Page 152 - HPP ANTIMICROBIAL GUIDELINE 2018
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Suggested Treatment
                       Infection/ Condition                                                                                         Comments
                                                                Preferred                         Alternative

                 Chlamydial/                      Doxycycline 100mg PO q12h for        Azithromycin 1gm PO stat          Contact tracing
                 Non-Specific Urethritis (NSU)/   7 days
                 Non-Specific Genital Infection in                                                                       Doxycycline is contraindicated in
                 Women (NSGI)                                                                                            pregnancy and children less than 18
                                                                                                                         years old
                 Infection in Pregnancy           Azithromycin 1gm PO STAT             Amoxicillin 500mg PO q8h for
                                                                                       7 days


                 Chancroid                        Ceftriaxone 500mg IM stat            Azithromycin 1gm PO stat          Contact tracing
                 Haemophilus ducreyi


                 Lymphogranuloma                  Doxycycline 100mg PO q12h for        Azithromycin 1gm PO weekly for    Contact tracing
                 Venereum                         21 days                              3 weeks
                 Chlamydia trachomatis                                                                                   Final duration depends on clinical
                                                                                                                         response


                 Granuloma Inguinale              Doxycycline 100mg PO q12h for        Trimethoprim/Sulfamethoxazole     Contact tracing
                 Klebsiella granulomatis          minimal 3 weeks and until all lesions   (80/400mg) 2 tabs PO q12h for

                                                  completely heal                      minimal 3 weeks and until all     Add gentamicin 1.5mg/kg IM/IV q8h
                                                                                       lesions completely heal           in patients whose lesions do not
                                                                                                                         respond in the first few days to other
                                                                                                                         agents


                 Trichomoniasis                   Refer to Obstetrics & Gynaecology Infections Section


                 Bacterial vaginosis              Refer to Obstetrics & Gynaecology Infections Section








               HPP AMG                                                  Sexually Transmitted Infections                                                  71
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