Professional Documents
Culture Documents
Reduces recurrences by
70-80%; reduces, but
does not eliminate sub
clinical viral shedding
HPV (Human Papillomavirus Primary goal of treating
Infection) visible wars is the
removal of symptomatic
Patient applied: Podofilox 0.5% solution or warts
gel (antimitotic drug that
destroys warts) Existing data indicate
Pt. Applies solution with treating warts may
cotton swab or gel with a reduce, but probably not
finger to the warts BID X 3 Do not use in pregnancy; eradicate infectivity
days followed by 4 days off. safety has not been
May repeat cycle as established No evidence suggest one
necessary up to 4 cycles. treatment is superior to
Max 0.5 cc/day and area not others
to exceed 10cm2. May
experience mild/mod pain or
local irritation. Must be able Treatment modality
to see and reach warts for should change if no
self- treatment. response after 3 provider
Or administered treatments
(Aldara) Imiquimod 5% or not cleared after 6
cream (immune enhancer
that stimulates production of The first treatment may
interferon and other be done in the office to
cytokines) demonstrate proper use.
Apply once daily at bedtime
3 X week up to 16 weeks. F/U may be useful after
Must wash off 6-10 hours several weeks to
after application. Local determine response to
inflammatory reactions are treatment.
common.
Pt needs to follow up in
48 hr. (Repeat pelvic
examinations to confirm
decrease in CMT
Pelvic Inflammatory Disease Regimen A: Refer all pregnant patients Repeat bimanual exam in
(PID): Out patient treatment Ofloxacin 400 mg p.o. BID suspected to have PID 48 hours. If no response
X 14 days in 72 hours need re-
Or evaluation and referral.
Levofloxacin 500mg p.o. q Ofloxacin effective
day X 14 days against both GC and
Plus (with both of above) Chlamydia.
Metronidazole 500mg p.o. Levofloxacin as effective
BID X 14 days and q day dosing,
Regimen B: increases compliance
Ceftriaxone 250mg IM
single dose
Or
Cefoxitin 2 gm IM and
Probenecid 1 gm p.o. single
dose
Plus (with both of above)
Doxycycline 100mg p.o.
BID X 14 days
With or without
Refer
Trichamoniasis Metronidazole 2 gm p.o. No alcohol 24 hours
single dose prior to or after use
Or
Metronidazole 500 mg p.o.
BID X 7 days
Urethritis (nongonococcal) Azithromycin 1 gm p.o. Erythromycin base 500
single dose mg p.o. QID X 7days
Or Or
Doxycycline 100 mg p.o. Erythromycin
BID X 7 days ethylsuccinate 800 mg
QID X 7 days
Or
Ofloxacin 300 mg p.o.
BID X 7 days
Or
Levofloxacin 500 mg
p.o. q day X 7 days
Metronidazole 2 gm p.o.
single dose
Recurrent/Persistent Urethritis (if
patient compliant with initial
Plus
treatment and no re-exposure)