Diferencia entre revisiones de «Template:Male urethritis treatment»

Revisión del 18:53 23 dic 2020

Treatment to cover both gonorrhea and chlamydia Typically, treatment for both gonorrhea and chlamydia is indicated, if one entity is suspected.

Standard

Gonorrhea
- Ceftriaxone IM x 1
  - 500 mg, if weight <150 kg
  - 1 g, if weight ≥150 kg
Chlamydia
- Doxycycline 100 mg PO BID x 7 days

Ceftriaxone contraindicated

Gonorrhea
- Gentamicin 240 mg IM x 1 PLUS azithromycin 2 g PO x 1, OR
- Cefixime 800 mg PO x 1
Chlamydia^
- Doxycycline 100 mg PO BID x 7 days

^Additional chlamydia coverage only needed if treated with cefixime only

Partner treatment

Gonorrhea
- Cefixime 800mg PO x 1
- Nonpregnant: doxycycline 100mg PO BID x 7 days, OR
- Pregnant: azithromycin 1g PO x 1

Recurrent or Persistent

Target M. genitalium

Moxifloxacin 400 mg daily x 7 days

Consider coverage of trichomonas, among men who have sex with women

Metronidazole 2 gm PO x 1, OR
Tinidazole 2 gm PO x 1

@@ Línea 1: / Línea 1: @@
 ''Treatment to cover both [[gonorrhea]] and [[chlamydia]]''
-====Uncomplicated Infection====
+''Typically, treatment for '''both''' gonorrhea and chlamydia is indicated, if one entity is suspected.''<br>
-*[[Ceftriaxone]] 500mg IM once (if >150kg, 1g)<ref>[https://www.cdc.gov/mmwr/volumes/69/wr/mm6950a6.htm?s_cid=mm6950a6_w CDC: Update to CDC's Treatment Guidelines for Gonococcal Infection, 2020]</ref>, '''PLUS'''
+<br>
-**[[Doxycycline]] 100mg PO BID x 7 days (non-pregnant) '''OR'''
+<u>Standard</u><br>
-**[[Azithromycin]] 1g PO once (if pregnant)
+*Gonorrhea
+**[[Ceftriaxone]] IM x 1
+***500 mg, if weight <150 kg
+***1 g, if weight ≥150 kg
+*Chlamydia
+**[[Doxycycline]] 100 mg PO BID x 7 days
-====Cephalosporin Allergy====
+<br>
-*[[Gentamicin]] 240mg IM once '''PLUS'''
+<u>Ceftriaxone contraindicated</u><br>
-**[[Azithromycin]] 2g PO once
+*Gonorrhea
-*[[Cefixime]] 800mg oral once '''PLUS'''
+**[[Gentamicin]] 240 mg IM x 1 '''PLUS''' [[azithromycin]] 2 g PO x 1, '''OR'''
-**[[Doxycycline]] 100mg PO BID x 7 days (non-pregnant) '''OR'''
+**[[Cefixime]] 800 mg PO x 1
-**[[Azithromycin]] 1g PO once (if pregnant)
+*Chlamydia^
+**[[Doxycycline]] 100 mg PO BID x 7 days
+^Additional chlamydia coverage only needed if treated with cefixime only
 ====Partner treatment====
-*[[Cefixime]] 800mg oral once '''PLUS'''
+*Gonorrhea
-**[[Doxycycline]] 100mg PO BID x 7 days (non-pregnant) '''OR'''
+**[[Cefixime]] 800mg PO x 1
-**[[Azithromycin]] 1g PO once (if pregnant)
+**Nonpregnant: [[doxycycline]] 100mg PO BID x 7 days, '''OR'''
+**Pregnant: [[azithromycin]] 1g PO x 1
 ====Recurrent or Persistent====
@@ Línea 22: / Línea 31: @@
 ''Consider coverage of [[trichomonas]], among men who have sex with women''
-*Metronidazole 2 gm PO x 1, '''OR'''
+*[[Metronidazole]] 2 gm PO x 1, '''OR'''
-*Tinidazole 2 gm PO x 1
+*[[Tinidazole]] 2 gm PO x 1