STI management

Question 1

Management of Bacterial Vaginosis

Answer 1

Metranidazole (as it is caused by anaerobes)
Can be topical and/or oral

Question 2

What is given to patients with Chlamydia?

Answer 2

Doxycycline 100mg BD for 7 days but in pregnancy Azithromycin 1g single dose orally on day 1. Then 500mg on days 2 and 3.

Question 3

What is given to patients with Candidiasis?

Answer 3

Oral fluconazole ( 150mg single dose) is first line but if the patient declines this treatment, Clotrimazole intravaginal pessary 500mg

Question 4

What is given to patients with Gonorrhoea?

Answer 4

1g IM cefatrioxone and abstain from sex for 7 days

Question 5

What is given to patients with Trichomonas Vaginalis?

Answer 5

• Metranidazole 400mg BD for 5-7 days
• Sex should be avoided for 7 days and their partner should receive the same treatment to avoid re-infection