STIs Flashcards
1
Q
What should all patients get who are admitted to infectious diseases unit?
A
- Blood borne infection screen
- eg HIV, syphillis, hepatitis B and C testing
2
Q
When should bacterial STIs be screened for?
A
- All patients who are known to already have a STI (inc blood borne infections)
- All patients who request testing
- Any patient identified to be high risk of STI from history
3
Q
How is gonorrhoea and chlamydia testing done?
A
If asymptomatic:
* NAATs (PCR) - these are then sent to virology
4
Q
How to get samples for NAATs in asymptomatic but suspect gonorrhoea or chlamydia?
A
- First pass urine - men only (for urethral infection)
- Vulvo-vaginal swab (if vaginal or cervical infection)
- Pharyngeal swab (throat infection)
- Rectal swab (infection of rectum)
All these can be self taken
Rectal swabs - 2cm in
Vulvovaginal - as far in as possible and swept along walls and vulva as they are removed
5
Q
Additonal tests for symptomatic patients for STI
A
- Urethral discharge wab - gonococcal culture
- Vaginal discharge - gonococcal culture from cervical os, also add on trichomonas and candidiasis from posterior fornix
- Oral/genital ulceration - for HSV 1 and 2 PCR
- Anal discharge - swab for gonococcal, HSV swab if anorectal discomfort
- Conjuctivitis - NAAT for gonorrhoea/chlamydia from conjuctiva
6
Q
What is important to do in women of childbearing age?
A
- Exclude pregnancy
- For women with abdo pain, bimanual exam should be performed with speculum exam
7
Q
What should happen with any patient diagnosed with blood borne viral infection or bacterial STI?
A
- Refer to health advisor for partner notifcation and advice
- If HIV there are dedicated advisors at LRI for this
- All other patients refer to sexual health service at St Peters Health centre
8
Q
Swab for urethral discharge, vaginal discharge and anal discharge
A
- Charcoal swab
- Can test for gonorrhoea
- Trichomonas and candidia for vaginal posterior fornix too
9
Q
A
