Infecciones ginecológicas Flashcards
(38 cards)
pH vaginal normal
4-4.5
Bacterias que aumentan crecimiento en vaginosis bacteriana
Gardnerella vaginalis, Ureaplasma urealyticum, Mobiluncus species, Mycoplasma hominis, and Prevotella species
Bacterias que aumentan crecimiento en vaginosis bacteriana
Gardnerella vaginalis, Ureaplasma urealyticum, Mobiluncus species, Mycoplasma hominis, and Prevotella species
Células características en vaginosis bacteriana
células diana (clue cells) 20%
Esquema de tx de vaginosis bacteriana
Recommended regimens
Metronidazole (Flagyl) 500 mg orally twice daily for 7 days
Metronidazole gel 0.75% (Metrogel vaginal) 5 g (1 full applicator) intravaginally once daily for 5 days
Clindamycin creama 2% (Cleocin, Clindesse) 5 g (1 full applicator) intravaginally at bedtime for 7 days
Alternative regimens
Tinidazole (Tindamax) 2 g orally once daily for 2 days
Clindamycin 1 g orally once daily for 5 days
Clindamycin ovulesa (Cleocin)100 mg intravaginally at bedtime for 3 days
Estados de lesiones de HSV
(1) vesicle with or without pustule
formation, which lasts approximately a week; (2) ulceration; and (3) crusting.
Estados de lesiones de HSV
(1) vesicle with or without pustule
formation, which lasts approximately a week; (2) ulceration; and (3) crusting.
Gold standard para el dx de HSV
gold standard or the diagnosis o genital herpes is tissue culture.
Tx HSV
First clinical episode
Acyclovir 400 mg three times daily for 7–10 days
Famciclovir (Famvir) 250 mg three times daily for 7–10 days
Valacyclovir (Valtrex) 1 g twice daily for 7–10 days
Episodic therapy for recurrent disease
Acyclovir 400 mg three times daily for 5 days
Famciclovir 125 mg twice daily for 5 days
Valacyclovir 500 mg twice daily for 3 days
Suppressive therapy
Acyclovir 400 mg twice daily
Estados de sífilis
Primary syphilis, the hallmark lesion is the chancre, in which spirochetes are abundant. Nontender ulcer.
Secondary syphilis, bacteremia develops 6 weeks to 6 months a ter a chancre appears. Its hallmark is a maculo-papular rash that may involve the entire body and includes the palms, soles, and mucous membranes. As is true or the chancre, this rash actively sheds spirochetes. With highly infectious plaques called condylomata lata.
Tertiary syphilis is the phase o untreated syphilis that may appear up to 20 years after latency. During this phase, cardiovascular, CNS, and musculoskeletal involvement become apparent
Esquema de tx de sífilis
Primary, secondary, early latent (< 1 year) syphilis
Recommended regimen:
Benzathine penicillin G, 2.4 million units IM once Alternative oral regimens (penicillin-allergic,
nonpregnant women): Doxycycline 100 mg orally twice daily for 2 weeks
Late latent, tertiary, and cardiovascular syphilis
Recommended regimen:
Benzathine penicillin G, 2.4 million units IM weekly times
3 doses
Alternative oral regimen (penicillin-allergic, nonpregnant
women): Doxycycline 100 mg orally twice daily for 4 weeks
Tratamiento chancroide
regimens or nonpregnant women include single doses o oral azithromy- cin (1 g) or IM ceftriaxone (250 mg).
Multiple-dose options are ciprofloxacin 500 mg orally twice daily or 3 days of erythromycin base 500 mg orally three times daily or 7 days.
Diagnóstico de granuloma inguinal
Diagnosis by identication of Donovan bodies during microscopic evaluation of a specimen following Wright- Giemsa staining.
Tratamiento de granuloma inguinal
Recommended regimen
Azithromycin (Zithromax) 1 g once weekly for at least 3 weeks and until lesions are completely healed
Alternative regimens
Doxycycline 100 mg twice daily as above
Serotipos en linfogranuloma venéreo
L1, L2 L3
Estados de linfogranuloma venéreo
three stages: (1) small vesicle or papule, (2) inguinal or emoral lymphadenopathy, and (3) anogeni- torectal syndrome.
Estados de linfogranuloma venéreo
three stages: (1) small vesicle or papule, (2) inguinal or emoral lymphadenopathy, and (3) anogeni- torectal syndrome.
Tx de linfogranuloma venéreo
doxycycline,100 mg orally twice daily for 21days
Definición de candidiasis recurrente
4 eventos o más al año
Tx de candidiasis recurrente
For recurrent C albicans disease, local intravaginal therapy or 7 to 14 days or oral uconazole (Di ucan) in 100-mg,
150-mg, or 200-mg doses once every third day or a total o three doses (day 1, 4, and 7) are options. Suppressive main- tenance regimen or recurrence prevention is oral uconazole, 100 to 200 mg weekly or 6 months.
Non-albicans candidal species are not as responsive to topical azole therapy. For non- albicans recurrent infection, a 600-mg boric acid gelatin capsule intravaginally daily or 2 weeks has been success ul.
Tx trichomoniasis normal y resistente
metronidazole 2 g once or tinidazole 2 g once
resistente: oral tinidazole at doses o 500 mg orally three times daily or 7 days or our times daily or 14 days
Tx de gonorrea normal y alergia a cefalosporinas
ceftriaxone 250 mg IM + azithromycin 1 g orally once
gemifloxacin 320 mg plus azithromycin 2 g
Tx de clamidia
Azithromycin 1 g once
Doxycycline 100 mg twice daily for 7 days
Tratamiento de Mycoplasma genitalum
azithromycin 1 g orally once is recommended.