Template:Male urethritis treatment: Difference between revisions
| Line 24: | Line 24: | ||
*Gonorrhea | *Gonorrhea | ||
**[[Cefixime]] 800mg PO x 1 | **[[Cefixime]] 800mg PO x 1 | ||
*Chlamydia | |||
**Nonpregnant: [[doxycycline]] 100mg PO BID x 7 days, '''OR''' | **Nonpregnant: [[doxycycline]] 100mg PO BID x 7 days, '''OR''' | ||
**Pregnant: [[azithromycin]] 1g PO x 1 | **Pregnant: [[azithromycin]] 1g PO x 1 | ||
Latest revision as of 18:58, 23 December 2020
Uncomplicated Infection
Treatment to cover both gonorrhea and chlamydia
Typically, treatment for both gonorrhea and chlamydia is indicated, if one entity is suspected.
Standard
- Gonorrhea
- Ceftriaxone IM x 1
- 500 mg, if weight <150 kg
- 1 g, if weight ≥150 kg
- Ceftriaxone IM x 1
- Chlamydia
- Doxycycline 100 mg PO BID x 7 days
Ceftriaxone contraindicated
- Gonorrhea
- Gentamicin 240 mg IM x 1 PLUS azithromycin 2 g PO x 1, OR
- Cefixime 800 mg PO x 1
- Chlamydia^
- Doxycycline 100 mg PO BID x 7 days
^Additional chlamydia coverage only needed if treated with cefixime only
Partner Treatment
- Gonorrhea
- Cefixime 800mg PO x 1
- Chlamydia
- Nonpregnant: doxycycline 100mg PO BID x 7 days, OR
- Pregnant: azithromycin 1g PO x 1
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