Bacterial STI’S

Question 1

What type of bacteria is chlamydia infection?

Answer 1

Gram-negative(sort of)

Question 2

What are the features of a chlamydia bacterial cell?

Answer 2

No cell wall

Question 3

Chlamydia bacterium comes in two forms what are these?

Answer 3

Elementary bodies (EB) and reticulate bodies (RB)

Question 4

What’s the difference between elementary bodies and reticulous bodies in chlamydia infection

Answer 4

Reticular bodies cause disease an elementary bodies cause infection of other people

Question 5

What type of cells are chlamydia cells

Answer 5

Intracellular pathogens

Question 6

Describe some features of chlamydia bacteria

Answer 6

• Do you not have genes required for ATP production.
• Require a host cell to produce ATP
• Require two forms for development

Question 7

What are the three species of chlamydia

Answer 7

Chlamydia trachomatis this is the one that causes STIs , chlamydia pneumonia which is one that causes pneumonia and chlamydia Psittaci ( from birds ) flu like symptoms/pneumonia

Question 8

How is Chlamydia transmitted?

Answer 8

• Unprotected vagina, oral or anal sex
• Unwashed sex toys
• Genital genital contact (no penetration, orgasm or ejaculation)
  – Semen or vagina fluid in eye 

Question 9

What is contract tracing in STI

Answer 9

Whereby the person who has tested positive for an STI has to inform the previous sexual partners and then they have to inform the sexual partners and so on… 

Question 10

What are the symptoms of chlamydia in women?

Answer 10

- Often asymptomatic (85%)
– Unusual vagina discharge
– Pain when urinating
– Pain during sex or bleeding after sex
– Secondary infection can lead to pelvic inflammatory disease

Question 11

Symptoms of chlamydia in men?

Answer 11

– Most men have symptoms (75%)
– white/cloudy watery discharge
– Pain or burning when urinating
– Testicular pain or swelling

Question 12

Why are penicillins and cephalosporins not suitable in treating chlamydia infection?

Answer 12

These agents can only stop further growth of the bacteria but cannot kill them, meaning that after the antibiotic is stopped, the infection tends to return.

Question 13

Name the four types of bacterial STI is common in the UK

Answer 13

– Chlamydia
– Gonorrhoea
– Syphilis
– Non-specific urethra -itis

Question 14

What type of bacteria is gonorrhoea?

Answer 14

Gram-negative

Question 15

What is a true pathogen? 

Answer 15

A true pathogen is whereby if somebody has that in their body and it is causing an infection. 

Question 16

A confirmed diagnosis of gonorrhoea can be a sign or indication of child/ sexual abuse ? True or false

Answer 16

True

Question 17

Chlamydia infection found in the child can indicate child/sexual abuse question. True or false?

Answer 17

False, children can carry the disease and this does not necessarily mean abuse. 

Question 18

Symptoms of gonorrhoea in a man

Answer 18

- Insufferably symptomatic
– Acute inflammation
– Painful urination
–  Oozing discharge (drippy Willy)
– Can invade prostate and epididymitis (that is the tube at the back of the testes) and can cause infertility

Question 19

What are symptoms of gonorrhoea in the female?

Answer 19

• Often asymptomatic
  – Often mistaken for bladder infection
  – Infects cervix
  – Can lead to PID (pelvic inflammatory disease) which can lead to infertility

Question 20

Can penicillins and cephalosporins  be used to treat chlamydia?

Answer 20

No due to the inability to kill the disease, they only stop growth and therefore the disease is likely to return. 

Question 21

What is the treatment for chlamydia?

Answer 21

Either a single dose azithromycin 
or 
7 days treatment of doxycycline 
or
14 days of erythromycins

Question 22

What is the treatment for gonorrhoea?

Answer 22

Single intramuscular antibiotic injection of ceftriaxone 

Followed by a single antibiotic dose of Azithromycin
It is sometimes possible to have another antibiotic tablet instead of an injection (cifixime or ciprofloxacin)