STI Advisory

*NEW* SYPHILIS testing:

  • Rapid Syphilis Serology (EIA) order available in "Labs"; results in 1-2 hours (if positive, reflexes to RPR)
    • If POSITIVE, treat empirically with Bicillin 2.4mu IM if: (1) no hx of syphilis + high risk features, or; (2) signs/sxs of syphilis, or; (3) patient difficult to reach after visit


*Updated* GONORRHEA TREATMENT recommendations:

  • Gonorrhea: Ceftriaxone 500mg IM x1 (unless >150kg, then Ceftriaxone 1000mg IM x1)
  • Chlamydia: Doxycycline 100mg PO BID x7 days (if pregnant, Azithromycin 1g PO x1)

 

Continued ZSFG recommendations:

  1. Regularly screen patients for STIs.
  2. Report all lab-confirmed and suspected STIs using this form.

Syphilis Testing and Treatment