Sexually Transmitted Disease Treatment Guidelines 2006

Department of Medicine (Dermatology), Vanderbilt University Medical Center, Nashville, TN.
Seminars in dermatology 01/1995; 13(4):269-74.
Source: PubMed


This article will review the 1993 STD Treatment Guidelines of particular importance to dermatologic clinical practice. Topics include STD/HIV prevention, management of sexual partners, STD in persons with HIV co-infection, genital ulcer disease (GUD) including syphilis, herpes simplex virus (HSV) infection, lymphogranuloma venereum (LGV) and chancroid, therapy of nongonococcal (NGU) and chlamydial urethritis and cervicitis, gonococcal (GC) infections, HPV infection, hepatitis B virus (HBV) infection, pediculosis pubis, and scabies.

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    Medicina 10/2008; 68(5). · 0.56 Impact Factor
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    ABSTRACT: Objective To compare the effectiveness of antibiotic regimens between triple therapies and clindamycin plus gentamicin for the treatment of women hospitalized for acute pelvic inflammatory disease (PID). Design Prospective randomized clinical trial. Setting Department of Obstetrics and Gynecology, King Chulalongkorn Memorial Hospital. Subjects 44 non-pregnant women who were hospitalized for inpatient treatment of acute PID from April 2001 to July 2002. Intervention Subjects were randomly assigned into two groups. Patients in group A (n=22) were given intravenous ampicillin plus gentamicin plus metronidazole (triple therapies) while the patients in the other group (group B, n=22) were given intravenous clindamycin plus gentamicin. Main outcome measures Response rate of antibiotic regimens (triple therapies and clindamycin plus gentamicin) at 72 hours after treatment by using clinical and laboratory results which composed of severity of pain, body temperature, leukocyte counts and serum C-reactive protein (CRP) level. Results The response rate of patients in group A was lower than in group B (54.5% versus 81.8%), but no statistical significance (p=0.10). The severity of pain and serum CRP level of patients in the group B were significant lower (p<0.01 and p=0.04, respectively), but the length of hospital stay in the both groups were not different. The need for surgical intervention in group A (27.3%) was significantly higher than in group B (0%) (p=0.02) Conclusions For the treatment of acute PID, triple therapies and clindamycin plus gentamicin were not significantly different in the response rate at 72 hours, but the need for surgical intervention was higher in the triple therapies group.
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    ABSTRACT: The prevalence of gonococcal infection of the pharynx in 205 women, 331 heterosexual men, and 11 homosexual men with gonorrhoea was 6.8%, 4.2%, and 27.3% respectively. In only one patient, a heterosexual man, was the pharynx the sole site of infection. Throat symptoms were found in 7% of women, 21% of heterosexual men, and none of the homosexual men. Orogenital contact was reported by 29% of women, 36% of heterosexual men, and all the homosexual men. A single intramuscular dose of 1.8 g Bicillin (procaine penicillin 1.5 g plus benzyl penicillin 300 mg) cured 90% of patients.
    Genitourinary medicine 05/1987; 63(2):92-4. DOI:10.1136/sti.63.2.92
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