A randomized controlled trial was carried out to assess the effectiveness of azithromycin versus a standard regimen with doxycycline/ciprofloxacin in the treatment of sexually transmitted infections in a resource-poor environment. These results indicate that a single oral dose of azithromycin may prove to be a more effective and convenient treatment for sexually transmitted infections in women in a resource-poor environment Received 10 August 2001; returned 20 November 2001; revised 16 January 2002; accepted 18 February 2002. Current sexually transmitted disease (STD) treatment protocols are based on syndromic management principles1 or targeted specifically at the causative organisms.1 In either case the antibiotic of choice for treating non-gonococcal cervicitis has been a tetracycline, such as doxycycline 200 mg daily or 100 mg twice daily for 7 days. It is not surprising that multiple doses per day and 7 day regimens have associated problems of reduced compliance and side effects.2 The availability of azithromycin, which has proven efficacy against 4 Azithromycin has properties useful for the treatment of STDs, as it can be administered orally and has pharmacokinetic properties permitting single dose therapy for certain indications.2 Attendees at an STD clinic, Durban, South Africa, have chlamydial infection rates of 12–38%, tend to be young and have poor follow-up attendence.5 This scenario is a strong argument for the use of a drug that is effective in a single dose. For these reasons we undertook a randomized controlled trial to compare the effectiveness of azithromycin with that of doxycycline/ciprofloxacin in the syndromic management of women presenting with a muco-purulent cervical discharge. Approval for this study was obtained from the Ethics Committee of the Faculty of Medicine, University of Natal. Informed consent was obtained from all participants. First-visit, non-pregnant, female, clinic attendees at an STD clinic in Durban, from 16 August to 7 November 1999, were invited to participate in the trial if they had a muco-purulent cervical discharge with a diagnosis of non-gonococcal cervicitis (NGC), based on a routine vaginal wet mount and cervical Gram stain. is zoloft a benzo Oral metronidazole is the treatment of choice and may be administered as either a single 2-g dose or as prolonged therapy with 500 mg twice daily for 7 days. Tinidazole (single 2-g dose) is an FDA-approved alternative to metronidazole that has been shown to be equally effective in clinical may prevent transmission to the infant. The CDC currently recommends that infected symptomatic pregnant females be treated with 2 g metronidazole in a single dose. Infected asymptomatic pregnant women may wish to defer treatment to after 37 weeks’ gestation. Drug resistance is rare, despite the prevalent use of nitroimidazole drugs in the treatment of trichomoniasis. Treatment failures may require a higher-dose metronidazole regimen or the use of a different nitroimidazole (eg, tinidazole). Antiprotozoal therapy must be comprehensive and should cover all likely pathogens in the context of the clinical setting. Retin a micro gel 0.1 for purchase It also is used to treat parasitic infections including trichomoniasis. Many antibiotics, including Cipro, Cipro XR, can alter the normal bacteria. zoloft alcohol Answer - Posted in trichomoniasis, ciprofloxacin, metronidazole - Answer Trich is a protozoan and Metro is the standard drug to treat it. You. Trichomoniasis can be cured with antibiotics. Your doctor may recommend metronidazole Flagyl or tinidazole Tindamax. With treatment, trichomoniasis is usually cured within a week. D., West Virginia University Hospitals, Morgantown, West Virginia MELANIE A. Part II, “Vaginal Infections, Pelvic Inflammatory Disease and Genital Warts,” will appear in the next issue of In 1998, the Centers for Disease Control and Prevention released guidelines for the treatment of sexually transmitted diseases. SC., West Virginia University, Morgantown, West Virginia Am Fam Physician. This is Part I of a two-part article on drug treatment of common sexually transmitted diseases. Several treatment advances have been made since the previous guidelines were published. Part I of this two-part article describes current recommendations for the treatment of genital ulcer diseases, urethritis and cervicitis. Treatment advances include effective single-dose regimens for many sexually transmitted diseases and improved therapies for herpes infections. Two single-dose regimens, 1 g of oral azithromycin and 250 mg of intramuscular ceftriaxone, are effective for the treatment of chancroid. A three-day course of 500 mg of oral ciprofloxacin twice daily may be used to treat chancroid in patients who are not pregnant. Cipro (ciprofloxacin) is a brand-name prescription antibiotic medication. Cipro belongs to a class of antibiotics called fluoroquinolones. Cipro is effective for treating infections caused by many different types of bacteria. These include bacteria that cause infections in the urinary tract, abdomen, skin, prostate, and bone, as well as other types of infections. Cipro comes in several forms: Cipro can cause mild or serious side effects. The following list contains some of the key side effects that may occur while taking Cipro. This list does not include all possible side effects. For more information on the possible side effects of Cipro, or tips on how to deal with a troubling side effect, talk with your doctor or pharmacist. Will cipro treat trichomoniasis Trichomoniasis Treatment, Causes, Symptoms &, Trichomoniasis - Can ciprofloxacin be used instead of. 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Cipro is a brand-name prescription medication that's used to treat infections caused by. Serious side effects and their symptoms can include.