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โรคติดต่อทางเพศสัมพันธ์

โรคติดต่อทางเพศสัมพันธ์

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  • 2
  • • (Herpes genitalis) • (Condyloma acuminata) • (Molluscum contagiosum) 3
  • • (Gonorrhea) • (Nongonococcal urethritis) • (Syphilis) • (Chanchoid) 4
  • •Vaginal candidiasis 5
  • • (Scabies) • (Pediculosis) 6
  • : Neissea gonorrhea : 1-14 : : 7
  • 8
  • Primary •Cefixime 400 mg PO single dose •Levofloxacin 250 mg PO single dose Alternative •Azithromycin 2 g PO single dose 9
  • •FQ -ceftriaxone -cefixime -cefimem • 2 • • 10
  • : •Chlamydia trachomatis 50% •Ureaplasma, urealyticum : 2 : 11
  • Primary: •Doxycycline 100 mg bid 7-14 day •Azithromycin 1 g single dose Alternative: 7-14 day •Erythromycin 500 mg qid •Roxithromycin 150 mg bid •Ofloxacin 300 mg bid •Levofloxacin 500 mg qid •Tetracycline 250 mg qid 12
  • • •Doxycycline •Tetracycline • •Tinidazole 2 g OD •Metronidazole 2 g OD 13
  • : Hemophilus ducreyi : • 3-10 • • • 14
  • Primary •Azithromycin 1 g PO single dose •Ceftriaxone 250 mg IM single dose Alternative •Ciprofloxacin 500 mg bid 3 day •Erythromycin 500 mg qid 7 day 15
  • • normal saline • • • 3-7 16
  • : Treponema pallidum 4 •Primary syphilis •Secondary syphilis •Latent syphilis •Tertiary syphilis 17
  • : • • • • 2 18
  • : • primary syphilis 6-8 • • systemic • • • • 19
  • : • • • 20
  • : • T. Pallidum • • VDRL RPR 21
  • 1 3 : (gummatous lesion) 22
  • 23
  • Penicillin G 24
  • : HSV •HSV-1: (herpes labialis) •HSV-2: (genital herpes) : 1-3 wk 25
  • Type of infection Acyclovir duration First clinical 400 mg PO tid 7-10 days episode 200 mg PO 5 time/d Episode recurrent 400 mg PO tid 5 days infection 200 mg PO 5 time/d 800 mg PO bid Suppressive 400 mg PO bid daily therapy 26
  • 2 (Physiologic leukorrhea): (Pathological leukorrhea): 27
  • : Candida Albicans : : • : ampicillin, tetracycline, cephalosporin • • 28
  • •Fluconazole 150 mg PO single dose •Clotrimazole vaginal tab •100 mg 1 6 •200 mg 1 3 •500 mg 1 29
  • •Ketoconazole 200-400 mg OD 7 day •Ketoconazole cream bid 7 day •Clotrimazole cream 1% bid 7 day •Nystatin 1 vag tab 14 day 30
  • : Trichomanas vaginalis : : 31
  • •Metronidazole 2 g single dose •Tinidazole 2 g single dose •Metronidazole 500 mg bid 7 day metronidazole: : 32
  • : Sarcoptes scabiei : Burrow : 12 h •Gamma benzene hexachloride 0.3% gel •Benzyl benzoate 25% wk 33
  • : Phthirus pubis : : Gamma benzene hexachloride 12 34
  • : Chondylomata acuminata : liquid nitrogen, podophyllin resin 10- 25% laser : Molluscum contaginosum : 35
  • Thank You for attention 36
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