Bacterial STD

Card Set Information

Author:
call_me_velcro
ID:
13718
Filename:
Bacterial STD
Updated:
2010-04-09 18:19:59
Tags:
Bacterial STD
Folders:

Description:
Bacterial STD
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user call_me_velcro on FreezingBlue Flashcards. What would you like to do?


  1. NGU
    non-gonoccoal urethritis
    urethral inflammation without GNID
  2. GNID
    • gram negative intracellular diplococci
    • if on urethral smear-->gonorrhea infection
  3. male NGU complications (w/ CT)
    • epididymitis
    • prostatitis
    • Reiter's syndrome
  4. positive signs or lab tests for urethritis
    • mucopurulent or purulent d/c
    • + leukocyte esterase test on first-void urine or microscopic exam of urine sediment = >10wbc per high power field
    • gram stain of secretions = >5wbc per oil immersion field
  5. NGU Standard tx
    • Azithromycin 1 g po, single dose + no sex for 7 days
    • OR
    • Doxycycline 100 mg po bid for 7 days + no sex for 7 days
    • -tx partner
    • rescreen in 3 months or at next presentation. Must wait at least 3 weeks for rescreen or will have false+
  6. NGU alternatives
    • Erythromycin base 500 mg po 4x day, 7 days
    • OR
    • Erythromycin ethylsuccinate 800 mg po 4x day, 7 days OR
    • Ofloxacin 300 mg po 2x day, 7 days
    • OR
    • Levofloxacin 500 mg po daily for 7 days
  7. NGU fu
    return for E&M if persist or recur after completion of abx
  8. Guidelines for GC/CT screening
    • -mucopurulent cervicitis or PID
    • -sex partner with CT
    • -age < 25 and sexually active
    • -age > 25 and >1 partner in past 3-6 months or inconsistent condom use
    • -currently pregnant
    • -pre IUD insertion
    • -h/o CT or GC in past 2 years
  9. Possible sequelae from untreated GC/CT (females)
    • -scaring of fallopian tubes
    • -potential infertility
    • -PID
    • -increased r/o ectopic pregnancy
  10. CT/GC demographic characteristics
    • females more asx
    • higher incidence among black and native americans
  11. rescreening for GC/CT
    • d/t possible reinfection secondary to:
    • non-compliance w/ abx
    • too quickly resumed sex activity after abx
    • bacterial resistance
    • reinfection (new partner or same un-tx partner)

    *must wait 3+ weeks prior to rescreen or high rate of false+
  12. Test of cure for GC/CT
    only necessary in pregnancy
  13. "common" GC/CT presentation
    • women: **asx**
    • -increased or abnormal vaginal d/c
    • -dysuria (men>women)
    • -dysparunia (change from baseline)
    • advised by partner to get tested
    • men:
    • -urethral d/c in men
    • -scrotal pain
    • -dysuria
  14. atypical GC/CT presentation
    • -body aches
    • -edema
    • -adenopathy
  15. Treatment for Chylamida or mucopurulent cervix
    Azithromycin 1gm single dose + abstain from sex for 7 days

    or

    Doxyocycline 100 mg bid x 7 days and no sex for 7 days
  16. Fluroquinolones to tx GC..
    • high resistance in:
    • SE Asia
    • HI
    • CA
    • WA
    • pacific

    other geographic resistance to PCN and tetacycline
  17. If use fluroquinolones d/t allergy to standard for GC....
    must do test of cure 4 weeks out
  18. Syphilis demographics
    increasing trends among MSM

    • raising in heterosexuals
    • highly geographic. Higher in south and among blacks
  19. Syphilis screening
    • non-specific tests:
    • RPR
    • VDRL
  20. Syphilis diagnostic test for confirmation
    • FTA
    • TPPA
  21. MSM STD screening guidelines
    • -MSM sex in past 12 months
    • -HIV serology if previous neg or unknown
    • -serology for syphilis
    • -pharyngeal GC culture

    If receptive anal: GC and CT cultures

    Repeat 2-6 months for high risk groups
  22. Syphilis presentation
    primary: chancre - usually non-painful

    • secondary: papulosquamous or papulopustural rash
    • classic= rash on palms and feet
    • alopecia common

    latent: ulcerated gumma
  23. teens at highest risk for STD because?
    biological and behavioral

What would you like to do?

Home > Flashcards > Print Preview