Infections Flashcards
(22 cards)
Risk Factors for Candida (4)
Recent AB Therapy
High Oestrogen Levels
Poorly Controlled Diabetes
Immunocompromised
What is the fungus responsible for thrush?
Candida albicans
Presentation of vaginal thrush
Intensely itchy
White vaginal discharge
Diagnosis of thrush
High vaginal swab
Management of thrush
Fluconazole pessary
Fluconazole oral 150mg
How is bacterial vaginosis transmitted?
It is NOT sexually transmitted
Pathophysiology of bacterial vaginosis
Replacement of normal lacto-bacilli which dominate vaginal flora
Presentation of bacterial vaginosis
Increased white, fishy discharge
No vaginal inflammation
What are the lactobacilli replaced with in bacterial vaginosis?
Coccobacilli
Complications of Bacterial Vaginosis (3)
Increased risk of higher up infection
Premature rupture of the membranes
Risk of miscarriage in concurrent pregnancy
What is trichomonas vaginalis?
A single celled parasite: humans are the only host
How is trichomonas vaginalis transmitted?
Sexual contact
Fomites
Presentation of trichomonas vaginalis (3)
Vaginal discharge
Strawberry cervix
Urethritis
Diagnosis of trichomonas vaginalis
High vaginal swab for microscopy
Management of trichomonas vaginalis
Oral metronidazole
Management of pubic lice
Malathion lotion
Management of gonorrhoea
Ceftriaxone 500mg IM
Need test of cure at 2 weeks
Management of syphillis
IM Penicillin
Investigation of syphillis
Dark brown microscopy
Combined IgM and IgG screening
+VE = IgM ELISA
-VE = no further tests
Investigation of chlamydia
- Males
- Females
Males - first pass urine
Females - high vaginal swab
Combined NAATs or PCR
Combined NAATS include
Gonorrhoea
Chlamydia
Management of chlamydia
Doxycycline 100mg bd 7 days
