2: STI Patient Education

Question 1

• Tx all sex partners (500mg metronidazole x 7d) before resume sexual contact.
• Use condoms.
• Avoid alcohol during treatment and for 24-48hrs after completion of treatment.

Answer 1

Trichomoniasis

Question 2

• Pre-exposure prophylaxis (PrEP) is an option for high-risk groups or partners of persons with infection.
• Tested at first prenatal visit, repeated at 36 weeks gestation if high risk.
• Without treatment, transmission to infant is 30% (<2% with treatment).

Answer 2

HIV

Question 3

• Condoms should be used until both partners are lesion free and for as long as 9 months after the appearance of lesions, as subclinical infection may persist.
• A diagnosis in one sex partner is not indicative of sexual infidelity in the other partner.
• Does NOT affect female fertility or the ability to carry a pregnancy to term.
• The risk of transmission to the newborn and subsequent development of respiratory papillomatosis is low.

Answer 3

HPV

Question 4

• Reevaluate after 1 month of treatment to remove any new lesions
• Sex partners should be examined and treated

Answer 4

Molluscum

Question 5

All partners within last 60 days must be treated.

Answer 5

1. Chlamydia
2. Gonorrhea
3. Nongonococcal Urethritis (NGU)

Question 6

• Wash all clothing, bed linens, and towels in hot water and dry on hot cycle.
• Avoid contact of tx with eyes.
• Sexual partners in last month should be evaluated.
• Pregnant women should be treated (do not use topical lindane).

Answer 6

Pediculosis Pubis (Lice)

Question 7

• Not share personal household items (toothbrushes, razors) with blood.
• Cuts/sores should be covered.
• Do not donate blood, organs, or tissue.
• Sexual transmission possible, but lower risk than blood.
• Pregnancy: routine screening not recommended. Only if known risk factors.

Answer 7

Hep C

Question 8

• History of infx does not impart immunity.
• Must follow up to ensure treatment success.

Answer 8

Syphilis

Question 9

• Condom use with unvaccinated partners is important to prevent transmission.
• Covering cuts, not donating body fluids or organs, and not sharing household items that could be infected with blood.
• To avoid any further liver injury, women should avoid or limit alcohol consumption, refrain from taking any medications they have not discussed with their healthcare providers, and receive vaccinations for hepatitis A.

Answer 9

Hep B

Question 10

• Abstain from sexual activity until lesions gone.
• Condoms provide some protection.
• Prophylactic tx will reduce transmission.
• Increased risk of HIV.
• Sitz baths in lukewarm water may soothe 10-20 minutes.
• Dysuria relieved when urethra submerged in water.

Answer 10

Hepres