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Template:Cervicitis Urethritis Antibiotics
From WikEM
treatment cover gonorrhea and chlamydia jointly
- Male: Urethritis with discharge or simply dysuria
- Female: purulent discharge
Contents
Uncomplicated Infection
- Ceftriaxone 250mg IM once PLUS
- Azithromycin 1g PO once OR
- Doxycycline 100mg PO BID x 7 days
Partner treatment
- Cefixime 400mg PO once PLUS
- Azithromycin 1g PO once OR
- Doxycycline 100mg PO BID x 7 days
Cephalosporin Allergy
- Azithromycin 2g PO once PLUS
- Gentamicin 240mg IM once[1]
- In theory this high dose macrolide will provide treatment for both GC and Chlamydia
Associated Bacterial Vaginosis or Trichomonas vaginalis
Non-Pregnant
- Metronidazole 2g PO once or 500mg PO BID for 7 days
- Tinidazole 2g PO once
Pregnant
- Only treat if the patient is symptomatic and avoid breast feeding until 24hrs after last Metronidazole treatment and 72hrs after Tinidazole
- Metronidazole 2g PO once
Sexual Partner Treatment
- Metronidazole 500mg PO BID x 7 days or Tinidazole 2g PO once
Women with HIV Infection
- Metronidazole 500 mg PO BID x 7 days[2]
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