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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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