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BN631 - STI's

Exam Review

What is an STI? Sexually Transmitted Infection. Passed through unprotected sexual contact (Oral, vaginal, penile & anal)
What is Chlamydia? Chlamydia Trachomatis. Infects endocervix, urethra, rectum, and occasionally pharynx & eye. 70% Woman, 50% Men. Incubation 7-21 days. Symptoms: discharge, dysuria, lower abdominal pain (woman), testicular pain/swelling
How do you treat Chlamydia? Anti-biotic therapy. Azithromycin 1gm stat OR Doxycycline 100mgs bd for 7days.
What is Gonorrhoea? Neisseria Gonorrhoea. Infects endocervix, urethra, rectum, pharynx & eye. Highly Infectious!!! Incubation 10days (average 2-5). Woman often asymptomatic, males symptomatic >90%. Symptoms: discharge, dysuria, lower abdominal pain, testicular swelling/pain
How do you treat Gonorrhoea? Anti-biotic therapy. Ciprofloxacin 500mg & Azithroymcin 1gm stat. No sex for 7 days!!! :( ...Contact tracing of previous partners!
What are Genital Warts? HPV 6&11: Visible Warts. HPV 16&18: High Risk Malignant Conditions (CIN&VIN). Duration: 18-24months (may be longer & long term 'latent' infection is possible). Transmission via skin contact.
What are signs of Genital Warts? Any unusual growths, bumps, or skin changes on or near penis, vagina, vulva, or anus. Any unusual itching, pain, or bleeding. Sex partner(s) may inform each other that he or she has genital HPV or genital warts.
Treatment for Genital Warts: Goal is more cosmetic than curative. Cyrotherapy. Podophyllotoxin - condyline. Aldara. Laser (specialist only)
What are Genital Herpes? Herpes Simplex Virus. 2 Types: HSV1 (30%) & HSV2 (70%).
Complications of Genital Herpes: Meningitis. Urinary Retention. Constipation. Labial adhesion.
How do you manage Herpes? Antiviral Therapy - Acyclovir 400mg TDS (5 days). Counseling&Support. Suppression Therapy.
What is Non-specific Urethritis (NSU) ? Males Only! :/ ...Absense of Gonorrhoes/Chlamydia. Symptoms: Urethral Discharge, Dysuria, Inflammation
What is Trichomoniasis? Protozoan (Trichomonas Vaginalis). Infects Vagina&Urethra. Incubation 5-28days (woman) 10days (men). Symptoms: Profuse malodourous vaginal discharge +/- vuval sores & urethritis in men.
Treatment for Trichomoniasis: Metronidazole-400mgs TDS x7days or Metronidazole 2gms po stat. No Sex for 7 days!!! Contact tracing of previous sexual partners.
What is Syphilis? Treponema palldum. 3 stages. Complicated requiring specialist evaluation and treatment.
Treatment for Syphilis: Benzathine Penicillin IM. Regular Follow up. Repeat Serology. Routine antenatal screening. All cases of Syphilis (Primary or Secondary) should be Urgently Reported to Sexual Heart Service/Infectious Disease Service
What is HIV? Human immunodeficiency virus. Transmitted through blood&body fluids. Most commonly through unprotected sex. Mother to baby transmission during birth & breastfeeding.
Scabies/Pubic Lice (OH THE GHASTLY CRITTERS) Transmitted by close body contact! (get away from me you scabby whore). Also from sharing of clothes/bedding etc.
What are some example of NON-SEXUALLY transmitted infections? Thrush (Candidiasis). Bacterial Vaginosis. Cystitis. Banalities. Molluscum Contagiousm.
Prevention of Infections: Education. Abstinence (fuck off!!!). Condoms (for most but not all UTI's.
Created by: 745838545