Which is considered a preferred regimen for the treatment of trichomoniasis?
Which one of the following is considered a preferred regimen for the treatment of trichomoniasis in a 28-year-old woman who is not pregnant and has not antimicrobial allergies? The preferred treatment for trichomoniasis is single-dose therapy with either metronidazole (2 grams orally) or tinidazole (2 grams orally).
When should the patient's most recent sex partner be treated?
If a patient's last sexual intercourse was longer than 60 days before onset of symptoms or diagnosis, the patient's most recent sex partner should be treated. Which one of the following statements is TRUE regarding the risk pelvic inflammatory disease (PID) associated with use of an intrauterine contraceptive device?
What is the preferred regimen for the treatment of pelvic inflammatory disease?
The preferred regimen is a single dose of ceftriaxone 2 g IM plus doxycycline 100 mg PO BID for 14 days with or without metronidazole 500 mg PO BID for 14 days. Other regimens are also effective and should take into consideration severity of PID and if tubo-ovarian abscess is present.
What is the diagnosis for a 26 year old woman?
A 26-year-old woman is diagnosed with pelvic inflammatory disease. She has no antibiotic allergies. The decision is made to treat her as an out-patient. Which one of the following regimens is recommended?
Which treatment are used in uncomplicated UTIs?
The antimicrobial agents most commonly used to treat uncomplicated urinary tract infections include the combination drug trimethoprim and sulfamethoxazole, trimethoprim, β-lactams, fluoroquinolones, nitrofurantoin, and fosfomycin tromethamine.
What is the first line treatment for uncomplicated UTI?
First-line antimicrobial options — The preferred agents for empiric therapy of acute simple cystitis are nitrofurantoin monohydrate/macrocrystals, trimethoprim-sulfamethoxazole, fosfomycin, and, if available, pivmecillinam because of the favorable balance between efficacy and adverse effects (including the risk of ...
Which of the following is used to treat uncomplicated UTIs empirically?
Infectious Diseases Society of America guidelines state that uncomplicated urinary tract infections (UTIs) should be treated empirically with trimethoprim-sulfamethoxazole (TMP-SMZ), unless the community resistance among uropathogens exceeds 10%–20%, in which case a fluoroquinolone (FQ) should be used.
Which of the following is appropriate for uncomplicated pyelonephritis?
Outpatient oral antibiotic therapy with a fluoroquinolone is successful in most patients with mild uncomplicated pyelonephritis. Other effective alternatives include extended-spectrum penicillins, amoxicillin-clavulanate potassium, cephalosporins, and trimethoprim-sulfamethoxazole.
What is uncomplicated UTI?
Definition. A UTI is classified as uncomplicated if there are no functional or anatomical anomalies in the urinary tract, no renal functional impairment, and no concomitant disease that would promote the UTI (3).
How long should a female patient with an uncomplicated UTI be treated with an oral antibiotic?
Uncomplicated urinary tract infection (UTI) is a common disease occurring frequently in young women. It is caused by bacteria multiplying in urine, and the patient usually complains of urgency and burning pain while urinating. The present practice is to treat the patient with antibiotics for three days.
What is uncomplicated pyelonephritis?
Abstract. Acute uncomplicated pyelonephritis is a bacterial infection of the renal parenchyma, common in women. The bacterium responsible is usually Escherichia coli. Empirical antibiotic therapy should be initiated promptly to prevent serious complications.
What is the most common antibiotic for UTI?
Trimethoprim/sulfamethoxazole, nitrofurantoin, and fosfomycin are the most preferred antibiotics for treating a UTI....Common doses:Amoxicillin/clavulanate: 500 twice a day for 5 to 7 days.Cefdinir: 300 mg twice a day for 5 to 7 days.Cephalexin: 250 mg to 500 mg every 6 hours for 7 days.
Can you treat UTIs without antibiotics?
Sometimes, the body can resolve minor, uncomplicated UTIs on its own, without antibiotics. By some estimates, 25–42% of uncomplicated UTI infections clear on their own. In these cases, people can try a range of home remedies to speed up recovery. Complicated UTIs require medical treatment.
How is pyelonephritis treated in pregnancy?
