MUCOPURULENT CERVICITIS Flashcards
S/Sx of Mucopurulent Cervicitis
1) Vaginal discharge
2) Deep dyspareunia
3) Postcoital or intermenstrual bleeding (because of marked
eversion of cervix)
4) Hypertrophic or edematous cervix
Diagnosis of Mucopurulent Cervicitis
Yellow mucopurulent material on a white cotton swab
Presence of 10 or more neutrophils per microscopic fields
Treatment for Presumptive cervicitis:
Azithromycin, 1 g orally in a single dose;
Doxycycline, 100mg orally twice daily for 7 days
Diagnosis of Chlamydia trachomatis
Nucleic acid amplification test (NAAT) - GOLD STANDARD; uses urine, vaginal secretions and endocervical swab
McCoy, HeLa 229 or Buffalo Green Monkey Kidney cells
When should women diagnosed with chlamydial infection should be retested?
3 months after treatment
Treatment options for chlamydia
Azithromycin 1g single dose
or
Doxycycline 100 mg BID x 7
days
Manix had sex with Jan 58 days ago pa. Manix was diagnosed with Chlamydia. Does Jan need to be treated?
YES! Evaluate, test, and treat partners if they had sexual contact
with the patient during the 60 days preceding the onset of
symptoms.
The most recent sex partner should be evaluated and treated
even if the time of the last sexual contact is more than 60 days
before the onset of symptoms or diagnosis.
Diagnosis of Gonorrhea
Gram stain
→ Gram (-) intracellular diplococci
Culture
→ Thayer-Martin medium
NAAT using urine or vaginal secretion or endocervical swab
–> Most sensitive and specific tool in identifying gonorrheal
infections***
How often should be the screening for mucopurulent cervicitis?
Annual screening recommended for:
→ all sexually active women aged < 25 years
→ older women at increased risk for infection
(e.g., those who have a new sex partner, more than one sex
partner, a sex partner with concurrent partners, or a sex
partner who has an STI)
Treatment options for Gonorrhea:
Ceftriaxone 250 mg IM single dose PLUS Azithromycin 1g orally single dose
(good for pregnancy rin)
