STI Infections of Genital Tract

Question 1

What are the common sexually transmitted infections in the UK?

Answer 1

1) Syphilis
2) Gonorrhoea
3) Chancroid
4) Chlamydia
5) Klebsiella Granulomatis
6) HIV
7) HPV

Question 2

What are the signs and symptoms of the common STI’s at presentation?

Answer 2

• Often asymptomatic
• Fever
• Rash
• Lymphadenopathy
• Malaise
• Infertility

Question 3

How are STI’s diagnosed?

Answer 3

Vaginal or penile urethral swabs

Urine sample (has to be 1st urine passed)

Examination of genitals

1) Nucleic acid amplification tests
2) Enzyme immunoassays for chlamydia

Question 4

What is the treatment and follow up for STI’s?

Answer 4

Chlamydia - Azithromycin or doxycycline

Syphilis - Azithromycin or doxycycline

Gonorrhoea - Azithromycin or ceftriaxone

Trichomoniasis - Metronidazole

Question 5

What are the potential sequela if STI’s are left untreated?

Answer 5

• Death
• Psychological distress
• Infertility
• Malaise
• Rash
• Fever
• Cancer