Sexually transmitted diseases: Difference between revisions
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==Management <ref> https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf </ref>== | ==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''' | **Ceftriaxone 500 mg IM x1 (1g IM for pts > 150 kg) '''AND''' | ||
**Doxycycline 100mg PO BID x 7 days (preferred) '''OR''' | **Doxycycline 100mg PO BID x 7 days (preferred) '''OR''' | ||
Revision as of 07:44, 14 May 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 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