Template:Cervicitis Urethritis Antibiotics - Revision history

Rossdonaldson1: /* Associated Bacterial Vaginosis or Trichomonas vaginalis */

2020-12-23T19:10:24Z

Associated Bacterial Vaginosis or Trichomonas vaginalis

← Revisión anterior		Revisión del 19:10 23 dic 2020
Línea 1:		Línea 1:
	{{Presumed GC/chlamydia of cervix, urethra, or rectum}}		{{Presumed GC/chlamydia of cervix, urethra, or rectum}}

	====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]====		===Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]===
	{{Trichomonas antibiotics}}		{{Trichomonas antibiotics}}

Rossdonaldson1 at 19:04, 23 December 2020

2020-12-23T19:04:57Z

← Revisión anterior		Revisión del 19:04 23 dic 2020
Línea 1:		Línea 1:
	{{Presumed GC/chlamydia of cervix, urethra, or rectum}}		{{Presumed GC/chlamydia of cervix, urethra, or rectum}}

	~~====Partner Treatment====~~
	*Gonorrhea
	**[[Cefixime]] 800mg PO x 1
	*Chlamydia
	**Nonpregnant: [[doxycycline]] 100mg PO BID x 7 days, '''OR'''
	**Pregnant: [[azithromycin]] 1g PO x 1

	====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]====		====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]====
	{{Trichomonas antibiotics}}		{{Trichomonas antibiotics}}

Rossdonaldson1: /* Presumed GC/chlamydia of cervix, urethra, or rectum (uncomplicated)Cyr SS et al. Update to CDC’s Treatment Guidelines for Gonococcal Infection, 2020. MMWR. Center for Disease Control and Prevention. 2020. 69(50):1911-1916 */

2020-12-23T19:03:10Z

Presumed GC/chlamydia of cervix, urethra, or rectum (uncomplicated)Cyr SS et al. Update to CDC’s Treatment Guidelines for Gonococcal Infection, 2020. MMWR. Center for Disease Control and Prevention. 2020. 69(50):1911-1916

← Revisión anterior		Revisión del 19:03 23 dic 2020
Línea 1:		Línea 1:
	~~====~~Presumed [[GC]]/[[chlamydia]] of cervix, urethra, or rectum ~~(uncomplicated)<ref>Cyr SS et al. Update to CDC’s Treatment Guidelines for Gonococcal Infection, 2020. MMWR. Center for Disease Control and Prevention. 2020. 69(50):1911-1916</ref>====~~		{{Presumed GC/chlamydia of cervix, urethra, or rectum}}
	~~''Typically, treatment for '''both''' gonorrhea and chlamydia is indicated, if one entity is suspected.''<br>~~
	~~<br>~~
	~~<u>Standard</u><br>~~
	*Gonorrhea
	**[[Ceftriaxone]] IM x 1
	***500 mg, if weight <150 kg
	***1 g, if weight ≥150 kg
	*Chlamydia
	**Nonpregnant: [[doxycycline]] 100 mg PO BID x 7 days
	**Pregnant: [[azithromycin]] 1 g PO x 1

	~~<br>~~
	~~<u>Ceftriaxone contraindicated</u><br>~~
	*Gonorrhea
	**[[Gentamicin]] 240 mg IM x 1 '''PLUS''' [[azithromycin]] 2 g PO x 1, '''OR'''
	**[[Cefixime]] 800 mg PO x 1
	*Chlamydia^
	**Nonpregnant: [[doxycycline]] 100 mg PO BID x 7 days
	**Pregnant: [[azithromycin]] 1 g PO x 1

