Template:Cervicitis Urethritis Antibiotics: Difference between revisions
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====Presumed [[GC]]/[[chlamydia]] of cervix, urethra, or rectum (uncomplicated)<ref>Cyr SS et al. Update to CDC’s Treatment Guidelines for Gonococcal Infection, 2020. MMWR. Center for Disease Control and Prevention. 2020. 69(50):1911-1916</ref>==== | |||
''Typically, treatment for '''both''' gonorrhea and chlamydia is indicated, if one entity is suspected.''<br> | |||
*[[Ceftriaxone]] | <br> | ||
**[[ | <u>Standard</u><br> | ||
*Gonorrhea | |||
**[[Ceftriaxone]] IM x 1 | |||
***500 mg, if weight <150 kg | |||
***1 g, if weight ≥150 kg | |||
*Chlamydia | |||
**Nonpregnant: [[doxycycline]] 100 mg PO BID x 7 days | |||
**Pregnant: [[azithromycin]] 1 g PO x 1 | |||
<br> | |||
*[[ | <u>Ceftriaxone contraindicated</u><br> | ||
**[[ | *Gonorrhea | ||
** | **[[Gentamicin]] 240 mg IM x 1 '''PLUS''' [[azithromycin]] 2 g PO x 1, '''OR''' | ||
**[[Cefixime]] 800 mg PO x 1 | |||
*Chlamydia^ | |||
**Nonpregnant: [[doxycycline]] 100 mg PO BID x 7 days | |||
**Pregnant: [[azithromycin]] 1 g PO x 1 | |||
====Partner | ^Additional chlamydia coverage only needed if treated with cefixime only | ||
*[[Cefixime]] | |||
**[[ | ====Partner Treatment==== | ||
**[[ | *Gonorrhea | ||
**[[Cefixime]] 800mg PO x 1 | |||
*Chlamydia | |||
**Nonpregnant: [[doxycycline]] 100mg PO BID x 7 days, '''OR''' | |||
**Pregnant: [[azithromycin]] 1g PO x 1 | |||
====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]==== | ====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]==== | ||
{{Trichomonas antibiotics}} | {{Trichomonas antibiotics}} | ||
Revision as of 18:58, 23 December 2020
Presumed GC/chlamydia of cervix, urethra, or rectum (uncomplicated)[1]
Typically, treatment for both gonorrhea and chlamydia is indicated, if one entity is suspected.
Standard
- Gonorrhea
- Ceftriaxone IM x 1
- 500 mg, if weight <150 kg
- 1 g, if weight ≥150 kg
- Ceftriaxone IM x 1
- Chlamydia
- Nonpregnant: doxycycline 100 mg PO BID x 7 days
- Pregnant: azithromycin 1 g PO x 1
Ceftriaxone contraindicated
- Gonorrhea
- Gentamicin 240 mg IM x 1 PLUS azithromycin 2 g PO x 1, OR
- Cefixime 800 mg PO x 1
- Chlamydia^
- Nonpregnant: doxycycline 100 mg PO BID x 7 days
- Pregnant: azithromycin 1 g PO x 1
^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
Associated Bacterial Vaginosis or Trichomonas vaginalis
Non-Pregnant
- Metronidazole 500mg PO BID for 7 days [2]
- Tinidazole 2g PO once
Pregnant
Only treat if the patient is symptomatic
- Metronidazole 500mg PO BID for 7 days [3]
Sexual Partner Treatment
- Female: Same as above
- Male: Metronidazole 2 gm PO x1 [4]
- ↑ Cyr SS et al. Update to CDC’s Treatment Guidelines for Gonococcal Infection, 2020. MMWR. Center for Disease Control and Prevention. 2020. 69(50):1911-1916
- ↑ Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021;70(No. RR-4):1–187. DOI: http://dx.doi.org/10.15585/mmwr.rr7004a1external icon
- ↑ CDC Trichomoniasis 2021. https://www.cdc.gov/std/treatment-guidelines/trichomoniasis.htm
- ↑ Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021;70(No. RR-4):1–187. DOI: http://dx.doi.org/10.15585/mmwr.rr7004a1external icon