Sexually transmitted diseases: Difference between revisions
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==Evaluation== | ==Evaluation== | ||
==Management== | ==Management <ref> https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf </ref>== | ||
*Consider empiric treatment for [[Gonorrhea]] and [[Chlamydia]]: | |||
**[[Ceftriaxone]] 500 mg IM x1 (1g IM for pts > 150 kg) '''AND''' | |||
**[[Doxycycline]] 100mg PO BID x 7 days (preferred) '''OR''' | |||
**[[Azithromycin]] 1g PO x 1 (alternative regimen) '''OR''' | |||
**[[Azithromycin]] 500 mg PO x 1 and 250mg PO daily x 4 days | |||
*It is important to treat sexual partners for all STDs | *It is important to treat sexual partners for all STDs | ||
**See [[Expedited Partner Therapy]] | **See [[Expedited Partner Therapy]] | ||
Latest revision as of 16:16, 28 July 2022
Background
- STD Prevalence: HPV > HSV-2 > Trichomonas > Chlamydia > HIV > HBV > Gonorrhea > Syphilis
- STD New infections: HPV > Chlamydia > Trichomonas > Gonorrhea > HSV-2 > Syphilis > HIV > HBV [1]
Clinical Features
STD Visual Diagnosis (Male)
Primary Syphilis
Painless genital ulcer from lymphogranuloma venereum
Inguinal femoral lymphadenopathy (bilateral) from lymphogranuloma venereum
STD Visual Diagnosis (Female)
Differential Diagnosis
Sexually transmitted diseases
- Chancroid
- Chlamydia trachomatis
- Granuloma inguinale
- Hepatitis B
- Herpes Simplex Virus-2
- HIV
- Human papillomavirus
- Lymphogranuloma venereum
- Neisseria gonorrhoeae
- Trichomonas
- Syphilis
Evaluation
Management [2]
- Consider empiric treatment for Gonorrhea and Chlamydia:
- Ceftriaxone 500 mg IM x1 (1g IM for pts > 150 kg) AND
- Doxycycline 100mg PO BID x 7 days (preferred) OR
- Azithromycin 1g PO x 1 (alternative regimen) OR
- Azithromycin 500 mg PO x 1 and 250mg PO daily x 4 days
- It is important to treat sexual partners for all STDs
Disposition
See Also
- Human Papillomavirus (HPV)
- Pelvic Inflammatory Disease (PID)
- Ulcerative STDs
- Penile diagnoses
- Pelvic pain
- Expedited Partner Therapy