Trichomonas

Note: Partners must be treated and should be advised to avoid sex until full course of therapy is completed and both partners are asymptomatic. Metronidazole (Flagyl) 2 g PO single dose [B, contraindicated 1st trimester]

Organisms: N. gonorrhoeae, C. trachomatis, Ureaplasma urealyticum, T. vaginalis, Mycoplasma hominis General Genital Infections (Male and Female) GENITAL WARTS

1. Liquid nitrogen application to warts.

2. Referral to dermatology or primary care physician for other forms of therapy.

3. Obtain VDRL/RPR.

Organism: human papillomavirus

GONORRHEA/CHLAMYDIA Notes:

1. Up to 50% of GC positive patients have Chlamydia trachomatis as well.

2. Patients may need a repeat culture 4-7 days after treatment if they remain symptomatic.

3. With the emergence of penicillinase-producing N. gonorrhoeae (PPNG), there will be regional differences in selecting the primary antibiotic.

4. All patients with gonorrhea should have a serologic test for syphilis (VDRL/RPR). Consider testing for HIV.

5. Single dose ofloxacin (400 mg) [C] or azithromycin (2 g) [B] cover both chlamydia and gonorrhea.

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