GuidelinesPrimary Care STG
Genital Ulcer Syndrome (GUS)
Sexually Transmitted Infections
ICD-10 Code: A60.9/A51.0
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*Penicillin allergic pregnant women: refer or confirmation of new syphilis infection and possible penicillin desensitisation.
** For benzathine benzylpenicillin, IM 2.4 MU: Dissolve benzathine benzylpenicillin 2.4 MU in 6 mL lidocaine 1% without epinephrine (adrenaline).
Note:
Pregnant women presenting with genital ulcer(s) in the third trimester should be referred (risk of neonatal herpes)
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, 2024 Edition