TAILIEUCHUNG - Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 5)

Treat urethritis promptly, while test results are pending. Table 124-4 summarizes the steps in management of sexually active men with urethral discharge and/or dysuria. Table 124-4 Management of Urethral Discharge in Men Usual causes Usual initial evaluation Chlamydia trachomatis pyuria Neisseria gonorrhoeae Demonstration of urethral discharge or Exclusion of local or systemic Mycoplasma genitalium complications Ureaplasma urealyticum Urethral Gram's stain to confirm urethritis, detect gram-negative diplococci Trichomonas vaginalis Test for N. gonorrhoeae, C. trachomatis Herpes simplex virus Initial Treatment for Patient and Partners Treat (unless excluded): gonorrhea plus Treat chlamydial infection: Ceftriaxone, 125 mg IM; or Azithromycin, 1 g PO; or Cefpodoxime, 400 mg PO; or 7 days . | Chapter 124. Sexually Transmitted Infections Overview and Clinical Approach Part 5 1. Treat urethritis promptly while test results are pending. Table 124-4 summarizes the steps in management of sexually active men with urethral discharge and or dysuria. Table 124-4 Management of Urethral Discharge in Men Usual causes Chlamydia trachomatis Neisseria gonorrhoeae Usual initial evaluation Demonstration of urethral discharge or pyuria Exclusion of local or systemic Mycoplasma genitalium Ureaplasma urealyticum Trichomonas vaginalis Herpes simplex virus complications Urethral Gram s stain to confirm urethritis detect gram-negative diplococci Test for N. gonorrhoeae C. trachomatis Initial Treatment for Patient and Partners Treat gonorrhea unless excluded plus Treat chlamydial infection Ceftriaxone 125 mg IM or Azithromycin 1 g PO or Cefpodoxime 400 mg PO or Doxycycline 100 mg bid for 7 days Cefixime 400 mg POa Management of Recurrence Confirm objective evidence of urethritis. If patient was reexposed to untreated or new partner repeat treatment of patient and partner. If patient was not reexposed consider infection with T. vaginalisb or doxycycline-resistant M. genitalium or Ureaplasma and consider treatment with metronidazole azithromycin or both. Updates on the availability of cefixime can be obtained from the Centers for Disease Control and Prevention or state health departments. bIn men the diagnosis of T. vaginalis infection requires culture or nucleic acid amplification test where available of early-morning first-voided urine sediment or of a urethral swab specimen obtained before voiding. Urethritis in Men .

• Y học thường thức
• Sexually Transmitted Infections
• Clinical Approach
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu y khoa
• Harrisons Internal Medicine
• ABC of sexually transmitted infections
• Main presentations
• Male patients
• Examination techniques
• Genital ulcer disease
• Pelvic inflammatory disease
• Genital growths
• Genital infestations
• Sexual health services
• The sexual health consultation
• Clinical sampling
• Viral hepatitis
• Systemic manifestations
• Sexual health care
• Reproductive tract infections
• Hepatitis B
• Person sexual contact
• Several of these infections
• Tissue transfer
• Illustrated synopsis
• Sexually transmitted diseases
• Adverse drug reactions
• Autoimmune connective tissue diseases
• Cutaneous response
• Bacterial Infections
• Chlamydia trachomatis
• Men Sex Men
• Heterosexual Men
• Mucosal Immunity
• Public health
• Care seeking behavior
• Global public health issue
• Pelvic inflammatory disease
• Ureaplasma urealyticum
• Human papillomavirus
• Mycoplasma genitalium
• Dermatology for the USMLE
• Melanocytic skin disorders
• Malignant skin disorders
• Selected bacterial infections
• Selected fungal infections