UNFPAReproductive Health in Refugee Situations: An Interagency Field Manual
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REPRODUCTIVE HEALTH IN REFUGEE SITUATIONS: AN INTER-AGENCY FIELD MANUAL
CHAPTER FIVE
Annex 5
 

(Choice of drugs should be based on antibiotic sensitivity studies in a specific area)
 

Treat For
 

Drugs -- Depending on Sensitivity Studies
 

Adult Dose (for uncomplicated or early infections)
 

Gonorrhoea

Ciprofloxacin (1)

500 mg -single dose -oral

 

Spectinomycin

2 g -single dose -IM

 

Cefixime

400 mg -single dose -oral

 

Ceftriaxone

250 mg -single dose -IM

 

Kanamycin

2 g -single dose -IM

 

Sulfamethoxazole/ Trimethoprim
 

400mg/ 80mg -10 tabs once daily for 3 days
 

Chlamydia

Doxycycline (1)

100 mg -twice daily for 7 days -oral

 

Tetracycline (1)

500 mg -four times a day for 7 days -oral

 

Erythromycin

500 mg -four times a day for 7 days -oral

 

Sulfafurazole
 

500 mg -four times a say for 10 days -oral
 

Syphilis

Benzathine penicillin G

2.4 MUs -single dose -IM

 

Procaine penicillin G

1.2 MUs -daily for 10 days -IM

 

Tetracycline (1,2)

500 mg -four times a day for 15 days -oral

 

Doxycycline (1,2)

100 mg -twice daily for 15 days -oral

 

Erythromycin (2)
 

500 mg -four times a day for 15 days -oral
 

Chancroid

Erythromycin

500 mg -three times a day for 7 days -oral

 

Ciprofloxacin (1)

500 mg -single dose -oral

 

Ceftriaxone

250 mg -single dose -IM

 

Spectinomycin

2 gm -single dose -IM

 

Sulfamethoxazole/ Trimethoprim
 

800mg/ 160mg -twice daily for 7 days -oral
 

Donovanosis

Sulfamethoxazole/ Trimethoprim

800mg/ 160mg -twice daily for 14 days -oral

 

Doxycycline (1)

100 mg -twice daily for 7 days

 

Tetracycline (1)

500 mg -four times a day for 7 days

 

Chloramphenicol
 

500 mg -four times a day for 2 days
 

Trichomononas

Metronidazole (3)
 

2 g -single dose -oral
 

Candidosis

Nystatin pessaries

100,000 IU -twice intravaginally for 14 days

 

Clotrimazole or miconazole pessaries

200 mg -once intravaginally for 3 days

 

Miconazole
 

500 mg -intravaginally -single dose
 

Bacterial vaginosis

Metronidazole (3)
 

400-500 mg -twice a day for 7 days -oral or 2 g -single dose -oral
 


NOTE: Drugs for treatment of STDs are continuously revised. Health care providers should rely on the most up-to-date recommendations.


1-- Contraindicated in pregnancy

2-- For persons allergic to penicillin, but may be less effective. Close follow up is necessary to ensure a cure.

3-- Contraindicated in first trimester of pregnancy


Based on: Management of STDs-- WHO/ GPA/ TEM/ 94.1 and WHO Model Prescribing Information: Drugs Used in STDs and HIV Infections-- WHO 1997

 


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REPRODUCTIVE HEALTH IN REFUGEE SITUATIONS: AN INTER-AGENCY FIELD MANUAL