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The Northern Territory Disease Control Bulletin



The Northern Territory Disease Control Bulletin


Territory Health Services, Centre for Disease Control


Northern Territory disease control bulletin; E-Journals; PublicationNT; Northern Territory disease control bulletin






Date:2000-09; This publication contains may contain links to external sites. These external sites may no longer be active.; Made available via the Publications (Legal Deposit) Act 2004 (NT).




Communicable diseases; Reporting; Northern Territory; Statistics; Periodicals

Publisher name

Northern Territory Government

Place of publication



Northern Territory disease control bulletin


v. 7 no. 3

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Attribution International 4.0 (CC BY 4.0)

Copyright owner

Northern Territory Government



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24 The Northern Territory Disease Control Bulletin Vol 7, No. 3 September 2000 any vaginal discharge any period problems recently (eg bleeding between periods, heavier than usual) If she answers no to all these questions then give single dose treatment. If she answers yes to any of them, then consider doing a full assessment with a speculum and bimanual examination. Take endocervical swabs for MC&S and PCR. If there is any adnexal tenderness, or pain when moving the cervix or discharge from inside the cervix then treat as for PID. If none of these are present then give the single dose treatment. Management of PID The Womens Business Manual is now available. There was some concern in the Top End about the antibiotics it recommends for the treatment of PID. This has been reviewed and consultations undertaken with staff throughout the Top End. As a result the Top End has determined that PID should be treated as follows. Amoxycillin 3g with probenecid 1g and azithromycin 1g by mouth once. If the woman is allergic to penicillin or pregnant, talk with a doctor. Continue treatment the next day with: - Doxycycline 100 mg by mouth twice a day for 1 week, AND metronidazole 400mg by mouth twice a day for 1 week SEE THE WOMAN IN ONE WEEK to give: - Azithromycin 1g by mouth once more AND the same doses of doxycycline and metronidazole for one more week. If, on the first day, you are not sure of being able to see the woman again, give her two weeks worth of doxycyline and metronidazole. give paracetamol or paracetamol-codeine 2 tablets by mouth every 4 hours as needed for pain relief. What is most important is that: A woman has two weeks of treatment (even if the swab results are negative). She be clinically reviewed. Ideally, she should be seen at three days to see that she is improving (if not improving, send to hospital). The absolutely minimal follow-up would be to see her at one week to make sure she is taking her medication and that she is improving. She should also be seen at two weeks to have another bimanual examination. Her partner(s) be treated for both gonorrhoea and chlamydia. Community Education The AIDS/STD Unit has developed a new story book for community education on this issue. This book was developed over the course of four workshops for female Aboriginal Health Workers from the region. The story book will be used by AIDS/STD staff and will be available for community staff to use also. As part of the ongoing process of developing the regional STD/HIV strategy, further ideas will be explored and developed between the regions health services and the AIDS/STD Unit. References 1. HIV/AIDS and related diseases in Australia. Annual Surveillance Report 1998. National Centre in HIV Epidemiology and Clinical Research. 2. NT notifiable diseases database. 3. Westrom L, Eschenback D. Pelvic inflammatory disease. In: K.K. Holmes et al (eds) Sexually Transmitted Diseases (3nd ed), 1999 McGraw Hill, New York. 4. Kildea S. A retrospective epidemiological study comparing fertile and infertile women in a remote indigenous community in Australia. Unpublished masters thesis Southern Cross University. 5. Anonymous. The prevalence, aetiology and management of infertility in an Aboriginal community. Unpublished report, Territory Health Services, Darwin. 6. Westrom L. Decrease in incidence of women treated for acute salpingitis in Sweden. Genitourin Med 1988; 64: 59-63. 7. Eschenbach D, Harnisch J, Holmes KK. Pathogenesis of acute pelvic inflammatory disease: role of contraception and other risk factors. Am J Obstet Gynecol 1977; 128: 838-50. 8. Platt R, Rice PA, McCormack WM. Risk of acquiring gonorrhoea and prevalence of abnormal adnexal findings amongst women recently exposed to gonorrhoea. JAMA 1983; 250: 3205-9. 9. Stamm WE, Guinan ME, Johnson C, Starcher T, Holmes KK, McCormack WM. Effect of treatment regimes for Neisseria gonorrhoea on simultaneous infections with Chlamydia trachomatis. N Engl J Med 1984; 310: 545-9. 10.Westrom L. Sexually transmitted diseases and infertility. Sex Transm Dis 1994; March-April Supplement: 32-37. 11.Swenson C, Schacter J. Infertility as a consequence of chlamydial infection of the upper genital tract in

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