STD Flashcards
Chlamydia is transmitted
Sexually, prenatally at birth from cervix to neonate
Chlamyida is most frequently seen in
F <25yo, screen this population annually
Other populations to consider screening for chlamydia
males in high prevalent areas
MSM
F >25yo who are high risk
Screening for males
first catch urine, urethral swab- pharynx and rectum
Screening for females
first catch urine, cervical swab- pharynx and rectum
Symptoms of Chlamydia in females
vaginal discharge, mucopurulent cervicitis with edema and friability urethritis PID ectopic pregnancy infertility endometriosis
Symptoms of Chamydia in males
Thin, clear discharge
dysuria
Pearls of Chlamydia
1/2 have no SS
Symtoms of Chlamydia in infants and neonates
1-3mos old: Presents in mucous membranes of eyes, oropharynx, CU tract and rectum as subacute, afebrile PNA.
neonates: asymptomatic infections of oropharynx, GU, rectum
Most commonly presents as conjunctivitis 5-12d after birth
Chlamydia treatment
Azithromycin ( macrolide) works in the bacterial cell.
1g PO x 1 dose OR Doxycycline 100mg PO BID x 7d
abstain from sexual relations for 7 days post finishing abx treatment
When should repeat testing be done for chlamydia
Not recommended unless:
doubt in adherence
if SS return
if the alternate medication is used
Chlamydia in pregnancy
Do not use Doxycycline
Azythromicin 1g PO x one dose OR Amoxicillin 500mg TID x 7 days
repeat testing in 3-4 weeks, then at 3 months
abstain from sexual relations for 7 days post finishing abx treatment
High risk populations for chlamydia
adolescents women 15-24yo multiple partners those who utilize family planning clinics or abortion facilities juvenile detention centers
Gonorrhea
usually co infects with Chalmydia, routinely both are treated
increased resistance to FQ
Some TCA resistance
abstain from sexual relations for 7 days post finishing abx treatment
Gonorrhea Treatment
Ceftiraxone 250mg IM once AND azythromycin 1g PO once