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File: 123096_sep96_decls23_0031.txt
Subject: DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Document Number: 1
Folder Seq #: 88
G, NOTE: exposure history is essential to consider @he SEXUALLY TRANSMITTED DISEASES: TREATNEXT REGIFTENS
diagnosis. Absence of eosinophilia (>500 cell/mm) 1. Gonorrhea:
excludes the diagnosis.
A. Uncomplicated urethral, cervical, or rectal infection:
IV. Duration: 1. ceftriaxone (Rocephin) 250 mg IM one dose, fol-
lowed by doxycycline 100 mg BID orally X 7 days.
A. Treated: aborts chronic sequelae but may not limit 2. Less desirable alternatives:
acute disease. a. Spectinomycin 2 gm IM one dose followed by
doxycycline 100 mg BID orally X 7 days, or
B. Untreated: 2 to 4 weeks for resolution of acute b. Ciprofloxacin 500 mg one dose orally, fol-
symptoms. lowed by doxycycline 100 mg BID orally x 7
days.
V. Complications: if not recognized or treated could present
later as chronic manifestations of schistosomiasis. Rare B. Pharyngeal infections: ceftriaxone or ciprofloxacin a!
above, doxycycline is not indicated.
tion.
C. Disseminated gonococcal infections:
VI. Treatment: I .a. Ceftriax6ne (Rocephin) I gm IV or IM Q12h,
b. ceftizoxime (Ceftizox) I gm IV Q8h, or
A. Praziquantel (Biltricide): single oral dose of 40mg/kg C. Cefotaxime (Claforan) I gm IV QSh, or
following a meal; may also be given in two divided d. Spectinomycin 2 gm IM QBh
doses on the same day. 2. Duration: therapy should Continue until 48 hours
after all symptoms have resolved.
B. Praziquantel may cause malaise, headache or dizziness; 3. Following above parenteral therapy, patients
side effects fewer if given as two divided doses. should receive:
a. cefuroxime axetil 500 mg BID orally for 7
C. Other schistosoma infections: chronic infections can days, or
cause hepatic cirrhosis and intestinal polyposis (S. b. amoxicillin with clavulanate (Augmentin) 500
mansoni), or obstructive uropathy and bladder cancer mg TID orally for 7 days, ,
aematobium), so all infections mu-st be treated, C. CiPrOflOxaCin 500 mg BID orally for 7 day,.
whether asymptomatic or not.
D. Gonocaccal meningitis:
VII. Disposition: limited duty or hospitalization depending on I .ceftriaxone (Rocephin) I gm or 2 gm IV Q12h , 10
how ill; EVAC may be indicated with severe disease. to 14 days, or
2. Cbloranp))enicol 1 gm IV Q4-6h far 10 to 14 days
VIII. Prognosis: excellent. (less desirable regimen).
3. In proven penicillin sensitive cases, penicillin
TX. Public health: education of soldiers to avoid exposure G, 300,000 U/kg/d in divided doses, to maximum
(swimming or wading in any fresh water). 2,000,000 U Q2h IV for 10 to 14 days, is a ... p-
table.
E. Gonococcal endocarditis:
1. Ceftriaxone (Rocephin) 1-@ 91 IV Q12h for 4 weeks.
2. In proven penicillin-sensitive case,, penicillin
G, 300,000 U/kg/d in divided doses, to a maximum
of 2,000,000 U Q2h IV for 4 weeks may be given.
F. Adult gonococcal ophthalmia:
1. Ceftriaxone (Rocephin) I gm im, One dose, plus
saline irrigation. Topical antibiotics are not
sufficient.
53
52
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Document 52 f:/Week-36/BX003203/DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS/diagnosis and treatment of diseases of importanc:12179609281524
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Folder Seq # = 88
Subject = DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANC
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996