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Therapy: year 3 > STI - part 1 > Flashcards

STI - part 1 Flashcards

1
Q

what are reportable STIs

A

chlamydia
gonorrhea
Chancroid
syphilis
Viral Hep
HIV

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2
Q

it is not important to notify the partners of thos who have a reportable STI

A

false

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3
Q

what is the first most common vs second most comon STI

A

chlamydia and gonorhea ( these are closily linked)

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4
Q

chlamydia and gonorhea patient demogrphaic

A

youth (under 30)

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5
Q

chlamydia and gonorhea whihc is more prominaint in females and whihc in males

A

chlamydia - females

gonorrhea- males

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6
Q

syhpilis trend in canda

A

rising

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7
Q

syphilis patient demogrpahic

A

males

above 30

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8
Q

is HPV reportable?

A

no

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9
Q

HpV how common

A

70% have it in lifetime

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10
Q

is HSV reportable

A

no

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11
Q

for HSV and HPV patient demogrpahic

A

adolescents

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12
Q

STI screening - shoudl we use a syndromal apporch why or why not?

A

not, because many STIs are asymptomatic

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13
Q

what should we do routine screening for?

A

chlamydia, gonorrehea, syphilis, HIV, hep B

for women add trichonomas

should also screen for HSV and HPV (however a pap is needed for HPV)

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14
Q

is POC testing enough to confirm a diagnosis by?

A

no need lab values, serology

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15
Q

is co-infection with STIs a concern

A

yes - example chlamydia and gonorhea

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16
Q

HIv and STI conerns

A
  • having an STI increase HIV transmission
  • HIV patients may be less responisve to STi med especially if immune surppresed (not all HIV patients are immune suppressed)
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17
Q

what are the screening approaches

A

prenatal screening

risk factor screening (25 plus)

annual screening ( for Ct and NG for those under 30 that are LGBTQ)

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18
Q

for Ct and NG how do we screen?

A

we can use urien of swabs (swabs all areas involved in sex, urtheral, vaginal, cervical, recatl, pahryngeal)

for urine we do a NAAT

for swabs we do a NAAT and culture

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19
Q

for syphilis how do we screen?

A

blood work - lab does seroly

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20
Q

when we suspect NG how does it affect screening

A

we should also culture

also chcek for both due to co-infection

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21
Q

when collecting urine samples what is of importance

A

firt pee

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22
Q

what do condoms not protect against?

A

HSV, HPV, and syphilis (due to lesions?)

23
Q

what do condoms protect against

A

CT, NG, HIV, HBV

24
Q

what kind of condoms should we avoid and why?

A

nonoxynol-9 (spericide

  • increase risk of HIV and STI by disruption and lesions
25
CT serovars and what they cause
D-V serovars L1, L2, and L3 cause LGV (whihc has more systemic sym)
26
CT tissue it affects
lymphatic tissue
27
CT presentation and complication
can cause small painless ulcers or painful hemorrhagic proctitis with complications such as anal fissure and strictures
28
CT incubation period
2-6 weeks
29
NG invubation period, and timelines of syms
incubates for 2-7 days sym within week of exposure
30
NG asymptomatic groups
Asymptomatic in females rectal and pharyngeal infections asymptomatic
31
Ch and NG clinical presentation what symptomatic should we be aware of and treat?
PID
32
CH tx
Doxy BID for 7 days or Azithromycin one singel dose
33
CH tx with LSV
Doxy BID for 21 days
34
Ch whihc drug is favored why?
doxy - cheaper
35
CH if we vomit an hour after dose what do we do?
nothing - dose is good
36
what is EPT
delivering of drugs to infected partner to ensure adequate treatment
37
due to resistance emerging what drug class should be avoided for routine therpay?
tetrcycline, macrolide, quinolones
38
NG tx - anogenital
Cetriaxone IM single dose plus azithromycin po single dose or Cefixime Po single dose PLS azithromycin po single dose
39
NG tx - angiogenital MSM pharyngeal infection
Cetfriaxone IM single dose plus azithromycin po single dose or Cefixime Po single dose PLS azithromycin po single dose
40
NG - when is cefriatoxone favored over cefixime
when MSM, when deeper penetration such as with pharyngeal infections
41
NG- cepholosporialin allergy
use high dose azithrom
42
NG tretaed should not be given at same time at CT tx, true or false
NG and co-infections occur so best to treat for both conditiosn
43
what type of NG - requires hospitalization
disseminated gonococcal infections
44
CT moniotring and follow up
test for cure not indicated unless prego or pre-pubertal children or adherence conernces can chcek NAAT after 4 week
45
GN moniotring and follow up
test to cure culture 3-7 days post therpay
46
CT and GN follow up
chcek for reingfection at 306 months due tp high rate of reinfection
47
Ct and GN abstain from sex for how long?
until done theroay or 7 days after single dose
48
PID what is it
infecteion of female upper genital tract - usualy due to untreated Ct and NG
49
PID long term sequela
inferitilty ectopic pregenancy chronic pelvic pain
50
PId organims and what does that mean tretament wise
polymicrobial and thus broad spetrum abx
51
PID tx paternal options
-cefoxitin(IV) and doxy (IV or oral) - duration of IV 24 hours after improvement otherwise for 14 days or clindamycin IV with gentamicin (IV or IM) - duration of IV 24 hours after improvement otherwise for 14 days - gentamcin needs a loading dose
52
PID tx outpatient options
ceftriaxone IM plus doxy po BID for 14 days or cefoxitin IM plus probenecid po and doxy po BID for 14 days or other third gen cephalosporines and doxy for 14 days
53
what do we do for anaerobe coverge
add metronidazole (avoid alcohol fro 24 hr)

Therapy: year 3 (14 decks)

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