STD TREATMENT


std treatment

 

std

Sexually transmitted diseases (STDs) are infections (infectious diseases) that a person can get from someone who has the infection (active and non-active) during sex. The three main groups of micro-organisms that cause STDs are bacteria, viruses and parasites. There are more than a dozen of different kinds of common STDs.

Most STDs affect both men and women, but in many cases the health problems they cause can be more severe for women. If a pregnant woman has an STD, it can cause serious health problems for the baby.

If you have an STD caused by bacteria or parasites, your health care provider can treat it with antibiotics or other medicines. If you have an STD caused by a virus, there is no cure. Sometimes medicines can keep the disease under control. Correct usage of latex condoms greatly reduces, but does not completely eliminate, the risk of catching or spreading STDs.

The study of patients at an STD clinic found that many people relied on subjective measures in judging their partner's "safety" -- such as how long they had known the partner or how intelligent or well-educated he or she was. The findings suggest that when people feel they "just know" their partner, they may consider their STD risk to be low even in the absence of any STD/HIV testing, the researchers report in the journal Sexually Transmitted Diseases.

For the study at the University of British Columbia gave questionnaires to 317 men and women attending an STD clinic. All were visiting the clinic for the first time for an assessment and not yet been diagnosed with any STD. The questionnaire asked patients whether they would be "pretty sure" that a sex partner was "safe" in various situations -- such as when they knew the person well, knew his or her friends, or simply felt they could trust the person.

The researchers found that people often took such subjective qualities as a sign that their partner would put them at low STD risk. For example, more than 70 percent of patients said they would probably consider a partner "safe" if he or she were generally trustworthy. However, people's perceptions of their partners do not necessarily match reality.

Past studies have found that while many people are "confident in their assessments of their partner's character," their knowledge of the partner's STD risk factors is often off the mark. "Developing interventions that target assumptions of safety and dispel incorrect beliefs about the selection of safe partners is needed to promote safer sexual behavior," the researchers conclude.

std treatment

Chlamydia, Gonorrhea, Chancroid, Trichomoniasis, bacterial vaginosis (BV), and Genital Herpes std treatment is indicated for sex partners if the last sexual encounter was within 60 days. std treatment of Chlamydia is indicated for patients being treated for Gonorrhea, and vice versa. (It is common to have these two STD infections together) If STD diagnosis is not confirmed, then empiric triple antibiotic std treatment is advocated for the most common STDs - chlamydia treatment, gonorrhea, and trichomoniasis. Triple STD antibiotic regimen: Doxycycline 100 mg twice a day / 10 days; Cipro XR 500mg or 1000mg one single dose (or Levaquin, or Tequin); and Metronidazole 500 mg twice a day for 10 days.

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doxycycline

doxycycline is a member of the tetracycline antibiotics group and is commonly used to treat a variety of infections. doxycycline is a semi-synthetic tetracycline invented and clinically developed in the early 1960s by Pfizer Inc. and marketed under the brand name Vibramycin. Vibramycin received FDA approval in 1967, becoming Pfizer's first once-a-day broad-spectrum antibiotic. Other brand names include Monodox, Periostat, Vibra-Tabs, Doryx, Vibrox, Adoxa, Doxyhexal and Atridox (topical doxycycline hyclate for Periodontitis).

metronidazole

Metronidazole is a nitroimidazole anti-infective medication used mainly in the treatment of infections caused by susceptible organisms, particularly anaerobic bacteria and protozoa. It is marketed by Pfizer under the trade name Flagyl in the US, while Sanofi-Aventis markets metronidazole globally under the same tradename, Flagyl, and also by various generic manufacturers, who sell it at a lower price. metronidazole is also used as a gel preparation in the treatment of the dermatological conditions such as rosacea (Rozex and Metro-Gel by Galderma) and fungating tumours (Anabact, Cambridge Healthcare Supplies).

Metronidazole is a prodrug. It is converted in anaerobic organisms by the redox enzyme pyruvate-ferredoxin oxidoreductase. The nitro group of metronidazole is chemically reduced by ferredoxin (or a ferredoxin-linked metabolic process) and the products are responsible for disrupting the DNA helical structure, thus inhibiting nucleic acid synthesis.

Metronidazole is selectively taken up by anaerobic bacteria and sensitive protozoal organisms because of the ability of these organisms to reduce metronidazole to its active form intracellularly.

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cipro

Ciprofloxacin (aka cipro) is the generic international name for the synthetic antibiotic manufactured and sold by Bayer A.G. under the brand names cipro, ciproxin and ciprobay (and other brand names in other markets, e.g. veterinary medicine), belonging to a group called fluoroquinolones. Ciprofloxacin (cipro) is bacteriocidal. Its mode of action depends upon blocking bacterial DNA replication by binding itself to an enzyme called DNA gyrase, thereby causing double-stranded breaks in the bacterial chromosome.

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If STD diagnosis is not confirmed, then empiric triple antibiotic std treatment is advocated for the most common STDs - Chlamydia, Gonorrhea, and Trichomoniasis. Triple STD antibiotic regimen: Doxycycline 100 mg twice a day / 10 days; Cipro® XR 500mg or 1000mg one single dose (or Levaquin®, or Tequin®); and Metronidazole 500 mg twice a day for 10 days.

std treatment References:

STD-GOV.org - std
STD-GOV.org - std

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