Infections Of The Genital Tract Flashcards
(45 cards)
What is the definiation of a sexually transmitted infection?
Includes both symptomatic and symptomatic case, sexual activity is the principle mode of transmission
What is the definition of a sexullary transmitted disease?
Is symptomac cases of the infection only
Who are the specific at risk groups for STIs?
Young people, certain ethic groups, low socioecomonic status groups, specific aspects of sexual behcanviour including the age at first intercourse, the number of partners, and the sexual orientation and unsafe sexual activity
What are some of the reasons for the increased incidence of STIs?
Increased transmission, including changing sexual and social behaviour and the increased density and mobility of populations, increased GUM attendance, greater public, medical and national awareness, and improved diagnostic methods including screening programs
What are some of the STIs that cause gential skin and mucous membrane lesions?
Gential ulcers from HSV (and vesicles of bullae)
What are some of the STIs that cause urethiris?
Gnoccclol ingections
What are some of the STIs that cause cervicitis?
Vulvo-vaginatlis- candiaisa, rihcomonals, staphyloccosa,
Cervicitid- c trochomonals or n ghorrneha
What are the two main types of HPV?
HPV 6 and 11 cause causes cutanous, mucossal and gential wart
HPV16 and HPV 18 are the high risk oncogenic types
How would you diangose HPV?
Clincal, bioposy adn genome anaylsis hybrid capture
What is the treatment for HPV?
None- will spontaneously resolve
Topical pophyllin, cryotheapry, intraleison interferons, and imiquimod surgery
What is the causative organism of chalmyadia?
Chalmyadia trachomoatis
What are the features of a chalmydia infection in females?
Infection is commonly asymptomatic, however can progress to pelvic inflammatory disease which can give some worse consequences
What are some of the features of chalymadia infections in males?
Relatively asymptomatic and of low morbidity, a major risk is that of transmission to a female, and the infection in males usually presents as urethritis
What can happen if chaaymida infects a neonate?
Transmitted cervially from the female and can cause conjuctivitis but untreated can progress to pneumonia
How would you diangose chalymadia?
A urethral swab in males or a endocervical swab in females, or first catch urine- which is less senstive but more easily accessible
How would you treat chalmaydia?
Doxycylicine or asithromycin, or erthoymycin in neonates
What are some of the features of a primary herpes simplex infection?
Can be asymptomatic, but extensive painful genital ulceration, dysuria, inginual lumpadenopathy and fever and will generally last 2-3 weeks
Which of the herpes simplex virsuses affects the gentialia?
HSV2
How does herpes simplex become latent?
Sets up infection in the dorsal root ganglia
How would you diangose HSV?
PCr of the vesicle fluid and the ulcer base
How do you treat HSV?
Aciclavar (an antivrial) from primary and severe disease, and to prevent frequent recurrances
What is the features of the bacteria neissera gnorhhea?
Is a gram negative diplocccoi- that can only be grown on enhriched media
What are the features of niessera gnorrhea infection in female patients?
Infects the cervix and utrha, may lead to an acute cercicitis with vaginal dischargee and an urethral syndrome where the urethra is infection, can result in chronci pain, PID inferitlit and ecptopic pregancy
What are the features of a neissera ghorhhea infection in male paitents?
Can have complications such as epidiymitis and dissemnated gonococcal infections
