STI Flashcards
Describe how the rate of people acquiring new partners has increased.
increased numbers of partners/person • increased concurrent partners • more people having anal sex • more men reporting sex with men
Suggest why there may be in an increasing number of STIs presenting.
More people asking for tests
More clinicians considering STIs and testing for them
Higher rate of acquiring new partners
Describe the principles of a good consultation with someone with a possible STI.
Good history
HIV testing
Partner notification
Health promotion
Why is a sexual history necessary?
Determining possible casue of symptoms
Detecting high risk behaviour and advising on risk reduction
Tracing contacts
What are the two ways of partner notification?
Patient tells contacts
NHS tells contact
What area of health are promoted in the sexual history consultation?
Condoms prevent transmission of some STIs: HIV, chlamydia, gonorrhoea Oral sex carries risks too Address hazardous drug use Vaccination HIVpre-exposure prophylaxis
What is pharyngeal gonorrhoea the result of?
receptive oro-genital sex
How does pharyngeal gonorrhoea present?
Presents with discharge from the eyes, severe inflammation of the conjunctivitis and oedema of the eyelids, pain and photophobia.
What organism is the cause of gonorrhoea?
Neisseria Gonorrhoeae
How long is the incubation period of gonorrhoea?
2-10 days
What is the first line treatment of gonorrhoea?
Cefixime 400mg
What percentage of women with gonorrhoea are asymptomatic?
80%
What symptoms may men experience in gonorrhoea?
urethral discharge and dysuria
How does Molluscum Contagiosum present?
Flesh coloured umbilicated hemispherical papules usually 5mm in diameter after an incubation period of 3-12 weeks.
Where are Molluscum Contagiosum lesions found in a sexually transmitted infection?
genitals, lower abdomen and upper thighs
Which genotypes of the HPV virus are benign and cause genital warts?
HPV 6
HPV 11
What HPV genotypes are associated with dysplastic conditions and cancers of the genital tract?
HPV 16
HPV 18
How is chlamydia tested for?
Enzyme immunoassays
How can chlamydia present?
Can be asymptomatic in 80%. Urethral symptoms. Conjunctivitis. Vaginal discharge, dysuria, inter menstral and post-coital bleeding. Lower abdominal pain, dyspareunia,
What are the possible complications of chlamydia?
Infertility. Epididymio-orchitis, Reiter’s syndrome. Sexually acquired reactive arthropathy. Chronic pelvic pain
What is the treatment of chlamydia?
Azithromycin 1g orally as a single dose
What is pharyngeal gonorrhoea the result of?
receptive oro-genital sex
How does pharyngeal gonorrhoea present with?
Presents with discharge from the eyes, severe inflammation of the conjunctivitis and oedema of the eyelids, pain and photophobia.
What is a sexually transmissible organism?
A virus, bacteria, protozoan, insect or arthropod which can be spread by sexual contact