Prophylaxis of sexually transmitted infections
| Prophylaxis |
Dose & Duration |
| Cefixime |
800mg PO x 1 dose |
| or |
|
| Ceftriaxone |
250mg IM x 1 dose |
Cephalosporin/severe penicillin allergy
| Prophylaxis |
Dose & Duration |
| Azithromycin |
2g PO x 1 dose |
Chlamydia trachomatis
| Prophylaxis |
Dose & Duration |
| Azithromycin |
1g PO x 1 dose |
| or |
|
| Doxycycline |
100mg PO bid x 7 days |
Pregnancy/Lactation
| Prophylaxis |
Dose & Duration |
| Amoxicillin |
500mg PO tid x 7 days |
| or |
|
| Azithromycin |
1g PO x 1 dose |
Hepatitis B virus (HBV)
Prophylaxis indicated if:
- Assailant infected with HBV
- Requested by victim
- Victim unlikely to return for follow up
- Hepatitis B immunization < 3 doses
| Prophylaxis |
Dose & Duration |
| Hepatitis B immunoglobulin (HBIG) |
0.06mL/kg IM once |
| + |
|
| Hepatitis B vaccine |
Doses at 0, 1, 6 mos |
HIV
If assailant known to be HIV positive or at high risk for HIV, e.g. known injection drug use or MSM, offer HIV post exposure prophylaxis in consultation with Regional Public Health and Infectious Diseases.
