Infectious Disease Compendium

Cervicitis

Diagnosis

On the basis of cervical exam; purulent or mucopurulent discharge.

Epidemiologic Risks

Sex.

Microbiology

C. trachomatis, N. gonorrhea, HSV, and often more than one at a time.

Empiric Therapy

Recommended Regimens for Presumptive Treatment (CDC)

azithromycin 1 g orally in a single dose
OR
doxycycline 100 mg orally twice a day for 7 days

* Consider concurrent treatment for gonococcal infection if prevalence of gonorrhea is high in the patient population under assessment.

Recommended Regimens for GC*

ceftriaxone 125 mg IM in a single dose
OR
cefixime 400 mg orally in a single dose
OR
ciprofloxacin 500 mg orally in a single dose*
OR
ofloxacin 400 mg orally in a single dose*
OR
levofloxacin 250 mg orally in a single dose*

*Cannot use quinolones unless you know the GC is sensitive.

Pearls

When you treat GC you always treat Chlamydia and vice versa; treat the partner as well if possible. All from the CDC STD Guidelines of 2002. http://www.cdc.gov/std/treatment/

Rants

ICD9 Codes (Soon to be supplanted by ICD10)

Cervicitis 616.0; chlamydial 099.53; complicating pregnancy or puerperium 646.6; gonococcal (acute) 098.15; syphilitic 095.8; trichomonal 131.09; tuberculous 016.7.