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File: 123096_sep96_decls23_0032.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
2. Persistent cases may be treated with ceftriaxone I V. Chancroid:
gm IM or IV QD for 5 days. Concurrent infection
with a@m dia trachomatis should be suspected if A. Preferred:
patient does no rsp..d (see below). 1. Erythromycin 500 mg QID orally for 7 days, or
II. Chlarydia Trg-chomatip: 2. Ceftriaxone (Racephin) 250 mg IM, one dose.
A. Urethral, cervical, and rectal infection: B. Alternatives:
I . Doxycycline loo mg BID orally for 7 days or 1. TMP/SMX 160/800 (2 tablets or I double strength
2. Tetracycline 500 mg QTD orally for 7 days or tablet) BID orally for 7 days, or
3. Erythromycin 500 mg DID orally for 7 days 2. Ciprofloxacin 500 mg BID orally for 7 days, or
3. Amoxicillin plus clavulanate (Augmentin) 5oo mg
B. Conjunctivitis (Chlamydia trachomatis): TID orally for 7 days.
1. Doxycycline 100 mg BI rally fr 3 weeks, or VI. Lymphogranuloma venereum (LGV):
2. Tetracycline 500 mg QID orally for 3 weeks, or
3. Erythromycin 500 mg QID orally for 3 Weeks. A. Doxycycline loo mg BID orally for 3 weeks.
III. Non-gonococcal urethritis: as for Chlamvdia omatis; B. Alternatives:
patients who do not respond or relapse after doxycycline or
h erythromycin. 1. tetracycline 500 mg QID orally for 3 weeks, or
2. erythromycin 500 mg QID orally for 3 weeks, or
IV. Syphilis: 3. sulfisoxazole 500 mg QID orally for 3 weeks.
A. Primary, secondary, or early latent (less than I VII. Genital Herpes Simplex:
year duration):
1. Benzathine penicillin G, 2.4 million units, IM, A. Genital Herpes, first episode: acyclovir 200 mg 5x/day
one dose. orally, for 7 to 10 days or until resolution
2. Less desirable alternatives: (whichever is longer).
a. Doxycycline 100 mg BID orally for 2 weeks. B. Herpes proctitis: icyclovir 400 mg 5x/day orally, for
b. Tetracycline 500 mg QID orally for 2 weeks.
C. Erythromycin 500 mg QID orally for 2 weeks. 10 days or until resolution (whichever is longer).
B. Late latent syphilis (more than I year), cardiovascular C. Genital Herpes, recurrent episode: therapy is general-
syphilis, or qummas: ly ineffective. In severely symptomatic disease within
1. Benzathine penicillin G, 2.4 million units IM, 3 2 days of onset, consider acyclovir 200 mg 5x/day
doses, I week apart, for 3 consecutive weeks. orally for 5 days or 800 mg 2x/day for 5 days.
be used if neuro-
syphilis has been excluded: VIII. Genital Warts:
a. Doxycycline 100 mg BID orally for 4 weeks '
b. Tetracycline 500 mg QID orally for 4 week.. A. Biopsy all atypical, pigmented, or persistent warts.
C. Neurosyphilis: aqueous crystalline penicillin G 2 to 4 B. Cryotherapy, podophyllin, trichloroacetic acid or
million units Q4h IV for 14 days. No proven alter- electrodesiccation are all effective topical measures.
native: refer for desensitization of allergic patient. 1. Cryotherapy - liquid nitrogen.
Anecdotal experience with ceftriaxone, I to 2 gm IM or 2. Podophyllin 10%-25% in tincture of benzoin: apply
IV QD, suggests that it may be an effective alternative total volume < 0.5 ml; wash off in 1-4 hours;
to penicillin. repeat weekly as needed.
3. Trichloroacetic acid (80-90% solution): apply
weekly as needed.
54 55
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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