Sexually Transmitted Disease Flashcards
Scientific name for Chlamydia
Chlamydia trachomatis.
Age group of new chlamydia infections
15-24
How is Chlamydia spread?
direct sexual contact or mother to child during birth
Most common bacterial STI
Chlamydia
presentation of chlamydia
FEMALES:
urethritis
cervicitis
MALES:
Urethritis (most common presentation in males)
Epididymitis
Prostatitis
Proctitis
What is the gold standard for laboratory diagnosis of chalmydia
nucleic acid amplification testing (NAAT)
preferred treatment for chlamydia
Doxy 100mg BID
(Azithromycin 1g single dose alternative)
Ceftriaxone for coinfection. (Gonorrhea)
when should personel be retested for chlamydia
3 months post treatment
Gonorrhea has more symptomatic presentation in which sex?
males
treatment for Gonorrhea
Ceftriaxone 500mg singly dose
and doxy or azithro for coinfection
Which STI is called the “great pretender”
Syphilis
What are the three distinct phases of infetion with syphilis
early
primary and secondary syphilis
late
tertiary syphilis
what are the sx in each phase of syphilis
primary- chancre that last 3-6 weeks, painless.
secondary- rashes, fever, muscle aches, fatigue
tertriary- Depends on system affected. Cartiovascual, neuro, or gummatous
Diagnosis of syphilis
serologic testing.
Nontreponremal (RPR) are nonspecific therefore not definitive
and Treponemal (FTA-ABS) most expesive so usually used to confirm.
treatment for syphillis
Penicillin G
What is the most comon protozoan STI
Trichomoniasis
What is the presentation of trichomonas in females
HPI: purulent, malodorous discharge, burning, pruritis, dysuria, dyspareunia.
“strawberry cervix”
green yellow malodorous frothy discharge on PE.
Gold standard for trichomonas lab diagnosis
NAAT
Treatment for trichamonis
Metronidazole (flagyl)
What is the presentation of HSV
severe, painful genital ulcers
dysuria
fever
lymphadenopathy
acute treatment for primary HSV infection
acyclovir
valacyclovir
famciclovir
other name for condyloma acuminata
HPV
What is the most common viral STI wordwide
HPV
treatments for HPV
topical therapies, cryotherapy, and surgical excision
how is HPV infection preventable
Gardasil vaccination
who should get the Gardasil vaccination
all females and males 11-26 years of age
What is the acute phase of HIV infection called?
Acute Retrovirla Syndrome
What is required for initation of PrEP
negative 4th gen HIV test w/in 7 days and infection is NOT suspected
or
Negative 4th gen HIV test and negative NAAT within 7 days, if infection IS suspected.
