What you need to know about major STI management changes

New guidelines proposed for primary care

An Australian review focusing on STI and syndrome management has proposed major changes to current guidelines for primary care.

STD concept

The most significant changes proposed are to Mycoplasma genitalium, cervicitis, urethritis, PID and anorectal syndromes.

Here’s what’s different:

Anorectal syndromes: For rectal coinfection with gonorrhoea and chlamydia, treatment should be given for both infections — such as ceftriaxone 500mg IM injection stat in 2mL 1% lignocaine, PLUS azithromycin 1g PO stat, PLUS doxycycline 100mg PO bd 21 days, 21 days of doxycycline also

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