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Sexually TI's
Sexually Transmitted Infections
| Question | Answer |
|---|---|
| Chlamydia | Most common and fastest-spreading STI; Infections often silent and highly destructive; Difficult to diagnose |
| Sexually Transmitted Viral Infections- HPV | Most prevalent viral STI seen in ambulatory health care settings; previously called genital or venereal warts; more frequent in pregnant women; over 30 types. |
| Screening for HPV | History of known exposure; physical inspection; pap smear |
| Management of HPV | No therapy has been shown to eradicate; medication for discomforts; counseling and education. |
| Screening for Chlamydia | Screening of asymptomatic, high risk women and pregnant women; Comparisons of diagnostic procedures |
| Herpes Simplex Virus-Type 1 | Transmitted nonsexually; most often seen as an oral fever blister |
| HPV-Type 2 | Transmitted sexually; most often seen as gential lesions |
| HSV Treatment | Chronic & recurrent-no known cure; antiviral management partially controls symptoms-acyclovir, valacyclovir, and famciclovir; l-lysine 750-1000mg po daily (active phase) or 500mg daily (asymptomatic); comfort measures. |
| HSV-Prevention | Sexual abstinence during onset of symptoms until complete healing of lesions; condoms may not always prevent transmission; avoiding articles that come in contact with active lesions; soap and water for hand washing especially when there are active lesions |
| Patient Education-STI Transmission | Oral, vagina, penis, rectum, urethra; use of barrier method (condoms); low risk sexual behavior; avoid exchange of bodily fluids; reducing the number of partners. |
| HSV-Overview | Initial infection is characterized by multiple painful lesions,fever,chills, malaise,severe dysuria; Maternal infection can have adverse effects on both the mother and fetus;Increased miscarriage rates during the first trimeste. |
| Syphilis-Screening & Diagnosis | Pregnant women; Serologic tests; False positives |
| Syphilis-Management | Penicillin G 2.4 million units IM once; Sexual abstinence during treatment |
| Syphilis-Overview....continued | Can lead to serious systemic disease and even death Infection manifests itself in distinct stages; Primary: 5 to 90 days; Secondary: 6 weeks to 6 months |
| Syphilis (Treponema pallidum)-Overview | Motile spirochete;Transm. by entry in subcutaneous tissue through microscopic abrasions that can occur during sexual intercourse;Also transmitted through kissing,biting, or oral-genital sex;transmission may occur at any time during pregnancy |
| Gonorrhea Risk Factors | Age' African-American; Early onset of sexual activity; Multiple partners |
| Gonorrhea Symptoms | Women are often asymptomatic; Menstrual irregularities; Rectal complications |
| Chlamydia & Gonorrhea Fact | Chlamydia and Gonorrhea are usually co-infections and patients are often treated for both, with the presence one** |
| Gonorrhea – Neisseria gonorrhoeae-Transmittal | Genital to genital; Oral to genital; Anal to genital; Vagina to rectum; Mother to newborn |
| Gonorrhea Treatment | Treatment with antibiotic therapy; Cefixime 400mg po once;Ceftriazone 125mg IM once |
| Chlamydia Treatment | Doxycycline 100mg po bid for 7 days; Azithromycin 1 G orally in a single dose |
| Chlamydia Screening & diagnosis | Screening of asymptomatic, high risk women and pregnant women; Comparisons of diagnostic procedures |
Created by:
nglidden
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