Genital system infections Flashcards
(21 cards)
Organism that most commonly causes genital thrush?
candidiasis albicans
Treatment for candidiasis?
Oral Fluconazole/ Itraconazole or topical clotrimazole
Can repeat if treatment fails within 7 days or recurs
Treatment for candidiasis in pregnancy?
Topical Imidazole, avoid oral azoles
Longer duration e.g., 7 days
RF for candidiasis?
Recent antibacterial therapy, HRT/ contraceptive use, uncontrolled diabetes, pregnancy.
Management of recurrent UTIs?
Oral fluconazole followed by 6 month maintenance regimen
Symptoms of bacterial vaginosis?
- Fishy-smelling discharge, particularly after sex
- Thin, watery, greyish/white discharge
- Sometimes urinary symptoms
1st line treatment for BV?
Oral Metronidazole for 5- 7 days or high-dose metronidazole as a single dose.
2nd line treatment for BV?
Topical metronidazole 5/7 or topical clindamycin 7/7
1st line treatment for chlamydia ?
Doxycycline
2nd line treatment for chlamydia?
Azithromycin
Symptoms of chlamydia?
Bleeding between periods/ after sex
Pain in lower abdo
Unusual discharge
Pain when urinating
Swelling/pain in testicles
Pain with sex
Symptoms of gonorrhoea
Same as chlamydia but thick green/yellow discharge from penis/vagina
How long should sexual course be avoided for during treatment for gonorrhoea?
During treatment and for 14 days after
When should treatment for contacts of those with gonorrhoea be considered?
If presenting <14 days after exposure.
If >14 days- treatment should only be considered after testing
1st line treatment for gonorrhoea?
Ceftriaxone if senstivities unknown, ciprofloxacin if sensitive to this
Alternative treatment for uncomplicated gonorrhoea if allergies, needle phobic or CI to 1st line therapies?
Gent + Azithromcyin
Cefixime plus azithromycin if no parenteral route available
OR azithromycin alone
Treatment for gonorrhoea when 1st line therapies unavailable and infection is non-pharyngeal?
Spectinomycin + azithromycin
1st line therapy for pelvic inflammatory disease?
Doxycyline + memtronidazole + stat IM ceftriaxone or ofloxacin
Step down for pelvic inflammatory disease?
Doxycyline + Metronidazole for a total course of 14 days
Contact traceable STIs?
Everything but bacterial vaginosis
Which STI requires cultures to be taken?
Gonorrhoea
