Sceening and prevention of STI Flashcards
What is chlamydia
- caused by the bacterium, Chlamydia trachomatis,
- can damage a woman’s reproductive organs.
- symptoms of chlamydia are usually mild or absent,
what are some serious complications of chlamydia
- serious complications that cause irreversible damage, including infertility, can occur “silently” before a woman ever recognizes a problem. can cause PID (40%)
- Chlamydia also can cause discharge from the penis of an infected man
How do people catch Chlamydia?
Chlamydia can be transmitted during vaginal, anal, or oral sex. Chlamydia can also be passed from an infected mother to her baby during vaginal childbirth.
why are young women more likely to catch chlamydia
Because the cervix of teenage girls and young women is not fully matured, they are at particularly high risk for infection if sexually active.
what are the symptoms of chlamydia in women
If symptoms do occur, they usually appear within 1 to 3 weeks after exposure.
- abnormal vaginal discharge
- burning sensation when urinating
- lower back pain/abdominal pain
- fever
- pain during intercourse
- bleeding outright he menstrual cycle
men symptom of chlamydia
- burning sensation when urinating
- discharge from the penis
- burning and itching around the opening of the penis
- pain and swelling in the testis
testing for chlamydia
- physical exam
- samples from the urethra
- urine testing immunoassays
Partner notification
- More than half of the partners of +ve patients are themselves +ve.
- Found that partner notification was important to notify partners for testing. Huge saving in treatment costs if both partners are tested.
Why would women under 25 years NOT participate in screen when attending pharmacy for EHC?
embarrassment
Motivational interviewing
– Process of increasing motivation when people are not thinking of change
Problem-focused counselling
– Identifies causes of problems that prevent change
Modelling and rehearsal of change
– Improves skills and self-efficacy to achieve change
• To become ethically defensible health promotion and life style advice should:
– alter the natural history of diseases, and
– be approved by the patients.
what must we be aware of when thinking of the social aspects of screening
- Backlash from the public regarding screening
* Organisers of screening programmes are seen to be PATERNALISTIC
how do we address these worries?
- Give people information to make an informed choice
- Provide pros and cons
- Effects of decisional aids are unknown and controversial
