CDC Tx for Vaginitis & STDs

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Author:
meganfrances
ID:
55924
Filename:
CDC Tx for Vaginitis & STDs
Updated:
2010-12-14 15:01:51
Tags:
gynecology women\'s health midwifery nursing STD vaginitis CDC
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Description:
One CDC recommended Tx per condition
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  1. Chancroid
    • Azithromycin 1g po x 1 dose
    • FU: 3-7d
  2. Herpes (initial)
    Acyclovir 400mg po TID x 7-10d
  3. Herpes (daily suppression)
    Acyclovir 400mg po BID QD
  4. Herpes (episodic)
    Acyclovir 400mg po TID x 5d
  5. Syphilis (primary, secondary & early latent)
    Benzathine PCN G 2.4 million U IM x 1 dose
  6. Syphilis (tertiary & late latent)
    Benzathine PCN G 7.2 million U total -- admin in 3 doses of 2.4 million U IM each @ 1 wk intervals
  7. Neurosyphilis
    Aqueous crystalline PCN G 18-24 million U QD, admin as 3-4 million U IV q4h OR continuous infusion x 10-14d
  8. Cervicitis (presumptive tx)
    • Azithromycin 1 g po x 1 dose
    • Tx for gonorrhea if prevalence high in population
  9. Chlamydia
    • Azithromycin 1 g po x 1 dose OR
    • Doxycycline 100 mg po TID x 7d
    • No SI x 7d
    • Tx partner!
    • TOC if pregnant
  10. Gonorrhea
    • Ceftriazone 125 mg IM x 1 dose OR
    • Cefixime 400 mg po x 1 dose OR
    • Ciprofloxacin 500 g po x 1 dose
    • TOC if pregnant
    • Must r/o or tx for chlamydia
    • Tx partner
  11. BV
    • Metronidazole 500 mg po BID x 7d
    • NO ETOH during tx or for 24h after last dose
  12. Trich
    • Metronidazole 2g po x 1 dose OR
    • Metronidazole 500mg po BID x 7d
    • Teach: No ETOH during tx or for 24h after last dose
  13. Candidiasis
    Fluconazole 150mg tab po x 1 dose
  14. PID
    • Ceftriaxone 250mg IM PLUS
    • Doxycycline 100mg po BID x 14d
    • WITH/WITHOUT
    • Metronidazole 500 mg po BID x 14d
    • If no improvement in 3d of beginning outpt tx, may require hospitalization.
    • Offer HIV testing
    • Some recommend to screen GC/CT 4-6 wks after completing tx
  15. HPV warts (pt admin)
    Podofilox 0.5% sln or gel. Apply sln with cotton swab, gel with finger to visible warts BID x 3d. Follow by 4d NO TX. May repeat cycle, prn, up to 4 cycles.
  16. HPV warts (provider admin)
    Cryotherapy with liquid nitrogen or cryoprobe. Repeat applications q1-2wks.
  17. Pediculosis pubis (lice)
    Permethrin 1% cream, wash off after 10 min
  18. Hep A
    Supportive care
  19. Hep B
    Supportive care
  20. Hep C
    Supportive care & refer

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