Important: Therapy
See NHS Borders Sexual Health STI protocol http://www.borderssexualhealth.org.uk/for-professionals/clinical-protocols/
See NHS Borders Sexual Health STI protocol http://www.borderssexualhealth.org.uk/for-professionals/clinical-protocols/
First line
Ofloxacin 400mg oral 12 hourly for 14 days
or
Second line
Ciprofloxacin 500mg oral 12 hourly for 10 days
CSM advice (tendon damage) see BNF
Review at 14 days. If symptoms persist, for further course of antimicrobial treatment
Amoxicillin 500mg-1g IV 8 hourly
+
Gentamicin IV (Extended interval dosing as per guideline. Use gentamicin calculator. Max 3 days then review.
All sexually active men should be tested for Chlamydia and Gonorrhoea (urine sample for NAAT testing) prior to treatment
See NHS Borders Sexual Health STI protocols for more details http://www.borderssexualhealth.org.uk/for-professionals/clinical-protocols/