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Transcript
sulfa and can be prescribed to
patients with a sulfa allergy
Uncomplicated Acute
Pyelonephritis in Women7
Ciprofloxacin 500 mg PO BID for 10
days (preferred) or trimethoprimsulfamethoxazole 160/800 mg PO BID
for 14 days
Chlamydial Infection8,9
Doxycycline 100 mg PO BID for 7
days
-If compliance is an issue
single-dose azithromycin 1 g
($) may be more cost-effective
choice
Gonococcal Infection8,10
Ciprofloxacin 500 mg single dose
Chlamydial infection
accompanies 10-30% of
gonococcal infections so
routine dual therapy may be
cost-effective
-if treated of acquired in Hawaii, Asia
or Pacific use cefixime 400 mg PO
single dose
Genital Herpes – First
Episode or Episodic
Antiviral Treatment11
Acyclovir 200 mg PO five times daily
for five days
Bacterial Vaginosis8,12
Metronidazole 500 mg PO BID for 5-7
days or metronidazole 2 g PO
immediately
Vulvovaginal
Candidiasis8,13
Clotrimazole 1% cream 5 g
intravaginally daily for 7-14 days ($) or
clotrimazole 100 mg one vaginal tablet
daily for 7 days or two vaginal tablets
daily for 3 days ($) or fluconazole 150
mg oral tablet single dose
Trichomonas vaginalis8,14
Metronidazole 2 g PO single dose or
metronidazole 500 mg PO BID for 5-7
days
Acute or Chronic
Bacterial Prostatitis15,16
Ciprofloxacin 500 mg PO BID for 28
days
Respiratory Infections
Bronchitis17,18
Routine antibiotic treatment is not
justified unless pertussis infections is
suspected or in the situation of acute
exacerbation of chronic bronchitis
Pharyngitis (due to group
A streptococci)19,20
Penicillin V 250-500 mg PO 3-4 times
daily for 10 days
-Limit antibiotic prescribing to
patients who are most likely to
have pharyngitis due to
infections with Group A betahemolytic Streptococcus
(GABHS) as evidenced by
diagnostic testing and/or two