Microbiology of Genital tract infection Flashcards
(30 cards)
Normal vaginal flora?
Lactobacillus
Strep viridans
Group B beta haemolytic strep
Candida
Non sexually transmitted genital infections?
Thrush
Bacterial vaginosis
Prostatitis
Predisposing factors for candida?
Recent antibiotic therapy
High oestrogen levels
Poorly controlled diabetes
Immunocompromised patients
Diagnosis of candida infection?
Clinical diagnosis
High vaginal swab for culture
Treatment of candida?
Topical cotrimazole pessary
Oral fluconazole
Bacterial vaginosis bacteria?
Gardnerella vaginalis
Mobiluncus
Symptoms bacterial vaginosis?
Thin, watery fish-smelling vaginal discharge
Diagnosis of bacterial vaginosis?
Clinical diagnosis
Raised vaginal pH
Treatment of bacterial vaginosis?
Metronidazole
Laboratory testing for BV?
HVS
Subjective and inaccurate
Classification of Prostatitis?
Acute bacterial prostatitis
Chronic bacterial prostatitis
Chronic pelvic pain syndrome
Symptoms of ACP?
UTI like symptoms
Organisms of ACP?
E coli
ACP Diagnosis?
Clinical + MSSU
Treatment for ACP?
Ciprofloxacin for 28 days
If high C diff risk Trimethoprim 28 days
Commonest bacteria causing chlamydia?
Chlamydia trachomatis
Treatment of chlamydia?
Azithromycin
Diagnosis of chlamydia and gonorrhoea?
NAAT or PCR (tests for both organisms)
Which bacteria causes Gonorrhoea
Neisseria gonorrhoea
Treatment of gonorrhoea?
IM ceftriaxone + oral azithromycin
Which organism causes syphilis
Treponema pallidum (Spirochaete organism)
4 stages of syphilis?
1y lesion
2y stage
Latent stage
Late stage
Screening test for syphilis?
IgG and IgM ELISA
Treatment for syphilis?
Penicillin
