โรคติดต่อทางเพศสัมพันธ์

2. 2

3. • (Herpes
genitalis)
• (Condyloma acuminata)
• (Molluscum contagiosum)
3

4. • (Gonorrhea)
• (Nongonococcal
urethritis)
• (Syphilis)
• (Chanchoid)
4

5. •Vaginal candidiasis
5

6. • (Scabies)
• (Pediculosis)
6

7. : Neissea gonorrhea
: 1-14
:
:
7

8. 8

9. Primary
•Cefixime 400 mg PO single dose
•Levofloxacin 250 mg PO single dose
Alternative
•Azithromycin 2 g PO single dose
9

10. •FQ
-ceftriaxone
-cefixime
-cefimem
• 2
•
• 10

11. :
•Chlamydia trachomatis 50%
•Ureaplasma, urealyticum
: 2
:
11

12. 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

13. •
•Doxycycline
•Tetracycline
•
•Tinidazole 2 g OD
•Metronidazole 2 g OD
13

14. : Hemophilus ducreyi
:
• 3-10
•
•
•
14

15. 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

16. • normal saline
•
•
• 3-7
16

17. : Treponema pallidum
4
•Primary syphilis
•Secondary syphilis
•Latent syphilis
•Tertiary syphilis
17

18. :
•
•
•
• 2
18

19. :
• primary syphilis 6-8
•
• systemic
•
•
•
•
19

20. :
•
•
•
20

21. :
• T. Pallidum
•
• VDRL RPR
21

22. 1 3
: (gummatous
lesion)
22

23. 23

24. Penicillin G
24

25. : HSV
•HSV-1: (herpes labialis)
•HSV-2: (genital herpes)
:
1-3 wk
25

26. 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

27. 2
(Physiologic
leukorrhea):
(Pathological
leukorrhea):
27

28. : Candida Albicans
:
:
• : ampicillin,
tetracycline,
cephalosporin
•
• 28

29. •Fluconazole 150 mg PO single dose
•Clotrimazole vaginal tab
•100 mg 1 6
•200 mg 1 3
•500 mg 1
29

30. •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

31. : Trichomanas vaginalis
:
:
31

32. •Metronidazole 2 g single dose
•Tinidazole 2 g single dose
•Metronidazole 500 mg bid 7 day
metronidazole:
: 32

33. : Sarcoptes scabiei
:
Burrow
: 12 h
•Gamma benzene hexachloride 0.3% gel
•Benzyl benzoate 25%
wk
33

34. : Phthirus pubis
:
:
Gamma benzene hexachloride
12
34

35. : Chondylomata acuminata
: liquid nitrogen, podophyllin resin 10-
25% laser
: Molluscum contaginosum
:
35

36. Thank You for attention 36

37. sb
37

38. 38

39. sb
39

40. 40

41. sb
41

42. 42

43. sb
43

44. 44