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Questions and Answers
Match the following STIs with their recommended regimens:
Bacterial Vaginosis = Metronidazole 500 mg orally 2x/day for 7 days Lymphogranuloma Venereum = Doxycycline 100 mg orally 2x/day for 21 days Nongonococcal Urethritis (NGU) = Doxycycline 100 mg orally 2x/day for 7 days Chlamydial Infections = Doxycycline 100 mg orally 2x/day for 7 days
What is the alternative regimen for Bacterial Vaginosis?
Partner management is an important component of STI treatment.
True
What is the recommended regimen for Chlamydial Infections during pregnancy?
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What is the alternative regimen for Lymphogranuloma Venereum?
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For persistent or recurrent Nongonococcal Urethritis (NGU), test for ______.
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What is the recommended regimen for Bacterial Vaginosis?
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What should be considered in cases of substantial drug allergy or contraindications?
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Which antibiotic is an alternative regimen for Chlamydial Infections in adults and adolescents?
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Doxycycline can be used for treating Lymphogranuloma Venereum.
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The recommended regimen for Nongonococcal Urethritis (NGU) is __________.
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What is the alternative regimen for Cervicitis?
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What is the recommended treatment for pregnant women with Chlamydial Infections?
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Study Notes
Overview of CDC STI Treatment Guidelines, 2021
- Recommended regimens are prioritized alphabetically unless efficacy, cost, or convenience dictate otherwise.
- Utilize primary recommended regimens; consider alternatives for significant drug allergies or contraindications.
- Partner management is crucial; evaluation and treatment of sexual partners can involve local health departments.
Bacterial Vaginosis
- Recommended Regimen: Metronidazole 500 mg orally twice daily for 7 days.
-
Alternative Regimens:
- Clindamycin 300 mg orally twice daily for 7 days.
- Metronidazole gel 0.75%, one 5 gm applicator intravaginally once daily for 5 days.
- Clindamycin ovules 100 mg intravaginally at bedtime for 3 days.
- Clindamycin cream 2%, one 5 gm applicator intravaginally at bedtime for 7 days.
- Secnidazole 2 gm orally in a single dose.
Lymphogranuloma Venereum
- Recommended Regimen: Doxycycline 100 mg orally twice daily for 21 days.
-
Alternative Regimens:
- Azithromycin 1 gm orally once a week for 3 weeks.
- Erythromycin base 500 mg orally four times daily for 21 days.
Nongonococcal Urethritis (NGU)
- Recommended Regimen: Doxycycline 100 mg orally twice daily for 7 days.
-
Alternative Regimens:
- Azithromycin 1 gm orally in a single dose.
- Tinidazole 2 gm orally once daily for 2 days.
- Azithromycin 500 mg orally in a single dose followed by 250 mg once daily for 4 days.
Cervicitis
- Recommended Regimen: Doxycycline 100 mg orally twice daily for 7 days.
- Alternative Regimen: Azithromycin 1 gm orally in a single dose.
Chlamydial Infections
- Adults and Adolescents: Doxycycline 100 mg orally twice daily for 7 days is preferred.
-
Alternative Regimens:
- Azithromycin 1 gm orally in a single dose.
- Levofloxacin 500 mg orally once daily for 7 days.
Pregnancy
- Recommended Regimen: Azithromycin 1 gm orally in a single dose.
- Alternative Regimen: Amoxicillin 500 mg orally three times daily for 7 days.
Pediatric Considerations
- Specific regimens for infants and children are not detailed in this summary.
Overview of CDC STI Treatment Guidelines, 2021
- Recommended regimens are prioritized alphabetically unless efficacy, cost, or convenience dictate otherwise.
- Utilize primary recommended regimens; consider alternatives for significant drug allergies or contraindications.
- Partner management is crucial; evaluation and treatment of sexual partners can involve local health departments.
Bacterial Vaginosis
- Recommended Regimen: Metronidazole 500 mg orally twice daily for 7 days.
-
Alternative Regimens:
- Clindamycin 300 mg orally twice daily for 7 days.
- Metronidazole gel 0.75%, one 5 gm applicator intravaginally once daily for 5 days.
- Clindamycin ovules 100 mg intravaginally at bedtime for 3 days.
- Clindamycin cream 2%, one 5 gm applicator intravaginally at bedtime for 7 days.
- Secnidazole 2 gm orally in a single dose.
Lymphogranuloma Venereum
- Recommended Regimen: Doxycycline 100 mg orally twice daily for 21 days.
-
Alternative Regimens:
- Azithromycin 1 gm orally once a week for 3 weeks.
- Erythromycin base 500 mg orally four times daily for 21 days.
Nongonococcal Urethritis (NGU)
- Recommended Regimen: Doxycycline 100 mg orally twice daily for 7 days.
-
Alternative Regimens:
- Azithromycin 1 gm orally in a single dose.
- Tinidazole 2 gm orally once daily for 2 days.
- Azithromycin 500 mg orally in a single dose followed by 250 mg once daily for 4 days.
Cervicitis
- Recommended Regimen: Doxycycline 100 mg orally twice daily for 7 days.
- Alternative Regimen: Azithromycin 1 gm orally in a single dose.
Chlamydial Infections
- Adults and Adolescents: Doxycycline 100 mg orally twice daily for 7 days is preferred.
-
Alternative Regimens:
- Azithromycin 1 gm orally in a single dose.
- Levofloxacin 500 mg orally once daily for 7 days.
Pregnancy
- Recommended Regimen: Azithromycin 1 gm orally in a single dose.
- Alternative Regimen: Amoxicillin 500 mg orally three times daily for 7 days.
Pediatric Considerations
- Specific regimens for infants and children are not detailed in this summary.
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Description
This quiz provides an overview of the CDC’s Sexually Transmitted Infections Treatment Guidelines for 2021. It summarizes recommended therapeutic regimens and offers clinical guidance based on efficacy, cost, and convenience. Test your knowledge on the latest treatments for STIs.
