QUESTION IMAGE
Question
the nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. the drug of choice for treatment of this patient is: oral ciprofloxacin (cipro) oral doxycycline (virbamycin) plus intramuscular ceftriaxone oral trimethoprim - sulfamethoxazole (bactrim ds) intramuscular penicillin
For a sexually - active male with epididymitis, the recommended treatment is often a combination of oral doxycycline to cover Chlamydia trachomatis and other possible organisms, and intramuscular ceftriaxone to cover Neisseria gonorrhoeae and other gram - negative organisms. Oral ciprofloxacin is not the first - line due to increasing resistance. Oral trimethoprim - sulfamethoxazole may not cover all causative organisms effectively. Intramuscular penicillin is not the drug of choice as it does not adequately cover the typical pathogens in this setting.
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Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone