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Subject: DIARRHEAL DISEASES                                              

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box ID: BX303811

Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1                                                                 

Document Number:         16

Folder SEQ  #:          2








                 SEXUALLY TRANSMITTED DISEASES / TREATMENT REGIMENS

           Gonorrhea
           A. Uncomplicated urethral, cervical, or rectal infection:
                 1.  Ceftriaxone (Rocephin) 250 mg IM one dose, followed
                     by doxycycline 100 mg BID orally x 7 days.
                 2.  Less desirable alternative:
                     a. Spectinomycin 2 gm IM one dose followed by
                        doxycycline 100 mg BID orally x 7 days, or
                     b. Ciprofloxacin 500 mg one dose orally, followed
                        by doxycycline 100 mg BID orally x 7 days.

           B.    Pharyngeal Infections: Ceftriaxone or ciprofloxacin as
                 above. Doxycycline is not indicated.

           C.    Disseminated Gonococcal Infections
                 1.  a. Ceftriaxone (Rocephin) I gm IV or IM ql2h, or
                     b. Ceftizoxime (Ceftizox) 1 gm IV q Bh, or
                     c. Cefotaxime (Claforan) 1 gm IV q 8h, or
                     d. Spectinomycin 2 gm IM q Bh
                 2.  Durationt therapy should continue until 48 hours
                     after all symptoms have resolved.
                 3.  Following above parenteral therapy, patients should
                     receive:
                     a. cefuroxime axetil 500 mg BID orally x 7 days, or
                     b. amoxicillin with clavulinic acid (Augmentin) 500
                        mg TID orally x 7 days, or
                     C. Ciprofloxacin 500 mg BID orally x 7 days.

           D. Gonococcal Meningitis:
               1. Ceftriaxone (Rocephin) 1 gm-2gm IV q 12h x 10-14 days,
                       or
               2.    Chloramphenicol 1 gm IV q4-6h x 10-14 days. (less
                       desireable regimen).
               3.    In proven penicillin sensitive cases, penicillin G,
                       300,000 U/kg/d in divided doses,         to maximum
                       2,000,000 U q2h IV x 10-14 days, is acceptable.

arditis:
                 1. Ceftriaxone (Rocephin) 1-2 gm IV q 12h x 4 weeks.
                 2. In proven penicillin-sensitive cases, penicillin
                     G, 300,000 u/kg/d in divided doses, to a maximum
                     of 2,000,000 u q2h IV x 4 weeks may be given.

            F. Adult Gonococcal ODhthalmia
                 1.  Ceftriaxone (Rocephin) I gm IM, one dose, plus saline
                     irrigation. Topical antibiotics are not sufficient.,
                 2.  Persistent cases may be treated with c f@triaxone 1 gm
                     IM or IV QD x 5 days. Concurrent infection with
                     Chlamydia trachomatis should be suspected if patient
                     does not respond. (see below)

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Document 28 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/diarrheal diseases:1018961450003
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-37
Box ID = BX303811
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = VARIOUS NAVAL MESSAGES FOLDER 1
Folder Seq # = 2
Subject = DIARRHEAL DISEASES
Document Seq # = 16
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996