Sexually transmitted diseases Flashcards
What are STDs
pathogens that are acquired and transmitted through sexual activity
What are some less common STDs
Bacterial vaginosis, Pelvic inflammatory Disease, HIV/AIDS, Chancroid. Lymphogrnauloma Verenum (LGV), Trichomoniasis
What is the single most common demographic factor contributing to incidence of STDs
Age
What is the single greatest risk factor for acquiring STIs
Number of sex partners
T/F: 1 million people get a STD worldwide every day
True
What is the most common STD in the US while also being small, obligate, intracellular bacterium
Chlamydia Trachomatis
T/F:Long term complications can occur in women with chlamydia with damage to female reproductive tract while there is minimal to no damage in men
True
T/F: Majority of infections in both men and women are asymptomatic
True
CDC recommends that which patients get annual screening done for chlamydia
sexually active women younger than 25, all men who sex with men and sexually active HIV infected people
What are the primary goals for chlamydia
detect chlamydia, prevent complications, and test and treat partners
What are the symptoms for men and women who have acquired chlamydia, when should they occur
Burning urination/dysuria, discharge, swollen lymph nodes in the groins, 1-3 weeks after sexual contact with infected partner
What is the best test to use to find if chlamydia is present, how long does it take
Nucleic Acid Amplification Test (NAAT), 24 hours
What are the treatment options for chlamydia
Azithromycin 1 gram by mouth once OR Doxycyline 100 mg BID for 7 days OR Levofloxacin 500 mg BID for 7 days
What is the advantage of using azithromycin to treat chlamydia, doxycyline
resistance not documented and only one dose, better for rectal strands and covers LGV
What is the treatment option for chlamydia if the patient is pregnant, what extra steps MUST be taken
Azithromycin 1 gram by mouth once OR Amoxicillin 500 mg TID for 7 days/ pregnant patient must take a NAAT test in 3 weeks to see if the infection is completely eradicated
What are counseling points for patients with chlamydia
Partner notification of the last 60 days, check in 3 months for reinfection, avoid sex for 7 days after treatment, recommend HIV and syphillis testing, condom use
What is the 2nd most common STI in the US and is a gram negative diplococci
Neisseria gonorrhea
T/F: Like chlamydia annual screenings for sexually active women under the age of 25 is recommended for gonorrhea
True
T/F: Females are more likley to have symptoms from gonorrhea
False: Males are more likely to have symptoms from gonorrhea
What are symptoms seen in gonorrhea
dysuria, discharge
What is the best test to see if there is a gonorrhea infection
NAAT
What is only class of antibiotic that has activity against gonorrhea,what route
IM Cephalosporins
What is the treatment regimen for gonorrhea
Ceftriaxone 250 mg IM PLUS Azithromycin 1 gram by mouth OR doxycycline 100 mg BID for 7 days
What is the alternative regimen for gonorrhea if cephalosporin is not available
Cefixme 400 mg by mouth once PLUS Azithromycin 1 gram by mouth once or Doxycycline 100 mg BID for 7 days
What should a patient with gonorrhea be given if they have a severe PCN/Cephalospporin allergy
Gemifloxacin 320 mg PLUS Azithromycin 2 grams in ONE SINGLE DOSE
What is should all patients treated with the alternative regimen for gonorrhea do
Come in for a NAAT in 14-21 days
What should be given empirically if it is not know if a patient has
Ceftriaxone 250 mg IM once PLUS Azithromycin one gram by mouth once
