••• Chapter 30^ Genital Tract Infections and PID^295
❍ What can be done to prevent HSV outbreaks at time of delivery in pregnant women?
Starting prophylactic valacyclovir or acyclovir at 36 weeks until delivery.
❍ What should be done on all women in labor with history of HSV?
A speculum examination to evaluate for HSV lesions prior to allowing a vaginal delivery.
❍ What is the current recommendation for screening of Chlamydia?
Annual screening should be performed in all sexually active female 25 or less years old or older if risk factors
present including new sexual partner or multiple sexual partners.
❍ True or False: Suppressive therapy reduces the frequency of genital herpes recurrences by 70% to 80 % in
patients with >6 recurrences per year?
True.
❍ What is the recommended regimen for granuloma inguinale?
Doxycycline 100 mg BID × at least 3 weeks and until all lesions are completely healed.
❍ When should the sexual partner be treated if you diagnosed a patient with granuloma inguinale?
Within 60 days before the symptoms.