What is the most common STI in the UK?
How does Chlamydia appear on a Gram stain?
But it's very difficult to stain
What is a rare consequence of chlamydia infection?
Pelvic inflammatory disease (PID)
What type of bleeding occurs in chlamydia infection?
Post-coital and intermenstrual bleeding
How does chlamydia present in females?
Post-coital / intermenstrual bleeding
How does chlamydia present in males?
Apart from PID, what are other complications of chlamydia infection?
Tubal damage --> infertility
Neonatal transmission (look out for conjunctivitis)
What rheumatological condition can people get following chlamydia infection?
i.e Reiter's disease
Chlamydia is more common in (men / women).
Which variant of chlamydia is more severe than average and presents primarily in MSM?
Lymphogranuloma venereum (LGV)
LGV is primarily found in MSM.
What are the symptoms?
Rectal pain / discharge / bleeding
often misdiagnosed as GI problem
Chlamydia is likely to ___ with other STIs.
When is chlamydia tested for?
14 days following exposure
What are the NAAT tests used to detect chlamydia, 14 days after exposure, in
a) First pass urine sample +/- rectal swab
b) Vulvovaginal swab
How is chlamydia treated?
Doxycycline 100mg BD 1/52
Which antibiotic is used second-line for chlamydia infection?
How does Neisseria gonorrhoeae appear on a Gram stain?
Gram negative intracellular diplococci
What is the incubation time of gonorrhoea?
2 - 5 days
Gonorrhoea is more common in (men / women).
as opposed to chlamydia
How does gonorrhoea present in men?
Purulent urethral discharge
WHERE must you swab in men with suspected gonorrhoea infection?
all the sites
What percentage of women have gonorrhoea and are asymptomatic?
How do they present otherwise?
Vaginal discharge, pelvic pain
How is gonorrhoea screened for?
First pass urine in men, VV swab in women
Concurrently tests for chlamydia
How is gonorrhoea investigated in patients who are symptomatic?
How is gonorrhoea treated?
Ceftriaxone 500mg IM
How is gonorrhoea treated if an IM injection of ceftriaxone is rejected by the patient?
Cefixime 400mg PO
What must be done two weeks after antibiotic treatment in all patients with gonorrhoea?
Test of cure
What is the presentation of a primary infection of genital herpes?
Blistering and ulceration of genitalia
Discharge (urethral / vaginal)
Enlarged inguinal lymph nodes
Viral prodrome (fever and myalgia)
Which subtype of HSV causes recurrent genital herpes?
How often does genital herpes recur when the causal agent is
a) Every 1-2 years
b) Every 2-3 months