1. SEXUALLY TRANSIMITTED DISEASES BY
NASSUNA JACQUELINE
PHARMACIST

3. INTRODUCTION
STIs are ranked among the five most important causes of adults seeking health care and of healthy productive life lost
The morbidity from STIs (excluding HIV) in women aged years ranks second only to maternal causes

4. PREVENTIVE MEASURES OF STIs
Health Education
Notification and treatment of sexual partners
Counsel patient on risk reduction
Provide condoms

5. Common STIs Chlamydia Gonorrhea Trichomoniasis Syphillis Genital warts
Genital herpes
Hepatitis B
HIV/AIDS

6. CHLAMYDIA The most common bacterial STI
Greatest number of infections found in people 15 to 24 years old
Untreated it can affect the cervix, urethra and occassionally the rectum, throat, eye
50% have NO symptoms ( men and women)

7. Management of chlamydia
Azithromycin and doxcycline are first line drugs (CDC)
Cefixime 400mg single dose, plus doxycycline
100mg every 12hours for 7 days

8. Trichomoniasis Caused by Trichomonas vaginalis.
One of the commonest STI world wide with the highest prevalence in Africa (11%-25% in study populations).
About 170 million people affected annually according to WHO
Patients are often asymptomatic but may experience frothy yellow-green vaginal discharge(women)/ non- gonococcal urethritis(men)

9. Management of Trichomoniasis
Oral metronidazole 2g as single dose or 500mg twice daily for 7days
Secnidazole 2g single dose
Tinidazole 2g single dose

10. GONORRHEA The 2nd most common bacterial STI
Most common in people aged 15-29
Commonest symptom include increased vaginal discharge(females), thick yellowish-green discharge from penis, lower abdominal pain and dysuria

11. Management of Gonorrhea
First line dual drug regimen therapy
Ceftriaxone 250mg IM single dose plus Azithromycin 1g PO Single dose
If ceftriaxone is unavailable, give oral cefixime 400mg plus a single dose of azithromycin 1g PO

12. EPICEPHIN(Ceftriaxone 1gm,0.5gm, 2gm )

13. Epicephin 500mg

14. Epicephin 2g

15. Composition Each scored tablet contains Secnidazole 500 mg

16. Tablets Powder for oral suspension:
Stripes of 3&5 tablets in packs of one strip.
Powder for oral suspension:
Bottles each contains 15 ml or 25ml
200 mg /5ml.
after reconstitution by adding the sterile water content .