Epidemiology STD and HEPATITIS REVIEW

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Sotomania  on August 14, 2011

Subjects:

epidemiology

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Epidemiology STD and HEPATITIS REVIEW

Non-Gon. Urethritis S/S
M: 1-25% ;asymptomatic
F: most women; asymptomatic, may cause sterility and chronic problem with fallopian tubes
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Definitions

Non-Gon. Urethritis S/S M: 1-25% ;asymptomatic
F: most women; asymptomatic, may cause sterility and chronic problem with fallopian tubes
Non-Gon. Urethritis DX if gram negative, intercellular organism cannot be identified on gram stain
Non-Gon. Urethritis TX azithromiasin : 1gm p/o
doxy: 100 mg bid 7 days
Phthiriasis Pubis Infectious Agent Phthirus Pubis : Crab Louse
Phthiriasis Pubis TX 1% Permetherin cream rinse (nix)
Lindane 1% shampoo
Scabies TX Promethrin cream 5% all over for 8-14 hours
Linidine 1%
Scabies MOT initial : 2-6 wks
Re-occuring : 1-4 days
Granuloma Inguinale S/S Small beefy red nodules, vesicle or papule
Granuloma Inguinale Infectious Agent Calymmatobacterium granulomitis
Lymphogranuloma Venereum S/S Regional inflammation of lymph nodes and tissue
Lymphogranuloma Venereum Infectious Agent Chlamydia Trach.
L1-L3
Lymphogranuloma Venereum TX doxy: 100mg p/o bid for 21 days
erythro: 500 quid 21 days
Lymphogranuloma Venereum MOC safe sex and abstinence
Chancroid S/S single or multiple painful necrotizing ulcers
Chancroid Infectious Agent haemophillis ducreyi
-gram neg bacilli single or cluster
Herpes TX acyclovir: 200mg p/o 5 times daily (7-10d)
famciclovor: 250mg p/o 3 times daily (7-10d)
valacyclovir: 1g p/o bid 7-10 d
Condyloma Acuminatum Infectious agent HPV
Condyloma Acuminatum TX Cryotherapy with liquid nitrogen
HIV S/S Oppurtunist infections: such as pnuemocystis carinii pnuemonia , chronic cryposporidiosis, disseminated hsv, essophogeal or lri candidiasis , cytomeglovirus infection
HIV DX Elisa
WESTERN BLOT
ID specific viral antibodies
HIV TX NONE
Syphilis S/S Canker : painless with serious exudate
10-90 days
firm, non-feluctant painless satellite lymph node bubo. 2-6 weeks
Syphilis Infectious Agent Treponemal pallidum
Syphilis Incubation Period R: 10days to 3 months
A: 21 days
Gonorrhea S/S M: Purulent discharge, dysuria
F: Most common symptoms resemble lower genital track infection ; increase vaginal discharge, dysuria, instrumental uterine bleeding, menorrhagia
Gonorrhea Infectious Agent neisseria gonno. infection
Gonorrhea Susceptibility and Resistance everybody, only effects transitional epithelium
HEP A S/S aundice - few days of onset
<70% Adults are symptomatic
Clinical Illness 1-2 weeks
HEP A Infectious Agent Hepatitis A Virus
RNA picornavirus 27nm
HEP A MOT atm and sushi
HEP B S/S Asymptomatic in 50% of adults
Prodromal Phase
Icteric Phase (1-3 weeks)
Chronic infection: 10% of acute cases
Fulminating: fatal cases of acute hepatic necrosis
1-3 ( Jaundice Phase)
Grey stool
Hepatomegaly (fat liver)
HEP B Infectious Agent Hepatitis B Virus
42nm partially double stranded DNA
HEP B MOT HBV contact with blood, body juice or fomites
HEP C DX ELISA developed specifically testing HCV
EIA: Enzyme Immunoassy
HEP D S/S Same as HBV
HEP D Infectious Agent Hepatitis D Virus
35-37nm virus like particle
HEP D MOT Same as HBV
HEP E S/S Same as HAV
HEP E Infectious Agent Hepatitis E Virus
32 nm Single strand rna
HEP E MOC P: proper food prep , edu and proper disposal of feces and clean water
COP: Same as Hep a

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