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โรคติดต่อทางเพศสัมพันธ์

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  1. 1. 2
  2. 2. • (Herpes genitalis) • (Condyloma acuminata) • (Molluscum contagiosum) 3
  3. 3. • (Gonorrhea) • (Nongonococcal urethritis) • (Syphilis) • (Chanchoid) 4
  4. 4. •Vaginal candidiasis 5
  5. 5. • (Scabies) • (Pediculosis) 6
  6. 6. : Neissea gonorrhea : 1-14 : : 7
  7. 7. 8
  8. 8. Primary •Cefixime 400 mg PO single dose •Levofloxacin 250 mg PO single dose Alternative •Azithromycin 2 g PO single dose 9
  9. 9. •FQ -ceftriaxone -cefixime -cefimem • 2 • • 10
  10. 10. : •Chlamydia trachomatis 50% •Ureaplasma, urealyticum : 2 : 11
  11. 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
  12. 12. • •Doxycycline •Tetracycline • •Tinidazole 2 g OD •Metronidazole 2 g OD 13
  13. 13. : Hemophilus ducreyi : • 3-10 • • • 14
  14. 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
  15. 15. • normal saline • • • 3-7 16
  16. 16. : Treponema pallidum 4 •Primary syphilis •Secondary syphilis •Latent syphilis •Tertiary syphilis 17
  17. 17. : • • • • 2 18
  18. 18. : • primary syphilis 6-8 • • systemic • • • • 19
  19. 19. : • • • 20
  20. 20. : • T. Pallidum • • VDRL RPR 21
  21. 21. 1 3 : (gummatous lesion) 22
  22. 22. 23
  23. 23. Penicillin G 24
  24. 24. : HSV •HSV-1: (herpes labialis) •HSV-2: (genital herpes) : 1-3 wk 25
  25. 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
  26. 26. 2 (Physiologic leukorrhea): (Pathological leukorrhea): 27
  27. 27. : Candida Albicans : : • : ampicillin, tetracycline, cephalosporin • • 28
  28. 28. •Fluconazole 150 mg PO single dose •Clotrimazole vaginal tab •100 mg 1 6 •200 mg 1 3 •500 mg 1 29
  29. 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
  30. 30. : Trichomanas vaginalis : : 31
  31. 31. •Metronidazole 2 g single dose •Tinidazole 2 g single dose •Metronidazole 500 mg bid 7 day metronidazole: : 32
  32. 32. : Sarcoptes scabiei : Burrow : 12 h •Gamma benzene hexachloride 0.3% gel •Benzyl benzoate 25% wk 33
  33. 33. : Phthirus pubis : : Gamma benzene hexachloride 12 34
  34. 34. : Chondylomata acuminata : liquid nitrogen, podophyllin resin 10- 25% laser : Molluscum contaginosum : 35
  35. 35. Thank You for attention 36
  36. 36. sb 37
  37. 37. 38
  38. 38. sb 39
  39. 39. 40
  40. 40. sb 41
  41. 41. 42
  42. 42. sb 43
  43. 43. 44

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