SEXUALLY TRANSMITTED DISEASES

SEXUALLY TRANSMITTED DISEASES

Penyakit Penyebab Gejala Utama Diagnosa Tata Laksana
Chancroid Hemophilus ducreyi Painful “soft chancres”, adenopathy (painful inguinal adenitis) Clinical smears, culture (aspirated pus) a)Erythromycin 500mg/6 hours for 10 days

b)Azithromycin 1g orally once

c) Ceftriaxone 250 mg i.m single dose

 

Granuloma Inguinale Calymmatobacterium granulomatis Raised, red lesions, ulcerative vuvitis, chronic or recurrent, malodorous discharge Clinical smears, biopsy(when smears is negative) : Donovan bodies –         Trimethprim-sulfamethoxazole 1 double strength tablet orally twice daily

–         Ciprofloxacin 750 mg twice daily for 3 weeks

Lymphogranuloma venerum Chlamydia trachomatis Vesicle, progressing to bubo, Rectal ulceration or stricture, Inguinal Lymphadenopathy Clinical complement fixation test Doxycycline 100mg twice dailly for 21 days or Erythromycin 500mg orally 4 times daily for 21 days

 

Molluscum Contagiosum Molluscum contagiosum (DNA virus) Raised papule with waxy core Clinical inclusion bodies Desiccation, cryotherapy, Curretage
Parasites Pediculosis pubis, scabies Itching Inspection Lindane 1%
Enteric Infections Neisseria gonorrhoeae, Chlamydia trachomatis, Shigella sp., Salmonella, protozoa Diarrhea Culture Based on agent
Vaginitis Trichomonas Odor, iritation Microscopic examination of secretions Metronidazole 500mg/12 hours for 7 days

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