Nuevas guías de tratamiento de gonorrea multirresistente

Multidrug-Resistant Gonorrhea: New Treatment Guidelines

The CDC's updated treatment recommendations are:

·         Treat gonorrhea at any anatomic site with a single intramuscular injection of 250 mg ceftriaxone plus either 1 g azithromycin as a single oral dose or 100 mg doxycycline orally twice per day for 7 days.

·         If ceftriaxone is not available, patients can be given a single oral dose of cefixime 400 mg and either a single dose of azithromycin or doxycycline 100 mg orally twice per day for 7 days.

·         If the patient is allergic to cephalosporins, he or she can be given a single dose of azithromycin 2 g.

·         Patients who receive either of the alternatives to ceftriaxone should return for a test of cure in 1 week.

Bibliografía

Morb Mortal Wkly Rep. 2013;62:93-98.