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New Directions In STD Treatment - University of Hawaii

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Gonorrhea – <strong>Treatment</strong> Issues<br />

� Fluoroquinolones NOT recommended for:<br />

� Acquisition in CA or <strong>Hawaii</strong> or other areas with high<br />

prevalence <strong>of</strong> FQ resistance<br />

� MSM<br />

� Any foreign acquisition- Europe, Middle East, Asia,<br />

Pacific<br />

� Limited options in cephalosporin allergic<br />

patients:<br />

� Spectinomycin is no longer manufactured<br />

� CDC recommends desensitization*<br />

� Could be a special case to consider azithromycin*<br />

* Discussed at the<br />

2006 Guidelines Meeting

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