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    : 189
    : 18.07.2019, 19:24
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    : 37
    : 06.03.2018, 18:06
  3. enoise -, ,
    : 14
    : 01.09.2004, 19:30
  4. : 1
    : 31.07.2004, 03:43
  5. : 1
    : 24.07.2004, 08:42

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  1. qwert
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  2. miraam
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  11. TTV
    #11
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    GUIDELINES FOR THE MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS

    CHLAMYDIA TRACHOMATIS INFECTIONS







    UNCOMPLICATED ANOGENITAL INFECTION



    Recommended regimen



    doxycycline, 100 mg orally, twice daily for 7 days

    OR

    azithromycin, 1 g orally, in a single dose



    Alternative regimen



    amoxycillin, 500 mg orally, 3 times a day for 7 days

    OR

    erythromycin, 500 mg orally, 4 times a day for 7 days

    OR

    ofloxacin, 300 mg orally, twice a day for 7 days

    OR

    tetracycline, 500 mg orally, 4 times a day for 7 days



    Note



    Doxycyline and other tetracyclines are contraindicated during pregnancy and lactation.Current evidence indicates that 1 g single-dose therapy of azithromycin iseffi cacious for chlamydial infection.There is evidence that extending the duration of treatment beyond 7 days does not improve the cure rate in uncomplicated chlamydial infection. Erythromycin should not be taken on an empty stomach.



    Follow-up



    Compliance with the 7-day regimen is critical. Resistance of C. trachomatis to recommended treatment regimen has not been observed.



    CHLAMYDIAL INFECTION DURING PREGNANCY



    Recommended regimen



    erythromycin, 500 mg orally, 4 times a day for 7 days

    OR

    amoxycillin, 500 mg orally, three times a day for 7 days



    Note

    Doxycycline (and other tetracyclines) and ofl oxacin are contraindicated in pregnant women. Preliminary data suggest that azithromycin is safe to use in pregnant women.However, the number of women in the trials so far is too small to assess safety for use in pregnancy as rare adverse outcomes are unlikely to be detected.Erythromycin estolate is contraindicated during pregnancy because of drugrelated hepato-toxicity. Hence, only erythromycin base or erythromycin ethylsuccinate should be used.



    NEONATAL CHLAMYDIAL CONJUNCTIVITIS



    All newborn infants with conjunctivitis should be treated for both N. gonorrhoeae and C. trachomatis, because of the possibility of mixed infection.



    Recommended regimen



    erythromycin syrup, 50 mg/kg per day orally, in 4 divided doses for 14 days



    Alternative regimen



    trimethoprim 40 mg with sulfamethoxazole 200 mg orally, twice daily for 14 days



    Note

    There is no evidence that additional therapy with a topical agent provides further benefi t. If inclusion conjunctivitis recurs after therapy has been completed,erythromycin treatment should be reinstituted for 2 weeks.



    INFANTILE PNEUMONIA



    Recommended regimen



    erythromycin syrup, 50 mg/kg per day (given orally in four doses) for 14 days



    Note

    The optimal duration of therapy has not been defi nitively established, but treatment should not be less than 14 days.





    --------------------------------------------------------------------------------

  12. NatashaGolubeva2006
    #12
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  13. L0kis
    #13
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  14. BoBKa
    #14
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    , . . GUIDELINES WHO PDF - pdf-

  15. svetlana_ru
    #15
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    , .

    Guidelines for the management of sexually transmitted infections

    Revised version - 2003

    http://www.who.int/reproductive-health/publications/rhr_01_10_mngt_stis/index.html

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