Sexually transmitted diseases Flashcards
(45 cards)
Describe the infectious process
Colonization
- microorganisms without host interference
Infection
- Host interaction with an organism
- can be suggested based on clinical evidence of erythema, heat and pain, WBC counts
Infectious disease
- infected host displays a decline due to infection
STI - how does one get it
Acquired through sexual contact with an infected person
– enters through skin and mucosal linings of the urethra, cervix, vagina, rectum and oropharynx
STI risk factors
unprotected sex multiple partners under 26 years of age sex at an early age alcohol or illegal drugs IV drugs history of STI prostitution oral contraceptives as only form of contraception
Syphilis - how is it acquired
acquired through sexual contact
Primary syphilis
2-3 weeks
Painless lesion
Secondary syphilis
2-8 weeks
involved trunk and extremities (palms and soles of feet)
s/s:
- lymphadenopathy, arthritis, meningitis, hair loss, fever, malaise, weight loss
can have a period of latency - no s/s
Tertiary syphilis
Progressive inflammation affecting multiple organs
Not ass common - using abx
Syphilis treatment
antibiotics
Syphilis - what must happen if someone tests positive
report to public health
Syphilis - severe complications
dementia, psychosis, stroke, meningitis, paresis
Nursing care for syphilis
Test 3-12 months
notify public health
Chlamydia trachomatis and Neisseria gonorrheae: how it is acquired?
sexual relations or transmitted from mother to child during vaginal birth
Chlamydia trachomatis and Neisseria gonorrheae: risk factors
increased sexual partners
Chlamydia trachomatis and Neisseria gonorrheae: clinical s/s women
no symptoms in women; however, they can have mucopurulent cervicitis with exudates in the endocervical canal.
women with gonorrhea can present with s/s UTI or vaginitis
Chlamydia trachomatis and Neisseria gonorrheae: s/s men
can be asymptomatic
burning during urination and penile discharge, swollen testicles
fever, discharge, signs of arthritis
Chlamydia trachomatis and Neisseria gonorrheae: diagnostics
Nucleic acid amplification test (NAAT)
Chlamydia trachomatis and Neisseria gonorrheae: medical management
Doxycycline
Azithromycin
Gonorrhea - ceftriaxone
Chlamydia trachomatis & Neisseria gonorrhoeae: nursing management
education - reinforcing the importance of abstinence, when appropriate, education should address postponing the age of initial sexual exposure, limiting the number of sexual partners, and use of condoms or barrier protection
Chlamydia trachomatis & Neisseria gonorrhoeae: complications
Ectopic pregnancies
Endometritis
Infertility
Human papillomavirus - facts
Most common among young, sexually active people
Many are unaware they carry the virus
Highest risk factor for cervical cancer
HPV affects what
The skin ad mucus membranes through sexual contact
Risk factors for HPV
being sexually active, having multiple sex partners, and having sex with a partner who has or has had multiple partners
HPV manifestations
condylomata (genital warts) - visible, flesh-colored, flat, verrucous, or papillary
What can be used to help prevent the spread of HPV
immunication
