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How Is Chancroid Treated?

Chancroid is treated with antibiotics. Patients with chancroid are usually examined 3-7 days after treatment is finished to see if it has been effective.

Unsuccessful treatment can occur if you do not take the medication correctly. It can also happen if your infection is resistant to the antibiotic you were treated with. Patients with HIV and uncircumcised male patients don’t react as well to therapy as others.

They might require extra followup.

If you have been diagnosed with chancroid, any sexual partners you’d within 10 days before you began to have symptoms should be analyzed and treated as well. This is true if they have symptoms.

The medication regimens under are taken from the Centers for Disease Control 2015 STD treatment plans. Bear in mind that only your doctor can state which treatment is ideal for you.

Recommended Regimens

Azithromycin 1 gram orally in a single dose
OR
Ceftriaxone 250 mg intramuscularly (IM) in a single dose
OR
Ciprofloxacin* 500 mg orally twice a day for 3 days
OR
Erythromycin base* 500 mg orally three times a day for Seven Days

*Some strains of H. ducreyi, the bacterium which causes chancroid, have been reported to be resistant to those antibiotics.

Pregnant women shouldn’t be treated with ciprofloxacin. It may possibly have adverse effects on the fetus. There’s also a risk of toxicity during breastfeeding.

Chancroid treatment recommendations haven’t altered since 2010. 

If Remedy is Ineffective

If treatment for chancroid fails, then your physician might want to check you for other STDs. Specifically, they may want to examine you for HIV. People who are coinfected with both HIV and chancroid are not just harder to deal with.

They may also have more severe symptoms. Therefore, it important to try to find different infections after a treatment failure.That’s particularly true since chancroid is becoming more and more rare in the U.S.. It generally only occurs in irregular outbreaks. But, it’s somewhat more common in Africa and the Caribbean.

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