis
    • procaine penicillin
    • 2.4 million units IM daily plus
    • probenecid 500mg PO QID 10-14 days
  7. Tx of neurosyphilis if PCN allergy
    • ceftriaxone
    • 2 gm IM/IV daily 10-14 days
  8. 3 Tx options for genital herpes (first clinical episode)
    • acyclovir - 400 mg PO TID
    • famciclovir - 250 mg PO TID
    • valacyclovir 1000mg PO BID
    • duration 7-10 days
  9. 5 Tx options for genital herpes (episodic therapy)
    • acyclovir - 800mg PO BID X 5days
    • acyclovir - 800mg PO TID X 2days
    • famciclovir - 125mg PO BID X 5days
    • famciclovir - 1000mg PO BID X 1day
    • valacyclovir - 1gm PO QD X 5 days
  10. 3 Tx options for genital herpes (suppressive therapy)
    • acyclovir - 400 mg PO BID
    • famciclovir - 250 mg PO BID
    • valacyclovir - 500-1000mg PO QD
  11. Tx of genital herpes (prevention of transmission)
    valacyclovir - 500mg PO QD
  12. 3 Tx options for chancroid of pt
    • azithromycin - 1 gm PO X 1dose
    • ceftriazone - 250 mg IM X 1 dose
    • ciprofloxacin - 500mg PO BID X 3 days
  13. 3 Tx options for HPV pt applied
    • podofilox - 0.5% solution or cream
    • imiquimod - 5% cream
    • sinecatechins - 15% ointment
  14. 4 Tx options for HPV provider administered
    • cryotherapy
    • poddophyllin resin - 10-25%
    • trichloroacetic or bichloroacetic acid 80-90%
    • surgical removal
  15. 2 Tx options for chlamydia
    • azithromycin - 1gm PO single dose
    • doxycycline - 100mg PO BID X 7days
  16. 2 Tx options for chlamydia in pregnancy
    • azithromycin - 1g PO x 1 dose
    • amoxicillin - 500mg PO TID X 7days
  17. Tx option for chlamydia for newborns
    erythromycin - 50mg/kg/day PO QID X 14 days
  18. Tx of gonorrhea (uncomplicated urogenital, anorectal and pharyngeal infection)
    • ceftriaxone - 250mg IM once
    •       plus
    • chlamydia therapy
    • azithromycin - 1gm PO single dose
    • doxycycline - 100mg PO BID X 7days
  19. Tx of gonorrhea (disseminated infection)
    • ceftriaxone - 1gm IM/I q24h X 24-48 hours after clinical improvement
    •       then
    • cefixime - 400mg PO BID X 1 week
    •      plus
    • chlamydia therapy
    • azithromycin - 1gm PO single dosedoxycycline - 100mg PO BID X 7days
  20. Tx of gonorrhea (pregnancy)
    • ceftriaxone - 250mg IM X 1 dose
    •     plus
    • chlamydia therapy
    • azithromycin - 1gm PO single dose
    • doxycycline - 100mg PO BID X 7days
  21. Tx of pelvic inflammatory disease (inpatient)
    • cefotetan or cefoxitin IV
    •          plus
    • doxycycline - 100mg IV PO q12h
  22. Tx of pelvic inflammatory disease (outpatient)
    • ceftriaxone - 250mg IM X 1
    •               plus
    • doxycycline - 100mg PO BID X 14 days
    •           with or without
    • metronidazole - 500mg PO BID X 14 days
  23. 2 Tx of trichomoniasis recommended
    • metronidazole - 2gm PO X 1 dose
    • tinidazole - 2gm PO X 1 dose
  24. Tx of trichomoniasis alternate
    metronidazole - 500mg PO BID X 7 days
  25. Tx of trichomoniasis in pregnancy
    metronidazole - 2 gm PO X 1 dose
  26. 2 Tx of BV in symptomatic and/or pregnant women
    • metronidazole - 500mg PO BID X 7days
    • metronidazole gel - 0.75% one applicator intravaginally QD X 5 days

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