UW. STDs Flashcards
At the initial prenatal visit, all patients undergo HIV, hepatitis B virus, and syphilis screening because these sexually transmitted infections (STIs).
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what are high-risk patients? 3
Age <25
prior STD
High risk sexual ectivity (multiple partners, sex worker)
Additional screening for high risk?
chlamydia and gonorrhoe.
in case: was in 1st positive for chlamydia + got Tx = no chlamydia. Came at 28 weeks. What test needed to do?
is pasirinkimo buvo rapid plasma reagin, bet esme: Because these high-risk patients have an increased risk of new STI exposure, they also require repeat screening for all STIs in the third trimester.
UW case: This high-risk patient tested positive for chlamydia in the first trimester, underwent treatment, and had negative repeat testing a month later. However, she requires repeat third trimester (ie, ≥28 weeks gestation) testing for all STIs (eg, C trachomatis, rapid plasma reagin assay, HIV) due to the risk of reinfection (eg, untreated or undertreated partner).
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Table. required screening in 3rd trimester? 5
HIV
Syphilis
Hepatitis B and C
gonorrhoe
Chlamydia
Group B Streptococcus rectovaginal culture is typically collected at 36-38 weeks gestation!!!! in case was 28 weeks - sita pazymejau, wrong
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