Transcript SHIGELLOSIS - | مرکز مطالعات و توسعه

UTIs (Cystitis)
Fluoroquinolones, TMP/SMX, nitrofurantoin, amoxicillinclavulanate, cephalosporins, tetracyclines, and fosfomycin.
Most women: 3 days
women who have a history of previous UTI caused by
antibiotic-resistant organisms or more than 7 days of
symptoms, and in men: 7 days
UTIs
UTIs
UTIs (HCA)
Mild to moderate illness without alterations in mental status
or hemodynamic status may be treated with a urinary
fluoroquinolone, such as ciprofloxacin or levofloxacin, or a
broad-spectrum cephalosporin such as cefepime.
If the patient has evidence of pyelonephritis or urosepsis, one
should consider a broader-spectrum drug such as piperacillintazobactam or a carbapenem for empiric treatment.
If the urine Gram stain shows gram-positive cocci (most
likely enterococci or staphylococci), treatment with
vancomycin is reasonable.
STDs (urethritis)
Ceftriaxone, 125mg IM; or
Cefpodoxime, 400 mg PO; or
Cefixime, 400 mg PO
Plus
Azithromycin, 1 g PO; or
Doxycycline, 100 mg bid PO for 7 days
All sex partners within the preceding 60 days should be referred
for evaluation, testing, and empiric treatment with a drug regimen
effective against chlamydia and gonorrhea.
STDs (Syphilis)
STDs (Genital Herpes)
STDs (Chancroid)
Partners: Rx if they had sexual contact with the patient
during the 10 days preceding the patient’s onset of
symptoms.
STDs (Granuloma Inguinale (Donovanosis))
Persons who have had sexual contact with a patient who has
granuloma inguinale within the 60 days before onset of the patient’s
symptoms should be examined and offered therapy.
STDs (Lymphogranuloma Venereum)
Persons who have had sexual contact with a patient who has LGV
within the 60 days before onset of the patient’s symptoms should be
examined, tested for urethral or cervical chlamydial infection, and
treated with a chlamydia regimen (azithromycin 1 gm orally single
dose or doxycycline 100 mg orally twice a day for 7 days).
STDs (Trichomoniasis)
male partners should be evaluated and treated with
either tinidazole in a single dose of 2 g orally or
metronidazole twice a day at 500 mg orally for 7
days.