STIs Flashcards
Risk factors
Age
Women> males
Gonorrhoea under 20
Deprivation
Princples of management
Diagnosis before treament Screen for STIs Simple treatment regimens Follow up partner notification Non judgmental approach
Gonnorhoea Clinical features
can affect any collumnar epithelium (urethra, cervix, rectum, pharynx)
Males
- urethra Pus +-dyrsuria
- Proctitis +- discharge
Females
- often asyptomatic or vaginal discharge
Procitis inflammation of anus
Diagnosis of gonorrhoea
Mouth and genital swab Under 10 mins NAAT test -male urine sample -female vulvovaginal swab (self taken fine)
Complications of gonorrhoea
Disseminated gonorrhoea
- spreads through bowel
- systemic symptoms
- infective endocarditis
- joints involved
Resistance in gonorrhoea
- naturally transferable so can easily acquire plasmids between resistant and sensitive organisms
- inapp abx use penicillin, tetracycline resistancce, ciproflxin
Management of gonorrhoea
ceftriaxzone + azithromycin
- notify partener
- encourage safe and condom use
- dont have sex with recent sexual partners until tested and cleared
Chylamidia trachomatis transmission
vaginal, anal, oral sex
CFs of chylamidia trachomatis
frequently asynptomatic
COmplications of chylamidia
16% pelvic inflammatory disease
Presents with severe constipation thought to be onstruction
Severe proctitis
Lymphotrophic chylamidia
Treatment of chylamidia
azithromcicn or doxycyline
Syphillus diagnosis
Demonstration of spirochatae in fluid of ulcerated secondary lesion
Causes of syphillus
treponema pallidium
Transmissions is sexual - incubation 2-4 weeks
Four clinical stages of spyphillus
Primary - painlesss, genital ulceration (classical chancre) heals in 3-8 weeks
Secondary- 6-8 weeks later infection becomes generalised with rash, ofen papular
Tertiaty - 3-10 years after the lesion; GUMMA (granulumoatous nodules) formin skin, mucous membrane
Late 10-20 yrs after 1o syphilus (GUMMA
Treatment of syphillus
penicillin into each bum cheek
Viral STS
Human papilloma virus (HPV) Herpes simplex virus (HSV) Molluscum contaagiousm Hep B& C HIV
HPV CFs
Urogenital warts (benign tumous of the skin) Large lesions around anus, glans, labia, or vagina
(GENITAL WARTS)
Spread of HPV
skin to skin contact
Treatment of Human papilloma virus
Human Papilloma virus in not treatable but the effects can be treated
Cyrotherapy (liquid nitrogen)
Creams
Usually self limiting but can increase risk of cervical cancer
Herpes simplex virus types
1 and 2
GENITAL HERPES
Clinical features of HSV
painful genital ulceration
cold sores
Can be dormant for long periods of time
Treatment of genital herpes
no tbx
controlled with antiviral creams acyclovir
Molluscum contagioasum Clinical features
small, firm, raised papules on skin
Features of molluscum contagiosum
In the same family as chicken pox
Not unwell
harmless condition
Treatment of molluscum contagiosum
self lmiting
but contagious until last spot has healed
up to 18 months or more