Inpatient admission is warranted for any pregnant patient with pyelonephritis. The treatment of choice during pregnancy includes the use of beta-lactam antibiotics. Intravenous antibiotics should be administered until the patient is afebrile for 24 hours and symptomatically improved.
Which diagnostic testing is indicated in the work up of uncomplicated acute pyelonephritis in an adult?
A urine culture and antimicrobial susceptibility testing should be performed in women with suspected acute pyelonephritis.
What is a complicated vs uncomplicated UTI?
Uncomplicated cystitis refers to a lower urinary tract infection (UTI) in either men or non-pregnant women who are otherwise healthy. Complicated cystitis, on the other hand, is associated with risk factors that increase the likelihood and danger of the infection or the chances of failing antibiotic therapy.
What is the decision to treat gonorrhea?
The main decision once a diagnosis of gonorrhea has been made, either definitively or presumptively, is whether to treat the patient as an outpatient or to hospitalize him or her.
How do condoms prevent gonococcal infections?
The prevention of gonococcal infections is based on education, mechanical or chemical prophylaxis, and early diagnosis and treatment. Condoms offer partial protection, while effective antibiotics taken in therapeutic doses immediately before or soon after exposure can mediate an infection.
How long after a reevaluation is a reevaluation?
Reevaluation 3 months after treatment is recommended by the CDC. This is distinct and different from immediate test of cure. If 3-month retesting is not possible, the patient should undergo repeat screening at the next medical encounter, within 12 months of treatment.
Can cefixime be used for gonococcal infection?
Because of cefixime’s susceptibility, new guidelines were issued that no longer recommend oral cephalosporins for first-line go nococcal infection treatment. [ 63] In April 2007, the CDC updated treatment guidelines for gonococcal infection and associated conditions.
Can you take penicillin with gonorrhoeae?
Strains of N gonorrhoeae circulating in the United States are not adequately susceptible to penicillins, tetracyclines, or older macrolides (eg, erythromycin); thus, use of these antimicrobials cannot be recommended.
Can a fluoroquinolone be used for cephalosporin?
However, if a patient has an absolute contraindication to cephalosporin and other viable antibiotic options are limited, a fluoroquinolone may still have a role in treatment. In these situations, sensitivity testing would be necessary in the event of treatment failure.
Do women with STDs need a pregnancy test?
As discussed in the Workup section, females with diagnosed or suspected sexually transmitted diseases (STDs) should have a concomitant pregnancy test. This guides further care and allows treatment with medications that are not approved for use in pregnancy.
What is the primary test used to diagnose Neisseria gonorrhoeae?
Nucleic acid amplification tests (NAATs) have increasingly become the primary test used to diagnose Neisseria gonorrhoeae genital infections. Multiple studies have shown that NAATs have greater sensitivity for detecting N. gonorrhoeaethan Gram's stain, culture, or DNA probe testing.
How old do you have to be to get a sexually transmitted disease screening?
Perform annual screening in sexually active females 15-21 years of age and in older women who have a prior history of a sexually transmitted disease. Perform annual screening in sexually active females 24 years or younger and in older women who are at increased risk for infection.
What are the complications of chlamydial cervicitis?
Chronic complications include fallopian tube scarring and infertility.
What is the best test for chlamydia?
The nucleic acid amplification test (NAAT) has emerged as the preferred method to diagnose chlamydial infection, primarily because of improved sensitivity; this test is FDA approved for use on urine specimens from men and women, urethral swabs in men, and endocervical swabs in women.
Is chlamydia asymptomatic or asymptomatic?
Asymptomatic. Although men with chlamydia infection may present with inflammatory signs and symptoms, most chlamydial urethral infections are asymptomatic. When discharge is present, it is usually mucopurulent, mucoid, or clear. Some patients will also have dysuria as a possible presentation, but this is less common.
Is ceftriaxone a fluoroquinolone?
Fortunately, rates of resistance to ceftriaxone have remained less than 0.5%. In contrast, fluoroquinolone resistance with Neisseria gonorrhoeae is highly problematic and rates of ciprofloxacin are approximately 30%.
Is Chlamydia trachomatis a gram negative organism?
Chlamydia trachomatis has a gram-negative-like cell wall, but is not visible using a standard Gram's stain. This organism is an obligate intracellular pathogen. During the life cycle of C. trachomatis, the elementary body is the infectious form and the reticulate body is the replicative form.