	~~^Additional chlamydia coverage only needed if treated with cefixime only~~

	====Partner Treatment====		====Partner Treatment====

Rossdonaldson1 at 18:58, 23 December 2020

2020-12-23T18:58:57Z

← Revisión anterior		Revisión del 18:58 23 dic 2020
Línea 1:		Línea 1:
	~~''Treatment covers both~~ [[~~gonorrhea~~]] ~~and~~ [[chlamydia]]''		====Presumed [[GC]]/[[chlamydia]] of cervix, urethra, or rectum (uncomplicated)<ref>Cyr SS et al. Update to CDC’s Treatment Guidelines for Gonococcal Infection, 2020. MMWR. Center for Disease Control and Prevention. 2020. 69(50):1911-1916</ref>====
	~~====Uncomplicated~~ Infection====		''Typically, treatment for '''both''' gonorrhea and chlamydia is indicated, if one entity is suspected.''<br>
	*[[Ceftriaxone]] ~~500mg~~ IM ~~once PLUS~~		<br>
	**[[~~Doxycycline~~]] ~~100mg~~ PO BID x ~~14 days (~~7 days ~~for gonorrhea, 14 days for chlamydia)<ref>2020 CDC update</ref>~~		<u>Standard</u><br>
			*Gonorrhea
			**[[Ceftriaxone]] IM x 1
			***500 mg, if weight <150 kg
			***1 g, if weight ≥150 kg
			*Chlamydia
			**Nonpregnant: [[doxycycline]] 100 mg PO BID x 7 days
			**Pregnant: [[azithromycin]] 1 g PO x 1

	~~====Cephalosporin Allergy====~~		<br>
	*[[~~Azithromycin~~]] 2g PO ~~once PLUS~~		<u>Ceftriaxone contraindicated</u><br>
	**[[~~Gentamicin~~]] ~~240mg IM once<ref>[http://www.cdc.gov/std/tg2015/ CDC: 2015 Sexually Transmitted Diseases Treatment Guidelines]</ref>~~		*Gonorrhea
	**~~In theory this high dose macrolide will provide treatment for both~~ [[GC]] ~~and~~ [[~~Chlamydia~~]]		**[[Gentamicin]] 240 mg IM x 1 '''PLUS''' [[azithromycin]] 2 g PO x 1, '''OR'''
			**[[Cefixime]] 800 mg PO x 1
			*Chlamydia^
			**Nonpregnant: [[doxycycline]] 100 mg PO BID x 7 days
			**Pregnant: [[azithromycin]] 1 g PO x 1

	====Partner ~~treatment~~====		^Additional chlamydia coverage only needed if treated with cefixime only
	*[[Cefixime]] ~~400mg~~ PO ~~once PLUS~~
	**[[~~Azithromycin~~]] 1g PO ~~once~~ OR		====Partner Treatment====
	**[[~~Doxycycline~~]] ~~100mg~~ PO ~~BID~~ x ~~7 days~~		*Gonorrhea
			**[[Cefixime]] 800mg PO x 1
			*Chlamydia
			**Nonpregnant: [[doxycycline]] 100mg PO BID x 7 days, '''OR'''
			**Pregnant: [[azithromycin]] 1g PO x 1

	====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]====		====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]====
	{{Trichomonas antibiotics}}		{{Trichomonas antibiotics}}

Cameronnewell: /* Uncomplicated Infection */

2020-12-22T16:33:22Z

Uncomplicated Infection

← Revisión anterior		Revisión del 16:33 22 dic 2020
Línea 1:		Línea 1:
	''Treatment covers both [[gonorrhea]] and [[chlamydia]]''		''Treatment covers both [[gonorrhea]] and [[chlamydia]]''
	====Uncomplicated Infection====		====Uncomplicated Infection====
	*[[Ceftriaxone]] ~~250mg~~ IM once PLUS		*[[Ceftriaxone]] 500mg IM once PLUS
	**[[Azithromycin]] 1g PO once OR		**[[Doxycycline]] 100mg PO BID x 14 days (7 days for gonorrhea, 14 days for chlamydia)<ref>2020 CDC update</ref>
	**[[Doxycycline]] 100mg PO BID x 14 days (7 days for gonorrhea, 14 days for chlamydia)<ref>~~2015~~ CDC ~~guidelines~~</ref>

