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
