Podcast Beta
Questions and Answers
What is the first-line treatment for adults and adolescents when M. genitalium is detected, assuming resistance testing is unavailable?
Which medication should be administered after doxycycline if moxifloxacin cannot be used for M. genitalium treatment?
In pregnant individuals, what is the recommended treatment for M. genitalium?
For how long should doxycycline be administered to adults and adolescents in the treatment of M. genitalium?
Signup and view all the answers
What should be the follow-up treatment after levofloxacin if M. genitalium is confirmed?
Signup and view all the answers
Which treatment is available for children with a confirmed M. genitalium infection?
Signup and view all the answers
What is the recommended dosage of azithromycin when it is used as the first treatment option?
Signup and view all the answers
For individuals where moxifloxacin is not suitable after doxycycline, which alternative is typically suggested?
Signup and view all the answers
What is the primary recommended regimen for treating Bacterial Vaginosis?
Signup and view all the answers
In the treatment of Lymphogranuloma Venereum, which of the following is considered an alternative regimen?
Signup and view all the answers
Which treatment option is appropriate for a patient with Nongonococcal Urethritis (NGU)?
Signup and view all the answers
What is a key aspect of STI treatment beyond pharmacological regimens?
Signup and view all the answers
What regimen is recommended for Cervicitis?
Signup and view all the answers
For Persistent or Recurrent NGU, testing for which pathogen is recommended?
Signup and view all the answers
Which alternative regimen can be used for Bacterial Vaginosis?
Signup and view all the answers
Which oral medication is a primary treatment option for Chlamydial Infections?
Signup and view all the answers
Which of the following is NOT an alternative regimen for treating Lymphogranuloma Venereum?
Signup and view all the answers
Which is a key factor influencing the choice of therapeutic regimens in STI treatment?
Signup and view all the answers
What is the recommended duration for administering doxycycline to adults and adolescents for M. genitalium treatment?
Signup and view all the answers
Which medication is recommended for pregnant individuals with M. genitalium?
Signup and view all the answers
If moxifloxacin cannot be used, which medication is given after doxycycline for M. genitalium treatment?
Signup and view all the answers
In treatment administration for M. genitalium, what is the dosage of azithromycin given on the first day?
Signup and view all the answers
Which of the following is NOT a regimen for treating a confirmed M. genitalium infection?
Signup and view all the answers
How frequently is doxycycline administered to adults and adolescents during the 7-day treatment?
Signup and view all the answers
What is the indicated follow-up treatment after levofloxacin in the M. genitalium treatment regimen?
Signup and view all the answers
What is the dosage of levofloxacin when treating M. genitalium in adults and adolescents?
Signup and view all the answers
What is the primary recommended regimen for treating Bacterial Vaginosis?
Signup and view all the answers
Which of the following is an alternative regimen for treating Lymphogranuloma Venereum?
Signup and view all the answers
In the treatment of Nongonococcal Urethritis (NGU), which regimen is recommended?
Signup and view all the answers
Which drug is not considered an alternative for Bacterial Vaginosis?
Signup and view all the answers
What is a key component of STI treatment aside from pharmacological regimens?
Signup and view all the answers
Which alternative regimen is suggested for Cervicitis?
Signup and view all the answers
For Persistent or Recurrent NGU, testing for which pathogen is advised?
Signup and view all the answers
When treating Lymphogranuloma Venereum, how long should doxycycline be administered?
Signup and view all the answers
What is the recommended dosage of azithromycin for treating Cervicitis?
Signup and view all the answers
Which treatment should be considered in cases of substantial drug allergy for NGU?
Signup and view all the answers
Study Notes
Overview of CDC STI Treatment Guidelines, 2021
- Presents recommended therapeutic regimens for sexually transmitted infections (STIs) in a wall chart format.
- Regimens are listed alphabetically unless prioritized by efficacy, cost, or convenience.
- Recommended regimens should be primarily used, with alternatives considered only for significant drug allergies or contraindications.
- Emphasizes the importance of partner management in STI treatment.
Key Recommended Regimens
-
Bacterial Vaginosis:
- Recommended: Metronidazole 500 mg orally, twice daily for 7 days.
- Alternatives: Clindamycin 300 mg orally, twice daily for 7 days or various intravaginal options (metronidazole gel, clindamycin ovules, clindamycin cream).
