Template:Male urethritis treatment: Difference between revisions
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====Cephalosporin Allergy==== | ====Cephalosporin Allergy==== | ||
*[[Gentamicin]] 240mg IM once<ref>[https://www.cdc.gov/mmwr/volumes/69/wr/mm6950a6.htm?s_cid=mm6950a6_w CDC: Update to CDC's Treatment Guidelines for Gonococcal Infection, 2020]</ref> '''PLUS''' | |||
**[[Azithromycin]] 2g PO once, '''OR''' | |||
** | *[[Cefixime]] 800mg oral once '''PLUS''' | ||
**[[Doxycycline]] 100mg PO BID x 7 days (non-pregnant) '''OR''' | |||
**[[Azithromycin]] 1g PO once (if pregnant) | |||
====Partner treatment==== | ====Partner treatment==== | ||
Revision as of 19:13, 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
- Gentamicin 240mg IM once[1] PLUS
- Azithromycin 2g PO once, OR
- Cefixime 800mg oral once PLUS
- Doxycycline 100mg PO BID x 7 days (non-pregnant) OR
- Azithromycin 1g PO once (if pregnant)
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