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Vaginal Discharge Synd.
Organisms
Antibiotics
N Gonorrhoeae (Cefixime stat)
C Trachomatis (Doxy 7 days)
T Vaginalis (Metro stat)
Urethral Discharge Synd.
Organisms
Antibiotics
N Gonnorhoeae (Cefix/Ceftriax stat)
C Trachomatis (Doxy 7 days)
Lower Abdo Pain  
No evidence SEVERE or UTI
Ceftriax 250mg, im, stat
Doxy 100mg bd 2/52
Metro 400mg bd 2/52
Genital Ulcer Synd.
Organisms
Antibiotics
H. ducreyi, T. pallidum, HSV-2
-Benzathine Pen IM stat, -Erythromycin 5/7, -Acyclovir (esp in suspected HIV)
Syphillis
Organism
Stage & treat
T. Pallidum
10/20 or early latent: Benzathine pen (stat)
Late: Benzathine pen 1 per week, 3 weeks.
Herpes
Organism
Treat
HSV / V zoster
Aciclovir  Herpes: PO 400mg 8 hrly, 10/7 Zoster (V/H): PO 800mg 4hrly 7/7
Genital Warts
Organism
Treatable Category

Condyloma accuminata
Soft <10mm, Tincture of podophylin soln.
Testicular Swelling
Important Points
Treat
Hx: rotation/elevation/trauma
Ceftriaxone 250mg im stat PLUS Doxy 100mg bd 2/52
Aciclovir
  • HSV (1 and 2)
  • Varicella-zoster
Amoxicillin
  • Broad spectrum activity G+ve, G-ve cocci and some bacilli
  • Mainly resp infections
Combines with Clav acid
Ceftriaxone  (Conditions)
  • N gonorrhoeae
Prostatitis, Discharge, Urethritis, PID
Cefixime
  • Primary for N Gonorrhoeae
Prostatitis, Discharge, Urethritis, PID
Ciprofloxacin
  • Highly effective as stat dose gonorrhoea
Clotrimazole
C albicans (Candida)
Doxycycline
Agent of choice Chlamydia
Erythromycin
  • H ducreyi, Chlamydia
  • Some activity against syphilis
Useful alt to penicillin in strep infects
Metronidazole
  • T vaginalis
Part of syndrome manage VDS.
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