Ch.4 STI Flashcards
Past chlamydia infections increase risk for
ectopic pregnancy
Tubal factor infertility
Infants born to mothers with chlamydia are at risk for developing
conjunctivitis
pneumonia
What is the common drug to treat Chlamydia
Azithromycin
What are the perinatal complications of Gonorrhea
PROM preterm birth neonatal sepsis IUGR Maternal postpartum sepsis Amniotic infections Umbilical cord inflammation
What is the drug of choice to treat Gonorrhea
Ceftriaxone
What are the characteristics of primary Syphilis
primary lesion (chancre)- appears 5-90days after infection.
What are the characteristics of secondary Syphilis
6weeks-6months after appearance of chancre, wide spread, symmetric rash on palms and soles
fever
headache
malaise
What are the characteristics of Tertiary Syphilis
neurologic, cardiovascular, musculoskeletal, multiorgan system complications
What is the preferred drug to treat syphilis
Penicillin G
What are the symptoms of HPV
genital warts, lesions found around the butt, vulva, anus, cervix. they are usually painless but can can be uncomfortable
Chronic vaginal discharge, pruritus, dyspareunia may occur.
How do we manage HPV
untreated warts may resolve on their own if women has strong immune system
no therapy has been known to eradicate HPV, remove warts and relief symptoms with (imiquimod, podophyllin, podofilox) pregnant women can not use
What are some preventive strategies women can use for HPV
abstinence
vaccines- Cervarix, Gardasil
What are the characteristics of Herpes Simplex Virus
multiple painful lesions, fever, chills, malaise. sever dysuria may last 2-3 weeks
Primary HSV within the 1st trimester is associated with
increased miscarriage rate
Is there a cure for genital herpes
No. it is a chronic and recurring disease for which there is no known cure.
What medications can be used to reduce the duration and frequency of HSV outbreaks
Acyclovir
What route of delivery is preferred if the mother has noticeable HSV lesions
C-section
How is Hep A acquired
through fecal-oral route by ingestion of contaminated food
How is Hep A treated
the condition clears up on its own in a few months. rest and hydration can help
What is Hep B
A serious liver infection caused by the hepatitis B virus
What are some of the common symptoms of Hep B
arthralgias, arthritis, lassitude, anorexia, nausea, vomiting, headache, fever, mild abdominal pain , jaundice, dark urine
How do we treat Hep B
no specific treatment, usually recovery in 3-16 weeks. Chronic cases may need liver transplant
What type of diet is encouraged for women who have Hep B
high-protein, low-fat diet
avoid medications metabolized by the liver and alcohol
Is Hep B preventable
Yes, with Hep B vaccine (3shot series over 6months)
