STI
Sexually Transmitted Infection
Presumptive Treatment of NGU with Microscope
- Recommended Regimens
- Azithromycin 1 g orally in a single dose, or
- Doxycycline 100 mg orally twice a day for 7 days
Azithromycin and doxycycline are both highly effective for the treatment for chlamydial urethritis. Urethritis associated with M. genitalium responds better to azithromycin, although azithromycin resistance is increasing.
Presumptive Treatment of NGU without Microscope
- When Gram stain is not available gonorrheal infection cannot be ruled out. These patients should be treated with a drug regimen effective against both chlamydia and gonorrhea.
- Recommended Regimens
- Ceftriaxone 250 mg IM PLUS
- Azithromycin 1 g orally in a single dose, or
- Doxycycline 100 mg orally twice a day for 7 days