Template:Male urethritis treatment: Difference between revisions
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''Treatment to cover both [[gonorrhea]] and [[chlamydia]]'' | ''Treatment to cover both [[gonorrhea]] and [[chlamydia]]'' | ||
====Uncomplicated Infection==== | ====Uncomplicated Infection==== | ||
*[[Ceftriaxone]] | *[[Ceftriaxone]] 500mg IM once (if >150kg, 1g), '''PLUS''' | ||
**[[ | **[[Doxycycline]] 100mg PO BID x 7 days (non-pregnant) '''OR''' | ||
**[[ | **[[Azithromycin]] 1g PO once (if pregnant) | ||
====Cephalosporin Allergy==== | ====Cephalosporin Allergy==== | ||
Revision as of 19:03, 18 December 2020
Treatment to cover both gonorrhea and chlamydia
Uncomplicated Infection
- Ceftriaxone 500mg IM once (if >150kg, 1g), PLUS
- Doxycycline 100mg PO BID x 7 days (non-pregnant) OR
- Azithromycin 1g PO once (if pregnant)
Cephalosporin Allergy
- Azithromycin 2g PO once, PLUS
- Gentamicin 240mg IM once[1]
- In theory this high dose macrolide will provide treatment for both GC and Chlamydia
Partner treatment
- Cefixime 400mg PO once, PLUS
- Azithromycin 1g PO once, OR
- Doxycycline 100mg PO BID x 7 days
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 gm PO x 1, OR
- Tinidazole 2 gm PO x 1