Page 151 - HPP ANTIMICROBIAL GUIDELINE 2018
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Suggested Treatment
Infection/ Condition Comments
Preferred Alternative
Gonorrhoea
Uncomplicated Ceftriaxone 500mg IM STAT Azithromycin 2gm PO stat Contact tracing
(Urogenital, (for severe cephalosporin allergy)
Anorectal, Pharyngeal) PLUS Also treat for non-specific urethritis
Azithromycin 1gm PO Stat (NSU) in view of high incidence of
coexisting NSU in patients with
gonorrhoea
Gonococcal Conjunctivitis Ceftriaxone 1gm IM STAT
PLUS
Azithromycin 1gm PO Stat
Gonococcal Epididymitis/ Ceftriaxone 500mg IM STAT Doxycycline 100mg PO q12h for Contact tracing
Epididymo-orchitis 10 days
PLUS
Azithromycin 1gm PO stat
Disseminated Gonorrhoea Ceftriaxone 1gm IV q24h for 7 days Cefotaxime 1gm IV q8h for 7 days Manage inpatient
(Acral pustules, arthralgia,
tenosynovitis, septic arthritis) PLUS Contact tracing
Azithromycin 1gm PO stat
Gonococcal Meningitis Ceftriaxone 2gm IV q12h Duration: 10 -14 days
Gonococcal Endocarditis Ceftriaxone 2gm IV q12h Duration: at least 4 weeks
HPP AMG Sexually Transmitted Infections 70
