STIs are common and costly to the nation's health and economy. CDCgov released the STI Treatment Guidelines, 2021, which provide current evidencebased diagnostic, management, and treatment recommendations. MedTwitter
Chlamydia can lead to PID, which can result in chronic pelvic pain, tubal factor infertility, and potentially fatal ectopic pregnancy. Pregnant women with trichomoniasis are at an increased risk for preterm delivery and low birthweight. Chlamydia and trichomoniasis are both associated with increased risk for HIV acquisition and transmission.
Prompt and appropriate treatment with the following regimens is critical to avoid severe health complications:Doxycycline is now the first-line recommended treatment; 100 mg orally twice a day for 7 days.Metronidazole is recommended for treating all women; 500 mg orally twice a day for 7 days.The recommended outpatient regimen is ceftriaxone 500 mg intramuscularly in a single dose + doxycycline 100 mg orally twice a day for 14 days + metronidazole 500 mg orally twice a day for 14 days.
Because of high reinfection rates, CDC recommends retesting patients 3 months after receiving chlamydia and/or trichomoniasis treatment. 2. Updated and expanded gonorrhea treatment recommendations to minimize the threat of drug resistancethat more than a million new gonorrhea infections occur each year, and about half of all infections are resistant to at least one antibiotic.
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