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Chancroid
- Azithromycin 1g po x 1 dose
- FU: 3-7d
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Herpes (initial)
Acyclovir 400mg po TID x 7-10d
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Herpes (daily suppression)
Acyclovir 400mg po BID QD
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Herpes (episodic)
Acyclovir 400mg po TID x 5d
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Syphilis (primary, secondary & early latent)
Benzathine PCN G 2.4 million U IM x 1 dose
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Syphilis (tertiary & late latent)
Benzathine PCN G 7.2 million U total -- admin in 3 doses of 2.4 million U IM each @ 1 wk intervals
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Neurosyphilis
Aqueous crystalline PCN G 18-24 million U QD, admin as 3-4 million U IV q4h OR continuous infusion x 10-14d
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Cervicitis (presumptive tx)
- Azithromycin 1 g po x 1 dose
- Tx for gonorrhea if prevalence high in population
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Chlamydia
- Azithromycin 1 g po x 1 dose OR
- Doxycycline 100 mg po TID x 7d
- No SI x 7d
- Tx partner!
- TOC if pregnant
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Gonorrhea
- Ceftriazone 125 mg IM x 1 dose OR
- Cefixime 400 mg po x 1 dose OR
- Ciprofloxacin 500 g po x 1 dose
- TOC if pregnant
- Must r/o or tx for chlamydia
- Tx partner
-
BV
- Metronidazole 500 mg po BID x 7d
- NO ETOH during tx or for 24h after last dose
-
Trich
- Metronidazole 2g po x 1 dose OR
- Metronidazole 500mg po BID x 7d
- Teach: No ETOH during tx or for 24h after last dose
-
Candidiasis
Fluconazole 150mg tab po x 1 dose
-
PID
- Ceftriaxone 250mg IM PLUS
- Doxycycline 100mg po BID x 14d
- WITH/WITHOUT
- Metronidazole 500 mg po BID x 14d
- If no improvement in 3d of beginning outpt tx, may require hospitalization.
- Offer HIV testing
- Some recommend to screen GC/CT 4-6 wks after completing tx
-
HPV warts (pt admin)
Podofilox 0.5% sln or gel. Apply sln with cotton swab, gel with finger to visible warts BID x 3d. Follow by 4d NO TX. May repeat cycle, prn, up to 4 cycles.
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HPV warts (provider admin)
Cryotherapy with liquid nitrogen or cryoprobe. Repeat applications q1-2wks.
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Pediculosis pubis (lice)
Permethrin 1% cream, wash off after 10 min
-
-
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Hep C
Supportive care & refer
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