STDs

• Bacterial Vaginosis
  • — Metronidazole 400 mg 1 x 3 po pc
• Trichomoniasis
  • — Metronidazole 400 mg 1 x 3 po pc or Metronidazole 400 mg 5 tab po single dose
• Vulvovaginal candidiasis
  • — Clotrimazole 100 mg 1 tab vaginal suppo for 7 day
• Severe Candida
  • fluconazole 150 mg 1 tab po q 3 day for 1 week then 1 tab po weekly untill 6 mo
• Cervicitis — Chalmydia and N.gonoorhea
  • Ceftriaxone 500 mg im single dose
  • Doxycycline 100 mg 1x2 po pc for 7 day or azithromycin 250 4 tab po saingle dose
• TOA — Clinical Should improve in 72 hr
  • Ceftriaxone 1 g iv OD + Doxycycline 100 1x2 po pc + Metronidazole 500 mg iv q 8 hr
  • Gentamycin 240 mg iv od + Clindamycin 900 mg iv q 8 hr

<aside> 💡

Oral ATB Before D/C —> Doxycycline 100 mg 1 x 2 po pc for 14 day , Metronidazole 400 mg 1 x 3 po pc

</aside>

Genital Ulcer

• HPV
  • TCA , Podophillin
• HSV —> Painful genital ulcer
  • Acyclovir 400 1 x 3 po pc for 7 day
• Syphillis —> Chancre , MP Rash
  • Primary Syphillis + Secondary Syphillis
    • Benzathine Penicilin G 2.4 MU IM. single Dose
  • Latent Syphillis or Pregnancy
    • Benzathine Penicillin G 2.4 MU IM weekly for 3 dose
• Chancroid
  • Azithromycin 250 mg 4 tab po single dose

Maternal HIV Infection

• Start Stat no need to wait for CD4+

Recomend Regimen : TDF + 3TC + DTG

TDF = Tenofovir

3TC = Lamivudine