STD

Last Updated on by FRCEM Intermediate

Chlamydia infection

  • Doxycycline 100 mg bd for 7 days OR azithromycin 1 g stat

Gonorrhea – Neisseria gonorrhoeae

  • Ceftriaxone 500 mg intramuscularly PLUS azithromycin 1 g orally

Pelvic inflammatory disease

  • oral ofloxacin 400 mg bd and metronidazole 400 mg bd for 14 days OR
  • IM ceftriaxone 500 mg stat, followed by oral doxycycline 100 mg bd and metronidazole 400 mg bd for 14 days

Males- Epididymo-orchitis: 

  • Ceftriaxone 250 mg IM single dose and doxycycline 100 mg bd for 10 – 14 days if the sexually transmitted pathogen is likely, or
  • ofloxacin 200 mg bd for 14 days or ciprofloxacin 500 mg bd for 10 days the f enteric pathogen is most likely

Management

  • Treat infection with appropriate formulary antibiotics
  • Arrange to screen for other STIs
  • Consider the risk of pregnancy
  • Encourage patient-led partner notification
  • Consider risk of sexual abuse, rape or non-consensual sex (especially in individuals < 16 years)
  • Give advice regarding protection against further STIs (+contraception)
  • Arrange follow-up if a test of cure is indicated
  • Assess and manage complications

 

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