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Disease Symptoms Treatment Mix Treatment

Discharge, Dysuria, Mild Ceftriaxone 1g IV daily plus 1. Ceftriaxone 1g iv daily for 3-


Gonorrhea lower abdominal pain, Painful Azithromycin 1g PO 5d Or
intercourse
Cefixime 400mg OD for 3-5day
Lower AP, Abnormal Ceftriaxone 1g IV every 24
PID hours plus 2. Doxycycline 100mg BD for
discharge, Dysuria, Fever,
Chills, Nausea, Vomiting Doxycycline100 mg orally 2weeks, if genital lesions
BD plus present given for >3weeks
less common, Vaginal
Metronidazole500 mg 3. Metronidazole 400mg TID
bleeding
for 2weeks
Dysuria, Urinary urgency, Ciprofloxacin 500mg BD for
Lower UTI 7-14d 4. Ciprofloxacin 500mg BD for
Sensation of bladder
fullness or lower abdominal OR Levofloxacin 500mg OD 7-14d
discomport, flank pain and for 5-10d 5. Clotrimazole (clozox
costovertebral angle vaginal) 5g intravaginaly daily
tenderness. for 7-14 days
Costovertebral angle pain, Ciprofloxacin 500mg BD for 6. Buscopan plus TID for
Upper UTI Flank pain, Fever, Naus 7d OR Ceftriaxone 1g iv plus muscle spasm
Vomit, Malaise and 24 hours dose of gentamicin
7. Panadol extra 2 tab TID
7mg/kg iv
anorexia. Gentamicin 7mg/kg iv for 24
Bacterial Vaginal discharge, Vaginal Metronidazole 500mg BD for
vaginosis hours
pain 7d

Vaginal Vaginal discharge, Dysuria, Metronidazole 500mg BD for


Trichomoniasis
Pruritis 7d

Vaginal Pruritus is common, Vaginal Clotrimazole (clozox vaginal)


candidiasis
discharge, Dysuria 5g intravaginaly daily for 7-
14 days
The combination of one or Azithromycin 1gm orally in a
Chancroid more deep and painful genital single dose
ulcers and tender suppurative OR
inguinal adenopathy Ceftriaxone 250mg IM in a
single dose
Painless, slowly progressive Azithromycin 1gm PO
Granuloma
ulcerative lesions on the once weekly and until all
inguinale
genitals or perineum lesions have completely
healed
Altern.Doxycycline 100mg
BD for at least 3 weeks
Lymphogranul Heterosexuals is tender Doxycycline 100mg BD for
Venereum
inguinal or femoral 21 days
lymphadenopathy that is Alternative Regimens
typically unilateral. A self- Azithromycin 1gm orally
limited genital ulcer or papule once weekly for 3 weeks
sometimes occurs at the site of
inoculation
Syphilis Doxycycline or tetracycline
for 28

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