14 terms

7-1 Clinical features and management of STDs

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Terms in this set (...)

Are Sexually transmitted infections rare?
No, common
Are Sexually transmitted infections preventable?
yes
Untreated chlamydial and gonococcal infection may result in _____ which can lead to ______
pelvic inflammatory disease, which can lead to infertility, ectopic pregnancy, and chronic pelvic pain.
STIs can result in adverse outcomes in pregnancy, including
spontaneous abortion, still birth, premature birth, and congenital
infection
Presence of STIs can facilitate
HIV transmission
STIs prevention is based on some major strategies (how many and what are they?) (imp)
Five strategies
1- Risk assessment, and education
2-Pre-exposure vaccination of individuals at risk
3- Identification of both asymptomatic and symptomatic individuals with STIs.
4- Effective diagnosis, treatment, counseling, and follow-up of infected individuals.
5- Evaluation, treatment, and counseling of sex partners of infected
individuals

(education, vaccination, screening, treatment, screen partners)
what Increases the risk of getting STDs?
• Current or past history of an STI. • History of multiple sex partners. • No or inconsistent condom use outside a mutually monogamous
sexual partnership.
• All sexually active patients in non-monogamous relationships can be considered at increased risk (In areas of high STI prevalence)
Groups at risk of getting STDs?
• Adolescents/Young adults (50% ages 15 to 24).
• Men who have sex with men (MSM)
• HIV-infected patients
• Pregnant women
Available STDs Vaccines
• Hepatitis A
• Hepatitis B
• Human papillomavirus (HPV)
• N. meningitidis
Who should take Hepatitis A vaccine?
• Men who have sex with men (MSM)
• Injection drug users
• Patients with chronic liver disease, including HIV-infected individuals
Hepatitis A post-vaccination serologic testing is_______ in immunocompetent individuals because ______
not recommended
most people do respond to the vaccine.
Hepatitis A virus replicates in the
liver
Hepatitis A virus is shed in high concentrations in feces from t_____ to _____
from two weeks before to one week after the onset of clinical illness
Is condom use effective in preventing hepatitis A virus?
No, condoms are ineffective in preventing acquisition because of fecal-oral transmission