Sexually Transmitted Infections Flashcards
(28 cards)
List 6 risk factors for STIs.
Non-modifiable:
- Young age
- Female (except gonorrhoea)
- Living in big cities
Personal factors:
- Partner choice (e.g. MSM)
- Condom use
Network-based factors:
-Large sexual networks
List 6 principles of STI management.
- Definitive diagnosis before treatment
- Screen for accompanying STIs (esp. HIV)
- Simple treatment regimens
- Follow up after treatment
- Partner notification
- Non-judgemental patient support
What do you need to find out in a sexual history?
5Ps: Partners Practices Pregnancy Past history Protection
Last time they had sex
Location of sex
Which 2 tests would you do for gonorrhoea?
Urethral gram film
NAAT (nucleic acid amplification test)
- Males: urine
- Females: vulvovaginal swab
What is the main clinical feature of gonorrhoea?
Urethral discharge
What are the 2 complications of gonorrhoea?
Disseminated gonorrhoea
Drug resistant gonorrhoea
List 3 features of disseminated gonorrhoea.
Painful joints
Small skin lesions
Joint swelling
List the 3 components of gonorrhoea treatment.
State dose, administration and duration of any drugs.
Ceftriaxone, 500mg IM
Azithromycin, 1g oral
Partner notification
Which bacteria causes chlamydia?
Chlamydia trachomatis
List 3 clinical features of chlamydia.
Asymptomatic
Pelvic pain
Pain during sex
Describe 1 subtype of chlamydia.
List 8 features of this condition.
Lymphogranuloma venereum (LGV)
Severe proctitis, e.g. -Constipation -Rectal bleeding -Pain -Discharge -Rectal fullness Ulceration Inguinal bubos
List 3 consequences of long term chlamydia infection.
Tubal damage
Pelvic inflammatory disease
Infertility
List 2 aspects of chlamydia treatment.
State dose, administration and duration for any drugs.
Azithromycin, 1g (oral)
Doxycycline, 100mg (oral) - twice daily for 1 week
Which bacteria causes syphilis?
Treponema pallidum
Outline the natural history of syphilis, including time scales and symptoms.
Primary syphilis (3 weeks) -Chancre
Secondary syphilis (8-16 weeks)
- Rash
- Alopecia
Tertiary syphilis (10-40 years)
- Gumma
- Cardiovascular complications
- Neurological complications
What is a “gumma”?
A form of granuloma, presenting as a soft, non-cancerous growth in syphilis
Give 2 examples of CVD complications in advanced syphilis.
Stroke
Aortic dilatation
Give 4 examples of neurological problems in advanced syphilis.
Headache
Altered behaviour
Movement problems
Eye problems (ocular syphilis)
List 2 consequences of long term syphilis infection.
Miscarriage
Stillbirth
How is syphilis treated?
Penicillin (injection)
List 4 other bacterial STIs.
Trichomonas vaginalis
Mycoplasma genitalium
Donovanosis (granuloma inguinale)
Chancroid
List 5 examples of viral STIs.
Human papilloma virus HSV HIV Molluscum contagiosum Hepatitis B/C
How are genital warts treated? (3)
Condyline
Aldara
Liquid nitrogen treatment
How is HSV treated?
List dose, administration and duration of drug treatment.
Aciclovir, 200mg (oral)
5x per day, for 5 days
