Sexually-transmitted infection: Difference between revisions
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{| class="wikitable" |
{| class="wikitable" |
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!Organism |
!Organism |
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!First-line treatment |
!First-line treatment |
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!Treatment if allergic |
!Treatment if allergic |
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!Treatment if pregnant |
!Treatment if pregnant |
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+ | |chlamydia |
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|[[Chlamydia trachomatis]] serovars L1, L2, L3 |
|[[Chlamydia trachomatis]] serovars L1, L2, L3 |
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|[[doxycycline]] 100 mg PO for 3 weeks |
|[[doxycycline]] 100 mg PO for 3 weeks |
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|[[erythromycin]] 500 mg PO qid for 3 weeks |
|[[erythromycin]] 500 mg PO qid for 3 weeks |
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− | |Chancroid |
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|[[Haemophilus ducreyi]] |
|[[Haemophilus ducreyi]] |
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+ | |chancroid |
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|[[azithromycin]] 1 g po once |
|[[azithromycin]] 1 g po once |
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|[[ceftriaxone]] 250 mg IM once |
|[[ceftriaxone]] 250 mg IM once |
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+ | |usual treatment |
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|- |
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− | |Chlamydia |
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− | |Donovanosis |
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|[[Klebsiella granulomatis]] |
|[[Klebsiella granulomatis]] |
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+ | |granuloma inguinale (donovanosis) |
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|[[doxycycline]] 100 mg po bid for 3 weeks |
|[[doxycycline]] 100 mg po bid for 3 weeks |
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|[[erythromycin]] |
|[[erythromycin]] |
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+ | |- |
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+ | |[[Neisseria gonorrhoeae]] |
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+ | |gonorrhea |
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+ | |[[ceftriaxone]] 250 mg IM once + [[azithromycin]] 1 g PO once |
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+ | |[[gentamicin]] 240 mg IM once + [[azithromycin]] 2 g PO once |
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+ | |usual treatment |
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+ | |- |
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+ | | rowspan="3" |[[Treponema pallidum pallidum]] |
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+ | |primary, secondary, and EL syphilis |
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+ | |[[penicillin]] 2.4 MU IM once |
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+ | |[[doxycycline]] 100 mg PO bid for 14 days |
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+ | |usual treatment |
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+ | |- |
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+ | |LL and tertiary syphilis |
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+ | |[[penicillin]] 2.4 MU IM weekly for 3 weeks |
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+ | |desensitization or [[doxycycline]] 100 mg PO bid for 28 days |
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+ | |usual treatment |
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+ | |- |
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+ | |neurosyphilis |
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+ | |[[penicillin]] 4 MU IV q4h for 10-14 days |
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+ | |desensitization |
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+ | |usual treatment |
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+ | |- |
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+ | |[[Trichomonas vaginalis]] |
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+ | |trichomoniasis |
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+ | |[[metronidazole]] 2 g PO once |
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+ | |usual treatment |
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[[Category:Infectious diseases]] |
[[Category:Infectious diseases]] |
Revision as of 20:37, 3 August 2020
Organism | Disease | First-line treatment | Treatment if allergic | Treatment if pregnant |
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Chlamydia trachomatis | chlamydia | azithromycin 1 g po once | azithromycin 1 g po once, or amoxicillin 500 mg po tid for 7 days | |
Chlamydia trachomatis serovars L1, L2, L3 | Lymphogranuloma venereum | doxycycline 100 mg PO for 3 weeks | erythromycin 500 mg PO qid for 3 weeks | |
Haemophilus ducreyi | chancroid | azithromycin 1 g po once | ceftriaxone 250 mg IM once | usual treatment |
Klebsiella granulomatis | granuloma inguinale (donovanosis) | doxycycline 100 mg po bid for 3 weeks | erythromycin | |
Neisseria gonorrhoeae | gonorrhea | ceftriaxone 250 mg IM once + azithromycin 1 g PO once | gentamicin 240 mg IM once + azithromycin 2 g PO once | usual treatment |
Treponema pallidum pallidum | primary, secondary, and EL syphilis | penicillin 2.4 MU IM once | doxycycline 100 mg PO bid for 14 days | usual treatment |
LL and tertiary syphilis | penicillin 2.4 MU IM weekly for 3 weeks | desensitization or doxycycline 100 mg PO bid for 28 days | usual treatment | |
neurosyphilis | penicillin 4 MU IV q4h for 10-14 days | desensitization | usual treatment | |
Trichomonas vaginalis | trichomoniasis | metronidazole 2 g PO once | usual treatment |