Sexually Transmitted Disease Flashcards
What is one of the causes of non-gonococcal urethritis?
Chlamydial infections
Commonly coexists with gonococcal infections
In which age group is chlamydial infection most prevalent?
People <25 years of age
What are common symptoms of chlamydial infections in males?
- Urethritis
- Epididymitis
- Proctitis
- Reiter’s syndrome
What symptoms may be present in women with chlamydial infections?
- Vaginal discharge
- Bleeding between menses
- Dysuria
What complications can arise from untreated chlamydial infections?
- Pelvic inflammatory disease (PID)
- Ectopic pregnancy
- Infertility
What is the preferred method for diagnosing chlamydial infections?
Nucleic acid testing
What are the sensitivity and specificity percentages for nucleic acid testing for chlamydia?
90% sensitivity and 99% specificity
What is the recommended treatment for chlamydial infections in non-pregnant adults?
- Azithromycin 1g PO single dose
- Doxycycline 100mg PO BID x 7 days
What is the treatment for chlamydial infections in pregnant women?
- Azithromycin 1g PO single dose
- Amoxicillin 500mg TID x 7 days
- Erythromycin 500mg PO QID x 7 days or 250mg PO QID x 14 days
What are common symptoms of gonococcal infections in men?
- Dysuria
- Profuse purulent penile discharge
What is a common symptom of gonococcal infections in women?
Mucopurulent cervicitis
What is the treatment for gonococcal infections?
- Ceftriaxone 250mg IM
- Azithromycin 1g PO
What are common causes of non-gonococcal urethritis?
- Chlamydia trachomatis
- Ureaplasma urealyticum
- Mycoplasma genitalium
- Trichomonas vaginalis
- HSV
- Adenovirus
What are common symptoms of trichomonas infections?
- Malodorous vaginal discharge
- Vulvar irritation
- Pruritus
- Dysuria
- Urinary frequency
- Dyspareunia
- Occasionally low abdominal pain
What is the preferred method for diagnosing trichomonas infections?
Nucleic acid amplification tests
What is the treatment for trichomonas infections?
- Metronidazole 2g PO in a single dose
- Metronidazole 500mg PO BID x 7 days
What characterizes primary syphilis?
Painless chancre with indurated borders
What is the incubation period for primary syphilis?
21 days
What is the treatment for primary syphilis?
- Penicillin G Benzathine 2.4M units IM in a single dose
- Doxycycline 100mg BID x 14 days
What are the clinical features of disseminated gonococcal infection?
- Petechial or pustular lesions
- Asymmetric arthralgias
- Tenosynovitis
- Fever
- General malaise
What is the treatment for disseminated gonococcal infection?
Ceftriaxone 1g IM or IV Q24h
What are common symptoms of secondary syphilis?
- Rash
- Lymphadenopathy
- Sore throat
- Malaise
- Fever
- Headaches
What is the treatment for secondary syphilis?
Penicillin G 2.4M units IM in a single dose
