STIs Flashcards
What causes gonorrhoea?
Neisseria gonorrhoeae (intracellular gram -ve diplococci)
What are the clinical presentations for gonorrhoea? (3)
- Asymptomatic
- Green vaginal discharge, lower abdo pain
- Post-coital, intermenstrual bleeding
How would you treat gonorrhoea? (2)
1g IM ceftriaxone (+ azithromycin)
Contact tracing + treat partners
How would you treat gonorrhoea in a pregnant female?
1g IM ceftriaxone
What causes chlamydia?
Chlamydia trachomatic (obligate IC parasite)
Why is chlamydia important to treat?
Causes tubal infertility
What are the clinical presentations for chlamydia? (3)
- 70% asymptomatic
- Dysuria, white vaginal discharge
- Post-coital, intermenstrual bleeding
How would you treat chlamydia? (2)
PO doxycycline 100 mg BD for 7 days
(if not tolerated then 1g azithromycin)
Contact tracing, treat partners
How would you treat chlamydia in a pregnant woman?
Erythromycin 10-14 days