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afsha - infections > genital infections > Flashcards

genital infections Flashcards

1
Q

uncomplicated genital chlamydial infection and uncomplicated non-gonoccal urethritis (non-specific urethritis)
also is contact tracing recommended

A

yes
1st line doxycycline 100mg BD for 7 days
alternative if allergy or unsuitable: azithromycin 1g once daily for 1 day then 500mg once daily for 2 days

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1
Q

treatment of BV

A
  • oral metro 400-500mg BD for 5-7 days
  • or high dose metro as single dose (2g for one dose)
  • alternatives: topical metro 5 days or topical clinda 5 days
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2
Q

2nd line for uncomplicated genital chlamydia, uncomplicated non-gonoccol urethritis

A

azithromycin 1g for one dose, then 500mg for 2 days

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3
Q

1st line for uncomplicated genital chlamydia, uncomplicated non-gonoccol urethritis

A

doxycycline 100mg BD 7 days

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4
Q

cultures of uncomplicated gonorrhoea before or after treatment?

A

Before treating, obtain cultures from all potentially exposed sites for antimicrobial susceptibility testing

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5
Q

what two things are recommended for uncomplicated gonorrhoea

A

contact tracing
test of cure following treatment

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6
Q

what is epidemiological treatment

A

Epidemiologic treatment refers to antibiotics administered when a diagnosis is considered likely on clinical, laboratory, or epidemiologic grounds, but before the results of confirmatory laboratory tests are known.

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7
Q

for sexual contracts of pt with uncomplicated gonorrhoea who present within …… of exposure, consider epidemiological treatment

A

14 days

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8
Q

for sexual contacts of pt with uncomplicated gonorrhoea who present after 14 days of exposure, what should you do

A

only consider treating after a positive test

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9
Q

advice on abstaining for people with uncomplicated gonorrhoea

A

avoid sex until 7 days after pt and partner(s) have completed treatment

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10
Q

1st line for uncomplicated gonorrhoea if antimicrobial susceptibility unknown

A

ceftriaxone

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11
Q

normally first line is ceftriaxone if susceptibility is unknown. what 1st line for uncomplicated gonorrhoea if microorganism is sensitive to …..

A

ciprofloxacin, then give ciprofloxacin

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12
Q

normally first line for uncomplicated gonorrhoea is: if susceptibility unknown, ceftriaxone. if susceptibility to ciprofloxacin, then give it. however these are alternatives due to allergy, needle phobia or contraindications then give

A

gentamicin + azithromcyin
if parenteral admin not possible, give cefixime (unlicensed) + azith
if unable to take standard therapy, give azithormyin

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13
Q

what is the dose of 1st line ceftriaxone for uncomplicated gonorrhoea?

A

deep IM injection. 1g for one dose

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14
Q

normally deep IM ceftriaxone 1g for one dose is 1st line for uncomplicated gonorrhoea. but if susceptibility to ciprofloxacin, give this. what is the dose

A

500mg for one dose PO

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15
Q

is contact tracing recommended for PID

A

yes

16
Q

1st line treatment options for pt with PID

A

doxy + metro + single dose IM ceftriaxone
or
ofloxacin + metro

suggested duration: 14 days, except IM ceftriaxone

17
Q

ofloxacin and metronidazole is a first line option for PID. what is the dose and duration

A

oflox 400mg BD for 14 days
metro 400mg BD for 14 days

18
Q

a first line option for PID is doxy + metro + IM ceftriaxone. what is the dose and duration

A

metro 400mg BD for 14 days
doxy 100mg BD for 14 days
IM ceftriaxone 1g for one dose

19
Q

what is treatment for PID in severely ill pt

A

initial: doxy + IV ceftriaxone + IV metro
stich to oral treatment with doxy + metro to complete 14 days

20
Q

Is contact tracing recommended with syphilis

A

yes

21
Q

what is early syphilis

A

primary
secondary
early latent - less than 2 years since infection

22
Q

what is late latent syphilis

A

more than 2 years since infection

23
Q

what is 1st line for early and late latent syphilis

A

bezathine benzylpenicillin. one dose for early, and once weekly for three weeks for late. given by deep IM injection

24
Q

what is the preferred site of infection for deep IM injection of bezathine benzylpenicillin as 1st line treatment for early and late latent syphilis

A

outer quadrant of gluteus maximum or hochstetters ventrogluteal field

25
Q

alternative for early and late latent syphilis includes

A

doxycycline

afsha - infections (30 decks)

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