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STIS
| Question | Answer |
|---|---|
| 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 |