Syndromic Management of STIs Flashcards
How does treating STIs reduce HIV transmission x5
Reduces genital ulcers and lesions
Behavioral impact
Reduces risk of co infection
Lowers the viral load
Decreased inflammation
How does treating HIV reduce STI transmission x5
Suppress viral load
Reduce opportunistic infections
Behavioral impact
Promotes safer sexual practices
Regular health monitoring
Define syndromic management
A clinical approach where therapy for STIs is based on identification of a group of signs and symptoms associated with different etiologies w/o identification of the specific etiology
What is the rationale for syndromic management x2
STI signs and symptoms are not specific
Laboratory confirmation is expensive
Requirements of syndromic management x5
Adopting a non judgmental caring attitude
Ensure privacy and confidentiality
Take sexual, medical and allergy history
Perform physical examination
Education and counselling
Causes of GUD x5 and management x4
Syphilis
Herpes
Chancroid
Granuloma inguinale
Lymphogranuloma venereum
CAB: Ciprofloxacin, acyclovir, benzathine penicillin + DCN
Causes of urethral discharge x3 and management x3
Chlamydia
Gonorrhea
Trichomonas vaginalis
GDM: gentamycin, doxycycline, metronidazole
Causes of abnormal vaginal discharge x5 and management x3
Bacterial vaginosis
Trichomonas vaginalis
Candida
Chlamydia
Gonorrhea
GDM: gentamycin, doxycycline, metronidazole
Causes of inguinal bubo x2 and treatment x2
Chancroid - ciprofloxacin
Lymphogranuloma venereum- DCN
Cause of neonatal conjunctivitis x2 and treatment x2
Chlamydia - erythromycin
Gonorrhea - gentamycin
Impact of STIs x4
Cervical cancer
Increased HIV transmission
Abnormalities of reproductive tract
Physical, psychological and social consequences
How to curb STIs x3
Thorough screening and diagnosis
Early treatment of partners
Promoting safe sexual practices
Key populations with high HIV&STI and low ART x5
Mobile population
Young adults
Adolescents
Women
Prisoners
