New Directions In STD Treatment - University of Hawaii
New Directions In STD Treatment - University of Hawaii New Directions In STD Treatment - University of Hawaii
Bacterial Vaginosis – Treatment � Treatment: Issues � Clindamycin cream may be less effective than metronidazole � DELETED metronidazole 2 g single dose alternative � Suppressive treatment: � ADDED metronidazole gel twice weekly � Treatment of BV in pregnancy: � Metronidazole 500 mg po BID in addition to 250 mg po TID � Pre-surgical screening and treatment � Benefit for hysterectomy and surgical abortion � Consider for other procedures
BV Treatment Recommended regimens: � Metronidazole 500 mg PO BID x 7 d * � Metronidazole gel 0.75% 5 g per vagina QD/BID x 5 d � Clindamycin cream 2% 5 g per vagina QHS x 7 d Alternative regimens: � Clindamycin 300 mg PO BID x 7 d � Clindamycin ovules 100 mg per vagina QHS x 3 d Recommended regimens in pregnancy: � Metronidazole 500 mg PO BID x 7 days � Metronidazole 250 mg PO TID x 7 days � Clindamycin 300 mg PO BID x 7 days Suppressive treatment: � Metronidazole gel 0.75% twice weekly for 6 * months Preferred
- Page 21 and 22: Chlamydia Treatment in Pregnancy Re
- Page 23 and 24: Percent 16 14 12 10 Infection Durin
- Page 25 and 26: Provider Barriers to PDPT, CA 2002
- Page 27 and 28: Gonorrhea Screening in Females �
- Page 29 and 30: Percent of Neisseria gonorrhoeae Is
- Page 31 and 32: Gonorrhea Treatment of Urogenital I
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- Page 35 and 36: LGV Proctocolitis: Serologic Diagno
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- Page 39 and 40: The Three “R”s of Syphilis �
- Page 41 and 42: Latent Syphilis � No clinical man
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- Page 45 and 46: Criteria for CSF Examination � Ne
- Page 47 and 48: Syphilis Resistant to Azithromycin!
- Page 51 and 52: HSV Issues � Role of type-specifi
- Page 53 and 54: Rates of Transmission of HSV-2 to S
- Page 55 and 56: Genital Herpes - Treatment Issues
- Page 57 and 58: HPV Issues � Clarify uses of HPV
- Page 59 and 60: Issues Regarding Anal Cancer Screen
- Page 61 and 62: Cervicitis - Diagnostic Issues �
- Page 63 and 64: Pelvic Inflammatory Disease Issues
- Page 65 and 66: PID: Oral Treatment Regimens Oral r
- Page 67 and 68: Vaginitis Trichomonas Bacterial Vag
- Page 69 and 70: Tinidazole: A New Treatment Option
- Page 71: Proposed Management Trichomoniasis
- Page 75: STD Resources California STD/HIV Pr
Bacterial Vaginosis – <strong>Treatment</strong><br />
� <strong>Treatment</strong>:<br />
Issues<br />
� Clindamycin cream may be less effective than<br />
metronidazole<br />
� DELETED metronidazole 2 g single dose alternative<br />
� Suppressive treatment:<br />
� ADDED metronidazole gel twice weekly<br />
� <strong>Treatment</strong> <strong>of</strong> BV in pregnancy:<br />
� Metronidazole 500 mg po BID in addition to 250 mg po<br />
TID<br />
� Pre-surgical screening and treatment<br />
� Benefit for hysterectomy and surgical abortion<br />
� Consider for other procedures
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