-
-
-
which STDs are painless
- syphillis
- LV
- granuloma inguinela
-
when is early latent syphillis
< 1 yr
-
when is late latent syphillis
>= 1 yr duration
-
tx for primary, secondary, and early latent syphillis
2.4 million units of Benzathine penicillin (bicillin) IM
-
what do you give a pt with primary, secondary, early late syphilis who is allergic to penicillin
- doxycycline 100 mg PO BID x 14 days
- tets 500 mg QID x 14 days
-
tx for late latent syphillis
2.4 million units of Bicillin IM q week x 3 wks
-
tx for pt with late latent syphilis who is allergic to penicillin
- doxycycline 100 mg PO BID x 28 days
- tetracycline 500 mg PO QID x 28 days
-
tx for a pt with neurosyphillis
3 - 4 million units Aqueous crystalline penicillin IV q 4 hrs (18 - 24 million units/day) x 10 - 14 days
-
alternate tx for compliant pt who has neurosyphillis
procain penicillin 2.4 million units PO QD x 1 plus probenecid 500 mg PO QD x 10 - 14 days
-
how to treat a pregnant pt with neurosyphilliswho is allergic to penicillin
desensitize the pt and then give penicillin
-
what reaction can occur with penicillin
jarish herxheimer Rx
-
when do you follow up for primary and secondary syphillis
6 - 12 months
-
when do you follow up for latent syphilis
6, 12, 24 months
-
when do you follow up with HIV pts that have primary and secondary syphillis
3, 6, 9, 12, 24 mths
-
when do you follow up with HIV pts that have latent syphillis
12, 18, 24 mths
-
when do you follow up with a pt who has neurosyphillis
q 6 mths
-
tx for herpes
- acyclovir 400 mg PO TID x 7 - 10 days
- 200 mg PO 5x/day x 7 days
- valcyclovir 1 gm PO BID x 7 - 10 days
- famciclovir 250 mg PO TID x 7 - 10 days
-
tx for HIV pt with herpes
- acyclovir; 400 - 800 mg PO BID or TID
- valacyclovir; 500 mg PO BID
- famciclovir; 500 mg PO BID
-
tx for herpes suppression
- acyclovir; 400 mg PO TID x 5 - 10 days
- famcyclovir; 500 mg PO BID x 5 - 10 days
- valacyclovir; 1 g BID x 5 - 10 days
-
tx for uncomplicated gonorrhea
- ceftriaxone 250 mg x 1 dose IM plus
- azithromycin 1 gm PO x 1 or
- doxycycline 100 mg PO x 7 days
-
tx for a pt with gonorrhea allergic to penicillin allergy
azithromycin 2 g PO x 1 dose
-
tx for pt with gonorrhea who is allergic to cephalosporins
azithromycin 2 g PO x 1 dose
-
how do you treat chlamydia for pts >= 8 yrs old or > 45 kg
- azithromycin 1 g PO or
- doxycycline 100 mg BID x 7 days
-
tx for a pregnant women with chlamydia
- azithromycin 1 g PO x 1 dose or
- amoxicillin 500 mg PO TID x 7 days
-
how to treat neonatal conjuctivitis
erythromycin base or ethylsuccinate 50mg/kg/day divided into 4 doses daily x 14 days
-
tx for LGV
doxycycline 100 mg PO BID x 21 days
-
tx for trichomonas vaginalis
- metronidazole 2 g PO x 1 dose
- tinidazole 2 g PO x 1 dose
-
bacterial vaginosis tx
- flagy 500 mg BID x 7 days
- flagyl gel 0.75% x 5 days
- clindamycin cream 2% x 7 days
|
|