STI management

Summary of changes

Addition

  • Mycoplasma to list of conditions
  • New section on mycoplasma genitalia as now tested for in limited circumstances - advised medical consult 

Medicines 

  • For Chlamydia: added to give doxycycline oral for anal infections
  • For gonorrhoea: separated oral from anal (azithromycin oral 2g, anal 1g)
  • For chlamydia and gonorrhoea – separate treatment for uncomplicated genital or pharyngeal infections and anorectal infection
  • Valaciclovir replaces acyclovir for genital herpes if pregnant; deleted imiquimod as option for treatment of genital wart

Primary references

  1. Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (2021) Australian STI Management Guidelines for use in primary care, accessed 4 April 2022.

  2. International Union Against Sexually Transmitted Infections (2021) International Union Against Sexually Transmitted Infections (IUSTI) Treatment Guidelines, Treatment Guidelines (Europe), accessed 20 May 2022.

  3. Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I, Reno H, Zenilman JM and Bolan GA (2021) Sexually Transmitted Infections Treatment Guidelines, 2021, Morbidity and Mortality Weekly Report: Recommendations and Reports Vol 70(4), accessed 20 May 2022.

Indigenous/remote context references

  1. Martin DH (2021) Mycoplasma genitalium infection in males and females, UpToDate, accessed 18 January 2022.

  2. Melbourne Sexual Health Centre (2021) Mycoplasma genitalium treatment guidelines, Treatment Guidelines, accessed 20 May 2022.