-
Lymphogranuloma Venereum:
- Recommended: Doxycycline 100 mg orally, twice daily for 21 days.
- Alternatives: Azithromycin 1 gm orally, once a week for 3 weeks, or erythromycin base 500 mg orally, four times daily for 21 days.
-
Nongonococcal Urethritis (NGU):
- Recommended: Doxycycline 100 mg orally, twice daily for 7 days.
- Alternatives: Azithromycin 1 gm orally in a single dose, or tinidazole options (2 gm once daily for 2 days, or 1 gm once daily for 5 days).
-
Cervicitis:
- Recommended: Doxycycline 100 mg orally, twice daily for 7 days.
- Alternatives: Azithromycin 1 gm orally in a single dose.
Chlamydial Infections
-
Adults and Adolescents:
- Recommended: Doxycycline 100 mg orally, twice daily for 7 days.
- Alternatives: Azithromycin 1 gm orally in a single dose or levofloxacin 500 mg orally, once daily for 7 days.
-
Pregnancy:
- Recommended: Azithromycin 1 gm orally in a single dose.
- Alternatives: Amoxicillin 500 mg orally, three times daily for 7 days.
Persistent or Recurrent NGU
- Testing for Mycoplasma genitalium is advised.
- If M. genitalium is detected but resistance testing is unavailable:
- Treatment follows an initial regimen of doxycycline, followed by moxifloxacin 400 mg, once daily for 7 days.
Important Notes
- A comprehensive guideline is accessible online at www.cdc.gov/std/treatment.
- Partner management should be part of the treatment process, potentially involving health department cooperation.
Overview of CDC STI Treatment Guidelines, 2021
- Presents recommended therapeutic regimens for sexually transmitted infections (STIs) in a wall chart format.
- Regimens are listed alphabetically unless prioritized by efficacy, cost, or convenience.
- Recommended regimens should be primarily used, with alternatives considered only for significant drug allergies or contraindications.
- Emphasizes the importance of partner management in STI treatment.
Key Recommended Regimens
-
Bacterial Vaginosis:
- Recommended: Metronidazole 500 mg orally, twice daily for 7 days.
- Alternatives: Clindamycin 300 mg orally, twice daily for 7 days or various intravaginal options (metronidazole gel, clindamycin ovules, clindamycin cream).
-
Lymphogranuloma Venereum:
- Recommended: Doxycycline 100 mg orally, twice daily for 21 days.
- Alternatives: Azithromycin 1 gm orally, once a week for 3 weeks, or erythromycin base 500 mg orally, four times daily for 21 days.
-
Nongonococcal Urethritis (NGU):
- Recommended: Doxycycline 100 mg orally, twice daily for 7 days.
- Alternatives: Azithromycin 1 gm orally in a single dose, or tinidazole options (2 gm once daily for 2 days, or 1 gm once daily for 5 days).
-
Cervicitis:
- Recommended: Doxycycline 100 mg orally, twice daily for 7 days.
- Alternatives: Azithromycin 1 gm orally in a single dose.
Chlamydial Infections
-
Adults and Adolescents:
- Recommended: Doxycycline 100 mg orally, twice daily for 7 days.
- Alternatives: Azithromycin 1 gm orally in a single dose or levofloxacin 500 mg orally, once daily for 7 days.
-
Pregnancy:
- Recommended: Azithromycin 1 gm orally in a single dose.
- Alternatives: Amoxicillin 500 mg orally, three times daily for 7 days.
Persistent or Recurrent NGU
- Testing for Mycoplasma genitalium is advised.
- If M. genitalium is detected but resistance testing is unavailable:
- Treatment follows an initial regimen of doxycycline, followed by moxifloxacin 400 mg, once daily for 7 days.
Important Notes
- A comprehensive guideline is accessible online at www.cdc.gov/std/treatment.
- Partner management should be part of the treatment process, potentially involving health department cooperation.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz covers the recommended therapeutic regimens for sexually transmitted infections (STIs) as outlined in the CDC's 2021 guidelines. It includes specific treatments for conditions like bacterial vaginosis and lymphogranuloma venereum. Understanding these regimens is crucial for effective STI management and partner care.