Template:Male urethritis treatment: Difference between revisions
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''Consider coverage of [[trichomonas]], among men who have sex with women'' | ''Consider coverage of [[trichomonas]], among men who have sex with women'' | ||
*{{AntibioticDose|disease=Urethritis in men|drug=Metronidazole|dose=2 g PO in a single dose|context=Recurrent/Persistent, Trichomonas}} | *{{AntibioticDose|disease=Urethritis in men|drug=Metronidazole|dose=2 g PO in a single dose|context=Recurrent/Persistent, Trichomonas}} | ||
*{{AntibioticDose|drug=Azithromycin|dose=1 g PO x1|context=Urethritis, non-gonococcal initial infection|disease=Urethritis in men|population=Adult}} | |||
Latest revision as of 10:54, 20 March 2026
Uncomplicated Infection
Treatment to cover both gonorrhea and chlamydia
Typically, treatment for both gonorrhea and chlamydia is indicated, if one entity is suspected.
Standard
- Gonorrhea
- Ceftriaxone IM x 1 (500mg if <150kg, 1g if ≥150kg)
- Chlamydia
- Doxycycline 100 mg PO BID x 7 days
Ceftriaxone contraindicated
- Gonorrhea
- Gentamicin 240 mg IM x 1 PLUS azithromycin 2 g PO x 1, OR
- Cefixime 800 mg PO x 1
- Chlamydia^
- Doxycycline 100 mg PO BID x 7 days
^Additional chlamydia coverage only needed if treated with cefixime only
Partner Treatment
- Gonorrhea
- Cefixime 800mg PO x 1
- Chlamydia
- Nonpregnant: doxycycline 100mg PO BID x 7 days, OR
- Pregnant: azithromycin 1g PO x 1
Recurrent or Persistent
Target M. genitalium
- Moxifloxacin 400 mg daily x 7 days
Consider coverage of trichomonas, among men who have sex with women
- Metronidazole 2 g PO in a single dose
- Azithromycin 1 g PO x1