TY - CHAP M1 - Book, Section TI - Appendix: Centers for Disease Control and Prevention 2006 Treatment Guidelines for Sexually Transmitted Diseases A1 - Klausner, Jeffrey D. A2 - Klausner, Jeffrey D. A2 - Hook, Edward W. Y1 - 2007 N1 - T2 - CURRENT Diagnosis & Treatment of Sexually Transmitted Diseases AB - Table Graphic Jump LocationTable 1. CDC STD Treatment Guidelines for Adults and Adolescents, 2006.View Table||Download (.pdf)Table 1. CDC STD Treatment Guidelines for Adults and Adolescents, 2006.DiseaseRecommended RegimensDose/RouteAlternative RegimensBacterial VaginosisAdults and adolescentsMetronidazole500 mg PO twice daily for 7 dClindamycin, 300 mg PO twice daily for 7 d ororMetronidazole gel 0.75%, one full applicator (5 g) intravaginally once daily for 5 dClindamycin ovules, 100 g intravaginally at bed time for 3 dorClindamycin creama2%, one full applicator (5 g) intravaginally at bedtime for 7 dPregnant womenMetronidazole500 mg PO twice daily for 7 dorMetronidazole250 mg PO 3 times daily for 7 dorClindamycin300 mg PO twice daily for 7 dCervicitisbAzithromycin1 g POorDoxycyclinec100 mg PO twice daily for 7 dChancroidAzithromycin1 g POorCeftriaxone250 mg IMorCiprofloxacin500 mg PO twice daily for 3 dorErythromycin base500 mg PO 3 times daily for 7 dChlamydiaUncomplicated, infections adults and adolescentsdAzithromycin1 g POErythromycin base, 500 mg PO 4 times daily for 7 dororDoxycyclinec100 mg PO twice daily for 7 dErythromycin ethylsuccinate, 800 mg PO 4 times daily for 7 dorOfloxacin,c 300 mg PO twice daily for 7 d orLevofloxacin,c 500 mg PO once daily for 7 dPregnant womeneAzithromycinl g POErythromycin base, 500 mg PO 4 times daily for 7 dororAmoxicillin500 mg PO 3 times daily for 7 dErythromycin base, 250 mg PO 4 times daily for 14 dorErythromycin ethylsuccinate, 800 mg PO 4 times daily for 7 dorErythromycin ethylsuccinate, 400 mg PO 4 times daily for 14 dEpididymitisbLikely due to gonorrhea or chlamydiaCeftriaxone250 mg IMplusDoxycycline100 mg PO twice daily for 10 dLikely due to enteric organismsOfloxacinf300 mg PO twice daily for 10 dorLevofloxacinf500 mg PO once daily for 10 dGonorrheagFluoroquinolones are no longer recommended for treatment of gonococcal infections in men who have sex with men or in California or Hawaii because of increasing resistance to that class of drugs. If fluoroquinolones are the only drug available and must be used, “test-of-cure” after treatment is recommended.Uncomplicated infections, adults and adolescentsCeftriaxone125 mg IMSpectinomycin, 2 g IM ororCefiximeh,i400 mg POSingle-dose cephalosporin regimens; cefpodoxime, 400 mg PO, or cefuroxime axetil, 1 g PO, may be additional alternativesplusorTreatment for chlamydia if chlamydial infection has not been ruled outSingle-dose quinolone regimens (see note above) include ciprofloxacin, 500 mg PO (preferred); ofloxacin, 400 mg PO; levofloxacin, 250 mg PO; gatifloxacin, 400 mg PO; norfloxacin, 800 mg PO; or lomefloxacin, 400 mg POPharyngeal infectionsCeftriaxone125 mg IMorCiprofloxacin500 mg POplusTreatment for chlamydia, if chlamydial infection has not been ruled outPregnant womenCeftriaxone125 mg IMSingle-dose cephalosporin plusorTreatment for chlamydia, if chlamydial infection has not been ruled outSpectinomycin, 2 g IMHerpes Simplex VirusjFirst clinical episodeAcyclovir400 mg PO 3 times daily for 7–10 dorAcyclovir200 mg PO 5 times daily for 7–10 dorFamciclovir250 mg PO 3 times daily for 7–10 dorValacyclovir1 g PO twice daily for 7–10 dEpisodic therapy for recurrent episodesAcyclovir400 mg PO 3 times daily for 5 dorAcyclovir800 mg PO twice daily for 5 dorAcyclovir800 mg PO 3 times daily for 2 dorFamciclovir125 mg PO twice daily for 5 dorFamciclovir1000 mg PO twice daily for 1 dorValacyclovir500 mg PO twice daily for 3 dorValacyclovir1 g PO once ... SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=3026929 ER -