Repro 6 Flashcards
What is the difference between an STI and an STD?
STIs can be symptomatic or asymptomatic
STDs are only symptomatic cases
Give an example of an intestinal pathogen that can be sexually transmitted
Salmonella
Shigella
Giardia
Give some examples of the common STDs and their associated organism
Genital warts - Papillomaviruses
Urethritis - Chlamydia
Genital Herpes - Herpes Simplex
Describe a specific group that is at risk of STIs
Young people
Low socio-economic status groups
List some risk factors associated with STIs
Young age at first sexual encounter
High number of sexual partners
Sexual Orientation
Unsafe sexual activity
Describe some causes of the increase in incidence of STIs
Changing sexual/social behaviours Increasing density & mobility of population INcrease in visits to GUM clinics Greater awareness Imporved screening
Why are STIs a burden to sufferers?
Can be chronic/relapsing
Stigma
Can lead to further pathology
Possible transmission to foetus
What do patients STIs with STIs commonly present with?
Ulcers
Vesicles
Warts
Urethral discharge/pain
How is HPV diagnosed?
BIopsy + genome analysis, “hybrid capture”
How is HPV treated?
No intervention - 90% spontaneosu resolution within 2yrs
Otherwise surgery
How is HPV screened?
Cervical Pap smear
Cervical swab
How is Chlamydia trachomatis diagnosed?
Endocervical and urethral swabs
Conjunctival swab in neonates
How is Chlamydia trachomatis treated?
Doxycycline or azithromycin
Erythromycin in children
What are the symptoms of Primary genital herpes?
Extensive, painful genital ulceration
Dysuria
Ingunal lymphadenopathy
Fever
How is Herpes diagnosed?
PCR or vesivelfluid and/or ulcer base