Active Ingredients: Azithromycin
In cases where the HIV status of the perpetrator is not known, the CDC advises practitioners to decide with patients on an individual case-by-case basis. Some states in the United States legislate medical examiners to offer HIV PEP to all sexual assault victims, and practitioners must be aware of their state laws.
Most recommend follow-up in 1 to 2 weeks for repeat STD testing if not completely treated during the initial examination, and at 4 to 6 weeks and 3 to 6 months for HIV, hepatitis B, hepatitis C, and syphilis serology testing.
The clinicians and nurses must work together to assure the patient gets the correct therapy and follow up as this will result in the best outcome.
References 1. Sexually transmitted diseases treatment guidelines,. Adverse events AE's were mild; there were no significant differences between the groups.
Conclusion These data suggest that a 6-month course of combination antibiotics is an effective therapy for chronic Chlamydia-induced ReA. Keywords: reactive arthritis, combination antibiotic treatment, Chlamydia trachomatis, Chlamydia pneumoniae Chlamydia trachomatis Ct, and various species in the Genera Salmonella, Shigella, Campylobacter, and Yersinia, all are known triggers of reactive arthritis ReA.
Persistent chlamydial organisms exist in a morphologically aberrant but metabolically active state in synovial tissue.
During persistence, expression of the major outer membrane protein gene omp 1 and several genes required for the cell division process are severely down-regulated. This is coupled with differential up-regulation of the three paralog genes specifying the C.
The use of long-term antibiotic treatment for patients with ReA is controversial. Several published studies have indicated that prolonged antimicrobial monotherapy is not efficacious 17 - 20. Indeed, in vitro data confirm these findings 21 - 24.For others, such as genital herpes. Carolyn J.