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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









          Vil. Genital Herpes Simplex
                 A. Genital Herpes, first episode:                               4D
                    Acyclovir 200 mg 5x/day orally, for 7-10 days or until
                    resolution (whichever is longer).

                 B. Herpes Proctitis
                    Acyclovir 400 mg 5x/day orally, for 10 days or until
                    resolution.

                 C. Genital Herpes - Recurrent Episode
                    Therapy is generally ineffective. In severely
                    @ ptomatic disease, within 2 days of onset, consider
                    acyclovir 200 mg 5x/day orally for 5 days or 800 mg
                    2x/day for 5 days.

          VIII. Genital Warts
                  A. Biopsy all atypical, pigmented, or persistent warts.
                  B. 1. Cryotherapy, podophyllin, trichloroacetic acid or
                     electrodesiccation are all effective topical
                     measures.
                          a.  Cryotherapy - liquid nitrogen
                          b.  Podophyllin 10%-25% in tincture of benzoin -
                              apply total volume < 0.5 ml; wash off in 1-4
                              hours; repeat weekly as needed.
                          C.  Trichloroacetic Acid (80-90% solution) - apply
                              weekly as needed.

          IX. Pelvic Inflammatory Disease
                A.  Strongly consider hospitalization - this is particularly
                    advised in military setting.
                B.  Parenteral regimens:
                    1.  a.  Cefoxitin 2 gm q 6h IV plus doxycycline 100 mg
                            BID orally, until 48 hours after clinical
                            resolution, followed by doxycycline 100 mg BID
                            orally for a total of 14 days.
                        b.  Cefotetan, 2 gm q 12h IV may be substituted for
                            cefoxitin.
in loading dose
                        2mg/kg IM or IV followed by 1.5 mg/kg q8h IV, until
                        48 hours after clinical resolution, followed by
                        doxycycline 100 mg BID orally for a total antibiotic
                        course of 14 days.

               C. Outpatient regimen (less desirable)
                    1.  Cefoxitin 2 gm IM plus Probenecid I gm orally,
                        one dose
                        plus doxycycline 100 mg BID orally x 14 days or
                        tetracycline 500 mg QID orally x 14 days or
                        e @ hromycin 500 mg QID orally x 14 days.
                    2.  Ceftriaxone (Rocephin) 250 mg IM may be substituted
                        for cefoxitin.

          X. Epididymitis: Treat as for urethral gonorrhea, except for
               for prolonging doxycycline for 10 days total.


   !98

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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