Sandbox ID Genitourinary: Difference between revisions
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::* Preferred regimen: [[Ceftriaxone]] 1 g IV/IM every 24 hours | ::* Preferred regimen: [[Ceftriaxone]] 1 g IV/IM every 24 hours | ||
::* Alternative regimen: [[Cefotaxime]] 1 g IV every 8 hours {{or}} [[Ceftizoxime]] 1 g IV every 8 hours | ::* Alternative regimen: [[Cefotaxime]] 1 g IV every 8 hours {{or}} [[Ceftizoxime]] 1 g IV every 8 hours | ||
::: Note: All of the preceding regimens should be continued for 24-48 hours after improvement begins, at which time therapy can be switched to | ::: Note: All of the preceding regimens should be continued for 24-48 hours after improvement begins, at which time therapy can be switched to [[Cefixime]] 400 mg PO bid to complete at least 1 week of antimicrobial therapy. | ||
:* '''Gonococcal Meningitis ''' | :* '''Gonococcal Meningitis ''' | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 18:56, 27 May 2015
Chancroid
- Chancroid[1]
- Preferred regimen: Azithromycin 1 g orally in a single dose OR Ceftriaxone 250 mg intramuscularly (IM) in a single dose) OR Ciprofloxacin 500 mg orally twice a day for 3 days OR Erythromycin base 500 mg orally three times a day for 7 days
- Ciprofloxacin is contraindicated for pregnant and lactating women.
Gonococcal infection
- Uncomplicated Gonococcal Infections of the Cervix, Urethra, and Rectum
- Preferred regimen: Ceftriaxone 250 mg intramuscularly AND (Azithromycin 1 g orally as a single dose OR Doxycycline 100 mg orally twice daily for 7 days)
- Alternative regimen: Cefuroxime 1 g orally
- Uncomplicated Gonococcal Infections of the Pharynx
- Preferred regimen: Ceftriaxone 250 mg IM in a single dose AND (Azithromycin 1 g orally as a single dose OR Doxycycline 100 mg orally twice daily for 7 days)
- Gonococcal Conjunctivitis
- Preferred regimen: Ceftriaxone 1 g IM in a single dose
- Disseminated Gonococcal Infection (DGI)
- Preferred regimen: Ceftriaxone 1 g IV/IM every 24 hours
- Alternative regimen: Cefotaxime 1 g IV every 8 hours OR Ceftizoxime 1 g IV every 8 hours
- Note: All of the preceding regimens should be continued for 24-48 hours after improvement begins, at which time therapy can be switched to Cefixime 400 mg PO bid to complete at least 1 week of antimicrobial therapy.
- Gonococcal Meningitis
- Preferred regimen: Ceftriaxone 1-2 g IV every 12 hours for 10-14 days
- Gonococcal Endocarditis
- Preferred regimen: Ceftriaxone 1-2 g IV every 12 hours for at least 4 weeks
- Gonococcal Infections Among Infants
- Ophthalmia Neonatorum Caused by N. gonorrhoeae
- Preferred regimen: Ceftriaxone 25-50 mg/kg IV or IM in a single dose, not to exceed 125 mg
- DGI and Gonococcal Scalp Abscesses in Newborns
- Preferred regimen:
References
- ↑ 1.0 1.1 Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC) (2010). "Sexually transmitted diseases treatment guidelines, 2010". MMWR Recomm Rep. 59 (RR-12): 1–110. PMID 21160459.
- ↑ Centers for Disease Control and Prevention (CDC) (2012). "Update to CDC's Sexually transmitted diseases treatment guidelines, 2010: oral cephalosporins no longer a recommended treatment for gonococcal infections". MMWR Morb Mortal Wkly Rep. 61 (31): 590–4. PMID 22874837.