Template:Epididymitis antibiotics: Difference between revisions

Revision as of 14:54, 5 June 2015

For acute epididymitis most likely caused by sexually transmitted chlamydia and gonorrhea
- Ceftriaxone 250 mg IM in a single dose PLUS
- Doxycycline 100 mg orally twice a day for 10 days

For acute epididymitis most likely caused by sexually-transmitted chlamydia and gonorrhea and enteric organisms (men who practice

insertive anal sex)

- Ceftriaxone 250 mg IM in a single dose PLUS
- Levofloxacin 500 mg orally once a day for 10 days OR
- Ofloxacin 300 mg orally twice a day for 10 days

For acute epididymitis most likely caused by enteric organisms
- Levofloxacin 500 mg orally once daily for 10 days OR
- Ofloxacin 300 mg orally twice a day for 10 days

Treat sexual partner if possible

@@ Line 1: / Line 1: @@
-====<40 years or possibly STD ([[GC]])====
+*For acute epididymitis most likely caused by sexually transmitted chlamydia and gonorrhea
-*[[Ceftriaxone]] 250mg IM x1 for [[GC]], AND
+**Ceftriaxone 250 mg IM in a single dose PLUS
-*[[Doxycycline]] 100 mg BID x10d for [[chlamydia]]
+**Doxycycline 100 mg orally twice a day for 10 days
-====>40 years old, history of anal intercourse, or non-sexually active====
+*For acute epididymitis most likely caused by sexually-transmitted chlamydia and gonorrhea and enteric organisms (men who practice
-*PO: [[Levofloxacin]] 500mg BID x 14d OR [[ofloxacin]] 200mg BID x 14d
+insertive anal sex)
-**Extend course for 21 days if also associated with prostatitis
+**Ceftriaxone 250 mg IM in a single dose PLUS
-*IV: [[Piperacillin/Tazobactam]] 3.375g IV q6 or [[Ampicillin/Sulbactam]] 3g IV q6
+**Levofloxacin 500 mg orally once a day for 10 days OR
+**Ofloxacin 300 mg orally twice a day for 10 days
+*For acute epididymitis most likely caused by enteric organisms
+**Levofloxacin 500 mg orally once daily for 10 days OR
+**Ofloxacin 300 mg orally twice a day for 10 days
 ''Treat sexual partner if possible''