Template:Male urethritis treatment: Difference between revisions
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''Treatment to cover both [[gonorrhea]] and [[chlamydia]]'' | ''Treatment to cover both [[gonorrhea]] and [[chlamydia]]'' | ||
====Uncomplicated Infection==== | ====Uncomplicated Infection==== | ||
*[[Ceftriaxone]] 500mg IM once (if >150kg, 1g), '''PLUS''' | *[[Ceftriaxone]] 500mg IM once (if >150kg, 1g)<ref>[https://www.cdc.gov/mmwr/volumes/69/wr/mm6950a6.htm?s_cid=mm6950a6_w CDC: Update to CDC's Treatment Guidelines for Gonococcal Infection, 2020]</ref>, '''PLUS''' | ||
**[[Doxycycline]] 100mg PO BID x 7 days (non-pregnant) '''OR''' | **[[Doxycycline]] 100mg PO BID x 7 days (non-pregnant) '''OR''' | ||
**[[Azithromycin]] 1g PO once (if pregnant) | **[[Azithromycin]] 1g PO once (if pregnant) | ||
Revision as of 19:16, 18 December 2020
Treatment to cover both gonorrhea and chlamydia
Uncomplicated Infection
- Ceftriaxone 500mg IM once (if >150kg, 1g)[1], PLUS
- Doxycycline 100mg PO BID x 7 days (non-pregnant) OR
- Azithromycin 1g PO once (if pregnant)
Cephalosporin Allergy
- Gentamicin 240mg IM once[2] PLUS
- Azithromycin 2g PO once, OR
- Cefixime 800mg oral once PLUS
- Doxycycline 100mg PO BID x 7 days (non-pregnant) OR
- Azithromycin 1g PO once (if pregnant)
Partner treatment
- Cefixime 800mg oral once PLUS
- Doxycycline 100mg PO BID x 7 days (non-pregnant) OR
- Azithromycin 1g PO once (if pregnant)
Recurrent or Persistent
Target M. genitalium
- Moxifloxacin 400 mg daily x 7 days
Consider coverage of trichomonas, among men who have sex with women
- Metronidazole 2 gm PO x 1, OR
- Tinidazole 2 gm PO x 1