Gonococcal infections Ceftriaxone, 250 mg intramuscularly
once
Spectinomycin, 2 g intramuscularly
once
Chlamydial infections Azithromycin, 1 g orally single dose OR Erythromycin base, 500 mg orally 4/
day for 7 days OR
Amoxicillin, 500 mg orally 3/day for 7
days
Erythromycin, 250 mg orally 4/day for
14 days OR
Erythromycin ethylsuccinate, 800 mg
orally 4/day for 7 days OR
Erythromycin ethylsuccinate, 400 mg
orally 4/day for 14 days
Syphilis Penicillin is the only recommended
treatment for syphilis during
pregnancy; women who are allergic
should be desensitized and then
treated with penicillin
Pelvic inflammatory disease Patients should be hospitalized and
treated with the appropriate
recommended parenteral
intravenous treatments (see CDC
guidelines)
Trichomoniasis Metronidazole, 2 g orally single dose Metronidazole, 500 mg orally 2/day
for 7 days
Bacterial vaginosis Metronidazole, 500 mg orally 2/day
for 7 days OR
Metronidazole, 250 mg orally 3/day
for 7 days OR
Clindamycin, 300 mg orally 2/day for
7 days
Gonococcal infections Ceftriaxone, 250 mg intramuscularlyonceSpectinomycin, 2 g intramuscularlyonceChlamydial infections Azithromycin, 1 g orally single dose OR Erythromycin base, 500 mg orally 4/day for 7 days ORAmoxicillin, 500 mg orally 3/day for 7daysErythromycin, 250 mg orally 4/day for14 days ORErythromycin ethylsuccinate, 800 mgorally 4/day for 7 days ORErythromycin ethylsuccinate, 400 mgorally 4/day for 14 daysSyphilis Penicillin is the only recommendedtreatment for syphilis duringpregnancy; women who are allergicshould be desensitized and thentreated with penicillinPelvic inflammatory disease Patients should be hospitalized andtreated with the appropriaterecommended parenteralintravenous treatments (see CDCguidelines)Trichomoniasis Metronidazole, 2 g orally single dose Metronidazole, 500 mg orally 2/dayfor 7 daysBacterial vaginosis Metronidazole, 500 mg orally 2/dayfor 7 days ORMetronidazole, 250 mg orally 3/dayfor 7 days ORClindamycin, 300 mg orally 2/day for7 days
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