Which of the following drug can be given in a case of combined gonococcal and nongonococcal cervicitis?: (A) Ceftriaxone, (B) Azithromycin, (C) Ciprofloxacin, (D) Cefixime
Answer is B. Currently ceftriaxone is the mainstay of therapy for uncomplicated gonococcal infection of the urethra, cervix, rectum or pharynx. Alternative regimens for uncomplicated gonococcal infection are: Gemifloxacin plus Azithromycin Gentamycin plus Azithromycin Because of co- infection with C. Trachomatis initial treatment regimen must incorporate azithromycin (extended release microsphere formulation) or doxycycline. Rising MIC of cefixime has resulted in CDC to discontinue its recommendation.