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STIS

QuestionAnswer
A term that encompasess both sexually transmitted infections and other common genital tract infections Reproductive tract infectiom
Include more than 30 organisms that cause infections or infectious disease sydromes primarily transmitted by close, intimate contact Sexually transmitted infections
What can cause STIs? Bacteria, viruses, protozoa, ectroparasites
Almost half of those infected with STIs are 15 and 24
Most effective way of reducing the adverse consequences of STIs for women and for society Primary prevention
Prompt diagonsis and treatment of current infections can prevent complications/ transmission to others Secondary prevention
5 p's to obtain sex history? Partners, prevention of pregnancy, protection from STIs, practicies and past history of STI
A woman must believe that acquiring a disease will be serious for her and that she is at risk for infectionq To be motivated to take preventitive action
Main component of primary prevention is Counseling
No aspect of prevention is more important than knowing ones partner
Latex or plastic condoms rather than natural to prevent STIs
Female condom prevents Virus infections
A condom lubricated with spermicide Not prevent in HIV
Most commonly reported STI Chlamydia trachomatis
Often silent and highly desrtuctive Chlymydia
Most serious complication of chlymydia? Pelvic inflamatory disease
PID/chlymidia associated with Eptotic pregnacy and tubal factor infertility
Most infectious cause of opthalmia neonatorum Chylmydia tachomatis
between 20 and 25 Yearly screening of STIs
Screen for chymydia at First prenatal visit
while usually asymptomatic it is charecterized by spotting or poistcoital bleeding, mucoid or purlent cervical discharge or dysuria Chylamidia
How would you treat chlymydia? Azithroromyocin or doxyclicline, NO DOXY if pregnant
Principal means is genital to genital but can be oral to genital and anal to genital Neiseria gonorrhoae, gonnorhea
Most important risk factor with gonorhea? Age. young teens 15-24 also more african amerciancs
Symptoms of gonorrhea Usually asympyomatic but may have purluent discharge
Complication of this is salpingitis in first trimester Gonorhea
When screen for pregnant women for gonorhea? First prenatal and 36 weeks of pregancy if risky behaviors
Treatment for gonorhea? For both pregant/nonpregnant it is cefritaxone
Transmission is thought to be by entry in the subcuntaneous tissue through microscopic abtasions that occur during sex but can be trasmitted through kissing, biting, or oral gential sex Syphilis
Can syphilis pass to fetus Yes transplacental transmission can happen at any time during pregnancy
A motile spirochete Treponema pallidum, syphilis
Treponema pallidum Syphilis
Charecterized by the chancre that appers 5-90 days after infection Syphilis
Painless papule at the site of inoculation and then errodes to form a nontender, shallow, indurated, clean ulcer Primary leasion, Chancre, seen in primary syphilis
Pccurs 6 weeks to 6 months after the appearance of the chancre and is charecterized by a wide spread, symetric maculopapular rash on the palms and soles and generalized lymphadenopathy Secondary syphilis
Client may feel fever, headache and malaise Secondary syphilis
Broad painless pink gray wartlike infectios lesion may develop on the vulva, perineum or anus Condylomata lata (spyhilis)
Condylomata lata is seen in Secondary syphilis
Those that lack clinical manifestations Latent syphilis
Neurologic, cardiovascular, musculoskeletal or multiorgan complications can develop Third stage of syphilis, tertiary phase
Treatment of Syphilis Penicilin G
An infectious process that most commonly involves the uterine tubes (salpingitis) , uterus (endometrios) and rarely the ovary PID
Most cases are associated with more than one organism PID
Results from ascending spread of microrgansims from the vagina and endocervix to the upper genital tract, usually just after menses following reception of infection PID
Women with PID are at increased risk for ectopic pregancy, infertility and chronic pelvic pain
Can cause dyspareunia, psosapinx (pus in uterine tubes), tubovarian abscess and pelvic adhesions PID
Pain is common, dull and cramping or incapacitating, fever, chills nausea, symptoms of UTI and iregular bleeding, abdominal pain PID
Treatment for PID Broad-spectrum antibiotic, bed rest in semi fowlers
Known as condylomata acuminata HPV
Genital warts HPV
These lesions are more commonly seen in the posterior part of the intriotis, but can be found on buttocks, vulva, vgagina, anus and cerix HPV lesions
Soft pailarry swellings, occuring singly or in clusters HPV lesions
50% of sexually active people will get this HPV
In moist areas such as vaginal intoitus in HPV Fine figner like projections
A profuse iritating vaginal discharge, itching, dysparunia or poiscoital bleeding, may report bumps on her vulva or labia HPV/GENTIAL WARTS
Lesions that are half-domed, smooth, flesh-colored to pearly white papules with depressed centers Molluscum contagiosum
Condylomata acuminate HPV/genital warts
In young women usually HPV respolves sponstaeiously
therapy to eradicate HPV? NO can only treat symptoms
results in paingul recurent genitial ulcers Herpes simplex
HSV-2 is more commonly associated with genital lesions
multiple painful lesions, chills, malaise and severe dysuria may last 2-3 weeks Initial HSV.
Vulvar pain, dysuria, itching or burning at the site of infection and painful genital lesions that heal spontaneously HSV
Treatment of HSV NONE antivirals may contol sumptoms
Once HIV enters the body, seroconversion to HIV positiivty usually occurs within 6-12 weeks
HIV seroconversion may be asymptomatic or? viremic influenxza like symproms
Cna HIV be transmited from mother? Yes throughout the prenatal period
Only protection against HIV? Condoms
Gardnella/ haemophilus vaginitis Bacterial vaginosis
A syndrome in which normal lactobacilli are replaced with high concertrations of anerobic bacteria (gardnella and mobilicus), level of vaginial animes increase and epithelial cells slough off and cue cells are seen Bacterial vaginosis
cue cells BV
Fishy odor BV
Profuse thin and white or gray or milky, mild iritation or pruritus BV
Treatment of BV? Metrinidazole (flagyl)
Canida albians Yeast infection
Diabetes, antibiotic therapy, pregnacy, coritcosterioids Risks for yeast infection
Discharge is thick, white, lumpy and cottage cheese-like vulva is red and swolen Yeast infection
Treatment of yeast infecitons? Antifungal such as miconazole or clotrimazole
anerobic one cell protozoan with charecteristic flafelae Trichomonas vaginalis
Yellowish to greenish, frothy, mucopurlent, copious, malodourous discarge Trichomonas vaginalis
Group B streptococus Poor pregancy outcomes, preterm, morbity/mortality
Treatment of Group B? Penicilin G
TORCH infections A group of organsisms capable of crossing the placenta
TORCH Taxoplamosis, other (hepatis), rubella, cyromegalovirus and herpes simplex
Created by: rebo14
 

 



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