2010 CDC Updated Guidelines for Treatment of Sexually Transmitted Diseases (STDs)






In 2010 the Centers for Disease Control and Prevention (CDC) updated guidelines for treatment of sexually transmitted diseases (STDs).

The following recommendations, represent some of the revisions from 2006 CDC guidelines:
  • A single dose of azithromycin (1 gram orally) has been shown to be clinically effective for treatment of chlamydial infections in pregnancy. The previous recommendation for amoxicillin 500 mg orally three times a day for seven days is also recommended and is an equally effective, but less convenient, approach. Pregnant women should be retested for chlamydia three weeks after treatment, and women treated in the first trimester should be retested three months later. 
  • Diagnostic evaluation for cervicitis has been expanded to include testing for C trachomatis and N gonorrhoeae by nucleic acid amplification, and testing for bacterial vaginosis and trichomoniasis. 
  • Treatment options for bacterial vaginosis have been expanded. 
  • Treatment options for genital warts have been expanded and include: waiting for spontaneous resolution, podofilox 0.5 percent solution or gel, imiquimod 5 percent cream, or sinecatechins 15 percent ointment. 
  • The dose of ceftriaxone for treatment of gonorrhea has been increased from 125 mg to 250 mg intramuscularly in a single injection.
 

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