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File: 123096_sep96_decls23_0033.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
IX. Pelvic Inflammatory Disease: XIII. Scabies:
A. Strongly consider hospitalization - this is particular- A. Lindane (it): 1 Oz Of lotion or 30 91 of cream applie
ly advised in military setting. from neck down, covering body and washed off aft,, 8
hours, or
B. Parenteral regimens: B. Crotamit
1 . Cefoxitin 2 gm Q6h IV plus doxycycline 100 mg BID on (10%) applied from neck down, washed ff
orally, until 48 hours after clinical resolution, after 24 hours, and immediately reapplied for n,th,r
followed by doxycycline 100 mg BID orally for a 24 hours.
total of 14 days. C, Avoid Lindane during pregnancy.
2. cefotetan, 2 gm Q12b IV may be substituted for
cefoxitin, above.
3. Clindamycin 900 mg Q8h IV plus gentamicin loading XIV. Additional diagnostic concerns: patients may be
dose 2 mg/kg IM or IV followed by 1.5 mg/kg Q8h ously infected with more than one sexually transmitted
IV, until 48 hours after clinical resolution, disease. Evaluate all such patients with serology for
s at presentation and at 3 ,,th,, and for HIV at
total antibiotic course of 14 days. presentation, and at 3 months and 6 months after presenta-
tion.
C. Outpatient regimen (less desirable): XV. Pregnancy warnings:
1. Cefoxitin 2 gm IM plus probenecid I gm orally, one
dose plus doxycycline 100 mg BID orally for 14 A. Avoid use of tetracycline, doxycycline, acyclovir,
days or tetracycline 500 mg QID orally for 14 days metronidazole, ciprofloxacin, erythromycin estolate
or erythromycin 500 mg QID orally for 14 days. (other erythromycins acceptable), p,dphyllin, and
2. Ceftriaxone (Rocephin) 250 mg IM may be sub- lindane in pregnancy.
stituted for cefoxitin.
X. Epididymitis: treat as for urethral gonorrhea, except for B. Erythromycin is ineffective in preventing congenital
for prolonging doxycycline for 10 days total. Syphilis in the fetus of a syphilis-ilfected -pregnant
woman.
XI. Trichomoniasis: metronidazole (Flagyl) 2 gm orally, single XVI. Treatment of sexual partners, Pr,su,ptiv,: sexual Partners
dose, or metronidazole 500 mg BID orally for 7 days. of patients with the following sexually tra ... ltt,d-disease,
XII. pubis (crab lice): should be treated presumptively: Ihancroid, syphilis,
gonorrhea, chlamydia, other non- ganococcal rlthliti,,
A. I . Permethrin 1% creme rinse applied to affected area Pelvic inflammatory disease, and trichomoniasis.
and washed off after 10 minutes, or
2. Pyretbrins and piperonal butoxide applied to the
affected area and washed off after 10 minutes, or
3. Lindane 1% shampoo applied for 4 minutes than
washed off (avoid during Pregnancy).
B. Pediculosis of eyelids should be treated with an
occlusive ophthalmic ointment BID for 10 days to
smother nits and lied.
56 57
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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