Table 6.
2015 Centers for Disease Control and Prevention guidelines for sexually transmitted infection prophylaxis after sexual assault
| Gonorrhea | Ceftriaxone 250 mg IM (single dose) |
| Chlamydia | Azithromycin 1 g PO (single dose) |
| Trichomonas | Metronidazole 2 g PO or tinidazole 2 g PO (single doses) |
| Pregnancy | Levonorgestrel 1.5 mg PO or ulipristal acetate 30 mg PO or Cu IUD |
| Consider as indicated: | |
| HIV PEP ≤72 h exposure | |
| HPV vaccine, if ≥9 y and not fully immunized | |
| Tdap (tetanus, diphtheria, acellular pertussis) booster | |
| Hepatitis B vaccine and hepatitis B immune globulin (HBIG) | |
| Antiemetic avoiding ondansetron if susceptibility to prolongation of the QT interval exists | |
Adapted from Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. Sexual assault and abuse and STDs. In: 2015 sexually transmitted diseases: treatment guidelines 2015. Available at: https://www.cdc.gov/std/tg2015/default.htm