Treatment of more than one STI syndrome

STI SYNDROMES TREATMENT (NEW EPISODE)
MUS + SSW Treat according to SSW flow chart.
MUS + BAL Treat according to MUS flow chart.
AND
  • Clotrimazole cream, 12 hourly for 7 days.
    		•
    MUS + GUS
  • Ceftriaxone, IM, 250 mg immediately as a single dose.

    • AND
  • Azithromycin, oral, 1 g as a single dose.

    • AND
  • Aciclovir, oral, 400 mg 8 hourly for 7 days*.
    		•
    VDS + LAP Treat according to LAP flow chart.
    AND
    Treat for candidiasis, if required (see VDS flow chart).
    VDS + GUS
  • Ceftriaxone, IM, 250 mg immediately as a single dose.

    • AND
  • Metronidazole, oral, 2 g immediately as a single dose.

    • AND
  • Azithromycin, oral, 1 g as a single dose.

    • AND
  • Aciclovir, oral, 400 mg 8 hourly for 7 days*.

    • AND
  • Treat for candidiasis, if required (see VDS flow chart).
    		•
    LAP+ GUS
  • Ceftriaxone, IM, 250 mg immediately as a single dose.

    • AND  
  • Metronidazole, oral, 400 mg 12 hourly for 7days.

    • AND   
  • Aciclovir, oral, 400 mg 8 hourly for 7 days*.

    • AND
  • Azithromycin, oral, 1 g as a single dose.
    		•
    SSW+ GUS
  • Ceftriaxone, IM, 250 mg immediately as a single dose.

    • AND
  • Aciclovir, oral, 400 mg 8 hourly for 7 days*.

    • AND
  • Azithromycin, oral, 1 g as a single dose.
    		•

    *Treat with aciclovir only if HIV status is positive or unknown.

    **Penicillin allergic men and non-pregnant women avoid ceftriaxone and refer to relevant algorithms.

    Penicillin allergic pregnant/breastfeeding women, refer for penicillin desensitisation.