Upper and lower Tract infections Flashcards
What are the screening guidelines for Ghonnorhea and Chlamidia?
Ghono and Chlam: Annual screen if Sexually active
Those with dev disabilities
Nucleic Acid amplification most sensitive
Self collected vaginal swab acceptible
What are the screening guidelines for Hep C?
One time testing if born from 1945-1965 and unknown status
What are the screening guidelines for HIV?
Screen at least once age 13-64 yrs
Annual screen based on risk factors
Opt out screening
What are the risk factors for STDs?
History of multiple partners Sexual contact with STI person Repeated STIs Attendance at clinic for STI Inconsistent condom use, sex work, drug use
How is a detailed sexual history obtained?
Open ended questions
Understandable language
Normalizing language
What is the best way to prevent STIs?
Delay Coitarche Limiting # partners Limiting exposure to risk patients Encourage immunization Increase condom usage Partner notification and treatment
What STIs are reportabe in ALL STATES?
Ghonorrhea, syphillis, chlamidia, HIV, AIDS
What are the considerations in HPV vaccine?
Protects against 6,11,16,18
6/11 cause wwarts
16/18 cause cervical cancer
What are the considerations in Hep A vaccine?
Postexposure prophylaxis up to 2 weeks after exposure
What are the considerations in Hep B vaccine?
Recommended for all unvaccinated uninfected persons evaluated for STD
What are the best type of condoms?
Latex
What is the proper use of male condoms?
Water based lubricant prevents breakage
New condom with each sex act
avoid teeth, nails
Which STDs should be re-tested in the 3rd trimester of pregnancy?
HIV
Syphilis
Chlamidia
Hep C
How is HIV screened for vs Confirmed?
Screen: Ez immunoassay
Rapid Test
WHat type of bacteria is Haemophilus ducrei?
G(-) Streptobacillus