Sexually transmitted infections Part VI

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Sexually transmitted infections: Summary of treatment

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Sexually transmitted infections Part VI

  1. 1. Sexually Transmitted Infections By: Maria Carmela L. Domocmat, RN, MSN Nurse Instructor Northern Luzon Adventist College
  2. 2. Summary of STIs
  3. 3. Chancroid • treatable STD, bacterial infection that causes painful sores.Chlamydia • treatable STD, bacterial infection of the prostate, urethra & female pelvis.Crabs (Lice) • treatable STD, parasites or bugs that live on the pubic hair in the genital area.Gonorrhea • treatable STD, bacterial infection of the penis, vagina or anus, aka "the clap"Hepatitis • five types; A & E are self-limiting; B, C, & D are cureless; B is preventable with a vaccineHerpes • treatable but often recurrent STD, viral infection causing blisters (anus, vagina, penis).HIV / AIDS • cureless STD, viral infection of the immune system (no cure fo this STD)
  4. 4. HPV / • cureless STD, viral infection of the skin in theWarts genital area & females cervix.Scabies • treatable STD, mite parasites that burrows under the skin and lays eggsSyphilis • treatable STD, bacterial infection affecting genitals, heart, & nerves.Tricho- • treatable STD, protozoan parasite infection of malemoniasis urethra & female pelvis.Yeast • treatable fungal infection of the vaginaInfectionVaginosis • treatable vaginal infection causing itch, burning, discharge & an odd odorYeast in • treatable fungal infection of the tip of the penis,Men called balanitis
  5. 5. Summary Treatment
  6. 6. Genital Herpes: 200-400mg three times/day for 10 days Herpes prophylaxis: 200- 400mg twice a day Herpes zoster (shingles): 800mg 5 times/day for 10 daysAcyclovir
  7. 7. New once-daily Cipro XR® Gonorrhea: 500mg or 1000mg (>200lb weight) one single dose Symptomatic Gonorrhea: 500mg once a day / 3 days Chancroid: 500mg once a day / 3 daysCipro XR®
  8. 8. Single dose Diflucan® Diflucan® (fluconazole) is used to treat vaginal yeast infections (curdy-white discharge). Vaginal yeast infection: Diflucan 150mg one single dose.Diflucan®Diflucan®
  9. 9. Doxycycline Hyclate (Vibramycin® or Vibra-Tabs®) Chlamydia: twice a day / 10 days LGV: twice a day / 21 days Syphilis: twice a day / 14 daysDoxycycline
  10. 10. Levaquin is no longer recommended treatment for STDs such as Gonorrhea and Chlamydia Use recommended Cipro XR and Doxycycline to treat Gonorrhea and Chlamydia, respectively.Levaquin®Levaquin®
  11. 11. Metronidazole - Generic Flagyl® Trichomoniasis (both male & female): 500mg twice a day for 7-10 days Bacterial Vaginosis (vaginal fishy odor & gray discharge): 500mg twice a day for 7 daysMetronidazole
  12. 12. Valtrex® (valacyclovir HCl) Genital Herpes Suppression: 500mg once a day - long term Herpes Initial Episode: 500mg twice a day for 7 days Herpes Recurrent Episode: 500mg twice a day for 3 daysValtrex®Valtrex®
  13. 13. Zithromax® (azithromycin) Chlamydia treatment: - 4 tabs (1.0 gm) as a single dose regimen; or - 2 tabs (500mg) as first dose on day 1, followed by 1 tab (250mg) once a day for 4 days (total 6 tabs, 5 day regimen, same as Zithromax Z-pak®)Zithromax®Zithromax®
  14. 14. Zovirax® Ointment Genital Herpes Suppression Herpes prophylaxis Herpes zoster (shingles)Zovirax®Zovirax®
  15. 15. Summary of treatment
  16. 16. Chancroid Treatment Zithromax or Cipro or Cipro XR Chlamydia Treatment Doxycycline or Zithromax (+ gonorrhea treatment) Crabs (Lice) Treatment Permethrin or Lindane Gonorrhea Treatment Cipro, Levaquin, or Tequin (+ chlamydia treatment) Hepatitis Treatment A & E self limiting, vaccination for prevention, interferon Herpes Treatment Acyclovir, Famvir, Valtrex, Zovirax HIV / AIDS Treatment AZT (Retrovir) plus vitonavir or norvir Cryotherapy (freezing), cauterization (burning), laser HPV / Warts Treatment surgery Scabies Treatment Permethrin or Lindane Syphilis Treatment Penicillin or DoxycylineTrichomoniasis Treatment Metronidazole (Flagyl)Yeast Infection Treatment Diflucan (fluconazole) Vaginosis Treatment Metronidazole (Flagyl) Yeast in Men Treatment Diflucan (fluconazole)

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