STIs in Adolescence Flashcards
Why is the adolescent female anatomy susceptible to STI infection?
Transformation zone between the vagina and cervix is on the outside instead of protected
Chlamydia (type of bacteria, transmission)
Gram negative obligate intracellular bacteria
Transmission: oral, vaginal, anal, conjunctival mucosal infection, vertical
Clinical presentation of chlamydia in females
Most often symptomatic Cervicitis Vaginal discharge Dysuria Lower abdo pain Abnormal vaginal bleeding Dyspareunia Conjunctivitis Proctitis (commonly asymptomatic)
Clinical presentation of chlamydia in males
Often asymptomatic Urethral discharge Urethritis Urethral itch Dysuria Testicular pain Conjunctivitis Proctitis (commonly asymptomatic)
Complications of chlamydia in females
PID Ectopic pregnancy Infertility Chronic pelvic pain Reactive arthritis
Treatment of chlamydia
Azithromycin 1g PO in a single dose
HPV transmission and clinical manifestations
Skin to skin contact, vertical transmission
Asymptomatic, ano-genital warts, cancers
Gonorrhea (type of bacteria, transmission)
Small, intracellular gram negative diplococci
Oral, vaginal, anal, conjunctival mucosal infection, vertical
3 signs of disseminated gonoccal infection
Pharyngeal infection
Conjunctivitis
Proctitis
Recommendations for culture (over NAAT)
Antimicrobial sensitivities Test of cure Symptomatic MSM Sexual abuse/assault Evaluate PID Areas with high rates of antimicrobial resistance
Treatment for gonorrhea
Cefixime (PO) or Ceftriaxone (IM)
PLUS
Azithro (PO)
Pelvic Inflammatory Disease
Infection of the female upper genital tract involving any combo of the endometrium, fallopian tubes, pelvic peritoneum, and contiguous structures
Polymicrobial infection
What is most important part of the PE for PID?
Bimanual examination
3 things for minimum diagnostic criteria for PID
Lower abdominal tenderness
Adnexal tenderness
Cervical motion tenderness
Outpatient treatment for PID
Cefixime (PO) PLUS Azithro (PO) WITH OR WITHOUT Metronidazole