	====Cephalosporin Allergy====		====Cephalosporin Allergy====

Rossdonaldson1 at 16:20, 13 September 2018

2018-09-13T16:20:43Z

← Revisión anterior		Revisión del 16:20 13 sep 2018
Línea 3:		Línea 3:
	*[[Ceftriaxone]] 250mg IM once PLUS		*[[Ceftriaxone]] 250mg IM once PLUS
	**[[Azithromycin]] 1g PO once OR		**[[Azithromycin]] 1g PO once OR
	**[[Doxycycline]] 100mg PO BID x 14 days (7 days for gonorrhea, 14 days for chlamydia ~~per~~ 2015 CDC guidelines)		**[[Doxycycline]] 100mg PO BID x 14 days (7 days for gonorrhea, 14 days for chlamydia)<ref>2015 CDC guidelines</ref>

	====Cephalosporin Allergy====		====Cephalosporin Allergy====

Bchap23: /* Uncomplicated Infection */

2018-08-31T19:03:17Z

Uncomplicated Infection

← Revisión anterior		Revisión del 19:03 31 ago 2018
Línea 3:		Línea 3:
	*[[Ceftriaxone]] 250mg IM once PLUS		*[[Ceftriaxone]] 250mg IM once PLUS
	**[[Azithromycin]] 1g PO once OR		**[[Azithromycin]] 1g PO once OR
	**[[Doxycycline]] 100mg PO BID x 7 days		**[[Doxycycline]] 100mg PO BID x 14 days (7 days for gonorrhea, 14 days for chlamydia per 2015 CDC guidelines)

	====Cephalosporin Allergy====		====Cephalosporin Allergy====

Rossdonaldson1 at 12:30, 31 October 2017

2017-10-31T12:30:48Z

← Revisión anterior		Revisión del 12:30 31 oct 2017
Línea 1:		Línea 1:
	''~~treatment cover~~ gonorrhea and chlamydia ~~jointly~~''		''Treatment covers both [[gonorrhea]] and [[chlamydia]]''
	====Uncomplicated Infection====		====Uncomplicated Infection====
	*[[Ceftriaxone]] 250mg IM once PLUS		*[[Ceftriaxone]] 250mg IM once PLUS

Rossdonaldson1 at 12:21, 31 October 2017

2017-10-31T12:21:02Z

← Revisión anterior		Revisión del 12:21 31 oct 2017
Línea 4:		Línea 4:
	**[[Azithromycin]] 1g PO once OR		**[[Azithromycin]] 1g PO once OR
	**[[Doxycycline]] 100mg PO BID x 7 days		**[[Doxycycline]] 100mg PO BID x 7 days

			====Cephalosporin Allergy====
			*[[Azithromycin]] 2g PO once PLUS
			**[[Gentamicin]] 240mg IM once<ref>[http://www.cdc.gov/std/tg2015/ CDC: 2015 Sexually Transmitted Diseases Treatment Guidelines]</ref>
			**In theory this high dose macrolide will provide treatment for both [[GC]] and [[Chlamydia]]

	====Partner treatment====		====Partner treatment====
Línea 9:		Línea 14:
	**[[Azithromycin]] 1g PO once OR		**[[Azithromycin]] 1g PO once OR
	**[[Doxycycline]] 100mg PO BID x 7 days		**[[Doxycycline]] 100mg PO BID x 7 days

	~~====Cephalosporin Allergy====~~
	*[[Azithromycin]] 2g PO once PLUS
	**[[Gentamicin]] 240mg IM once<ref>[http://www.cdc.gov/std/tg2015/ CDC: 2015 Sexually Transmitted Diseases Treatment Guidelines]</ref>
	**In theory this high dose macrolide will provide treatment for both [[GC]] and [[Chlamydia]]

	====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]====		====Associated [[Bacterial Vaginosis]] or [[Trichomonas vaginalis]]====
	{{Trichomonas antibiotics}}		{{Trichomonas antibiotics}}

Rossdonaldson1 at 11:35, 31 October 2017

2017-10-31T11:35:19Z

← Revisión anterior		Revisión del 11:35 31 oct 2017
Línea 1:		Línea 1:
	''treatment cover gonorrhea and chlamydia jointly''		''treatment cover gonorrhea and chlamydia jointly''
	*Male: [[Urethritis]] with discharge or simply dysuria
	*Female: purulent discharge
	====Uncomplicated Infection====		====Uncomplicated Infection====
	*[[Ceftriaxone]] 250mg IM once PLUS		*[[Ceftriaxone]] 250mg IM once PLUS