STI Flashcards
What resources can you use for reference for STI’s?
CPS, RX, DynaMed, SK PRevention institute, Gov of SK, Saskatoon Sexual Health, SexLifeSask, GoC/ PHAC, SOGC SEX&U, OUT Saskatoon, Acton Canada for Sexual Health & Rights
What type of environment do you want to create when discussing STI’s?
Safe, Private, and Respectful
Build rapport and trust
Check assumptions and person values/ beliefs
Saftey is subjective
ENSURE confidentiality
What should you encourage during an STI counsel?
ASking questions, revist info as needed
What language should you use during an STI counsel?
Concise, plain, inclusive, and non-stigmatizing language
What is the definition of an STI?
An infection passed from one person to another through sexual activity, including vaginal, oral, or anal sex as well as genital skin-to-skin contact. Some STI’s are spread through blood.
What are the 3 categories of STI’s?
Viral: HPV, HIV, HepB, HSV
Bacterial: Chlamydia, Gonorrhea, Syphilis
Parasitic/Fungal: Trichomoniasis
What does STBBI stand for?
sexually tansmitted and blood borne infection
What are some STI risk factors?
Multiple Partners (over time or concurrently)
Anonymous or casual sex partners
Sex without the use of barrier protection
Sex w/ person(s) with an STI
Previous STI
Substance use
use of ED medications
history of intimate partner or sexual violence
Social Environments
How can HCP incorporate prevention into practise?
Educating about signs and symptoms
Helping idividuals recogize and miimize risk
offering vaccination when indicated
offer screeig, testig
Questions to ask when assessing risk?
Sexually active?
Ay symptoms
contraception?
concerns?
last period?
Pap test history?
What method is used to test for STI’s?
Test for one –> test for ALL
What are barriers to screening/testing?
underestimate personal risk
Perception of STI’s seriousness
Fearful of procedures
Self-concious about genital exam
Stigma
Perception of attitudes of HCPs
Are barrier protection fully effective at stopping the spread of STI’s?
NO;
Lessions and asymptomatic shedding can occur in areas not covered leading to spread
Spermicidal lube good for STI protection?
NO –> can cause irritation and lessions to burst/ more shedding
What ingredient is in spermicidal lubricant?
nonoxynol-9
What are the goals of therapy?
Treat infection
Get rid of symptoms
Decrease spread
Decrease vertical transmission
reduce transmission of HIV
Decrease probability of complications, such as infertility, chronic pain, sepsis
Can HIV be transfered through breastfreeding?
Yes
How can chlamydia affect pregnancy/infant?
Preterm birth
conjunctivitis
pneumonia in newborn
How can Gonorrhea affect pregnancy/infant?
endometritis
pelvic sepsis
opthalmia
neonatorum
systemic infection in newborn
How can syphilis affect pregnancy/infant?
systemic symptoms
fetal loss
When should pregnant people be tested?
Early in pregnancy + again at 3rd trimester
What syndromes can STI’s present as?
Cervicitis
Epididymitis
Pelvic inflammatory disease
Proctitis
Urethritis
Vaginitis
Anogenital ulcers
How can Chlamydia present?
cervicitis
urethritis
epididymitis
PID
Proctitis
Angogenital ulcers
How can gonorrhea present?
Cervicitis
urethritis
epiddiymitis
PID
Proctitis
How can HSV present?
Anogenital ulcers
cervicitis
urethritis
proctitis
How can Mycoplasma present>
Cervicitis
Urethritis
PID
Proctitis
How can syphilis present?
Anogenital ulcers
Proctitis
How can Trichomonas present?
Vaginitis
Cervicitis
Urethritis
What types of HPV cause anogenital warts?
6 and 11
What is the most common reported STI in Canada?
Chlamydia
What is the etiology of chlamydia
chlamydia trachomatis
Can you treat chlamydia without lab testing?
Yes, empiric treatment can be given
What syndrome can be a complication of chlamydia?
Reiter
How is chlamydia treated?
1st line: Foxy 100mg BID x 7 D , Azith 1g in a single dose
Alternative: 500mg OD x 7D
Pregnancy: azith 1g 1 dose, Amox 500mg TID x 7D, Eryht 2g/day divided x 7D or 1g/day divided x 14D
Is there resistance problems with chlamydia?
No, there is w/ gonorrhea
What are couneslling tips for doxy?
Take w/ food
Iron/calcium may decrease absoprtion
Photosensitivity
Sexual activity okay?
Abstain until treatment of person and partners completed (7 days)
What follow-up is done for chlamydia?
Test of cure, Repeat screeining after 3 months due to risk of reinfection
How long do you test of cure for?
3-4 weeks following positive
What is the etiology of Lymphogranuloma Venereum?
Chlamydia trachomatis genotypes L1, L2, and L3
