Gonorrhoea produces a ___ discharge.
Chlamydia produces a ___ discharge.
gonorrhoea - purulent
chlamydia - watery
The normal vaginal pH is (acidic / basic).
Which commensal bacteria is most commonly found in the vagina?
Apart from Lactobacillus, what other organisms are found naturally found in the vagina?
Group B Strep
Which fungal infection commonly affects the female genital tract?
Non-albicans Candida infections are more common in ____ patients.
Poorly controlled ___ is a risk factor for Candida infection.
What is the presentation of Candida infection?
White vaginal discharge
How is candida infection investigated?
Vaginal swab for culture
Which antifungal is used for Candida infection?
What causes bacterial vaginosis?
?Lack of balance
What is the presentation of bacterial vaginosis?
Intensely smelly, frothy vaginal discharge
In bacterial vaginalis, the normal vaginal bacteria are replaced with which bacteria?
What happens to the vaginal pH in bacterial vaginosis?
i.e the pH increases
Bacterial vaginosis is an imbalance of bacteria, not an infection.
Why is it treated regardless?
Risk of genital tract infection
Which antibiotic, effective against anaerobes, is effective for treating bacterial vaginosis?
STIs tend to ___.
so you test for all of them
What is the most common STI in the UK?
Chlamydia trachomatis can be split into subtypes depending on its ___.
what it produces
How does Chlamydia appear on a Gram stain?
Which serovars of chlamydia trachomatis cause genital tract infections?
The guidance for antibiotic treatment of chlamydia trachomatis has just changed.
What is the empirical treatment?
Doxycycline 100mg BD for 7 days
Before it became doxycycline 100mg, what was the antibiotic treatment for chlamydia?
What are the investigations for genital chlamydia and gonorrhoea in
a) First pass urine sample
b) Vulvo-vaginal swab
What other investigations, apart from genital ones, exist for chlamydia and gonorrhoea?
What is the appearance of gonorrhoea on a Gram stain?
Gram -ve intracellular diplococcus
What does neisseria gonorrhoeae look like on microscopy?
Gram negative diplococcus
"Two kidney beans facing one another"
What type of media is used to culture neisseria gonorrhoeae?
The samples obtained from first pass urine samples or vulvovaginal swabs are sent for which type of testing?
Nucleic acid amplification tests (NAATs)
More sensitive for diagnosing chlamydia/gonorrhoea than culture
Which antibiotic is given for gonorrhoea infection?