CDC Tx for Vaginitis & STDs

• Azithromycin 1g po x 1 dose
• FU: 3-7d

Acyclovir 400mg po TID x 7-10d

Acyclovir 400mg po BID QD

Acyclovir 400mg po TID x 5d

Benzathine PCN G 2.4 million U IM x 1 dose

Benzathine PCN G 7.2 million U total -- admin in 3 doses of 2.4 million U IM each @ 1 wk intervals

Aqueous crystalline PCN G 18-24 million U QD, admin as 3-4 million U IV q4h OR continuous infusion x 10-14d

• Azithromycin 1 g po x 1 dose
• Tx for gonorrhea if prevalence high in population

• Azithromycin 1 g po x 1 dose OR
• Doxycycline 100 mg po TID x 7d
• No SI x 7d
• Tx partner!
• TOC if pregnant

• 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

• Metronidazole 500 mg po BID x 7d
• NO ETOH during tx or for 24h after last dose

• Metronidazole 2g po x 1 dose OR
• Metronidazole 500mg po BID x 7d
• Teach: No ETOH during tx or for 24h after last dose

Fluconazole 150mg tab po x 1 dose

• 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

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.

Cryotherapy with liquid nitrogen or cryoprobe. Repeat applications q1-2wks.

Permethrin 1% cream, wash off after 10 min

Supportive care

Supportive care

Supportive care & refer