Benzathine PCN G 7.2 million U total -- admin in 3 doses of 2.4 million U IM each @ 1 wk intervals
Neurosyphilis
Aqueous crystalline PCN G 18-24 million U QD, admin as 3-4 million U IV q4h OR continuous infusion x 10-14d
Cervicitis (presumptive tx)
Azithromycin 1 g po x 1 dose
Tx for gonorrhea if prevalence high in population
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
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.
HPV warts (provider admin)
Cryotherapy with liquid nitrogen or cryoprobe. Repeat applications q1-2wks.