STDs Flashcards
most likely cause of genital ulcers in US
herpes
tx of chancroid (4 options)
- azithromycin
- IM ceftriaxone
- cipro
- erythromycin
most common STI in women?
herpes
HSV recurrence is more common in HSV 1 or 2
HSV 2
culture proven herpes from genital ulcer, but serology is negative for Ab
primary herpes
HSV acquisition with non-complementary Ab
nonprimary first episode of herpes
reactivation of genital HSV with complemetary Ab
recurrent herpes
what is the highest risk of transmission of herpes to fetus?
primary
suppressive tx for herpes decr reccurences by_____
70-80%
what meds can be used for suppressive tx of herpes (3)
- acyclovir
- famiciclovir
- valacyclovir
when to do a C-section in HSV women
- prodromal sx
2, HSV lesions present
painless chancre at site of infxn
primary syphilis
rash, mucocutaneous, lymphadenopathy - what stage of syphilis?
secondary syphilis
aortitis, iritis, uveitis, auditory abnormalities, gummas
tertiary syphilis
tx of secondary syphilis
IM PCN x 3
tx of early latent syphilis
IM PCN x 1
tx of late latent syphilis
IM PCN x 3
how long to tx neurosyphilis
1-14 days
acute febrile rxn with HA, myalgia within 24 hrs of PCN tx of syphilis
jarisch herxheimer rxn
what can jarisch herxheimer rxn induce?
labor, fetal distress
when is tx failure considered in tx of syphilis
if persistent sx or sustained 4x incr in titers
most frequently reqprted ID in US?
CT
Sx: abnormal discharge, cervicitis, dysfxnal urine bleeding; BUT >75% of cases are asymptomatic
CT
tx of chlamydia
azithromycin 1 gr
