STDs

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Author:
capnhue
ID:
144703
Filename:
STDs
Updated:
2012-03-30 01:21:42
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Regis University
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STDs
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  1. Condoms do not protect against
    • herpes
    • syphilis
    • genital warts
  2. Gardasil
    • protects against HPV: 6, 11, 16, 18
    • indicated in females: ages 9 -26
    • for prevention of: cervial, vaginal, vulvar cancers
    • Indicated in men and females: ages 9-26
    • for prevention of: genital warts and cancer
  3. Cervarix
    • Protects against HPV: 16 and 18
    • indicated in females: ages 9 - 25
    • for prevention of: cervical cancer
  4. Treatment for Syphilis
    • Penicillin G
    • alternatives - doxycycline, ceftriaxone
  5. Tinidazole adverse effects
    • metallic taste
    • darken urine
    • darken tongue
    • peripheral neuropathy
    • convulsions
    • pregnancy category: C
  6. Acylic Nucleoside adverse effects
    • Common: nausea, vomiting, diarrhea, malaise
    • CNS: confusion, delirium, seiures
    • Pregnancy category: B
    • VPA and PHT: decrease w/ concurrent use of acyclovir
    • Theophyline: increase w/concurrent use of acyclovir
  7. Foscarnet adverse effects
    • renal impairment: decreasing electrolyte levels
    • hypocalcemia
    • hypophosphatemia (common)
    • hyperphosphatemia (less common)
    • hypomagnesemia
    • hypokalemia
    • seizures: due to low electrolyte levels
    • pregnancy category: C
  8. Reduce risk of Cidofovir renal toxicity
    • IV hydration before and during cidofovir therapy
    • administration of probenecid w/ cidofovir
    • pregnancy category: C
  9. Treatment for HPV
    • podofilox (also treats genital warts)
    • imiquimod
  10. Latent syphilis
    • positive serologic test no symptoms
    • early latent - syphilis is within 1 yr from onset of infection
    • late latent - after 1 yr of incfection, is considered non-infectious, but may progress to subsequent stage
  11. Primary syphilis
    has a chancre (firm, round, small, painless sore) If untreated will progrees to 2nd
  12. Secondary syphilis
    skin rash (non-itchy) and mucous membrane lesions. possibly have systemic symptoms of lymphadenopathy (large lymph nodes), fever, pharyngitis, arthralgias. will progress to latent possibly 3rd
  13. Teritary syphilis
    gumma formation ( granulomatous lesin that infiltrates skin, bone, organ), if forms in heart or brain is fatalLatent: positive serologic test no symptoms
  14. What are the two surface proteins of N. Gonnorheae which bind the bacteria to the host cell
    • pili
    • OPA proteins
  15. Gonorrhea/Chlamydia untreated can lead to
    • women: lead to pelvic inflammatory disease, infertility, ectopic pregnancy
    • men: epididymitis (inflammation of epididymis), infertility
  16. Treatment for Chlamydia
    • azthromycin
    • doxycyline
    • alternatives - erthromycin, levofloxacin
  17. Treatment for Herpes Simplex Virus (HSV)
    • acyclovir
    • valacyclovir
    • famciclovir
    • 2nd - foscarnet
    • 3rd - cidofovir
    • Topical shoult NOT be used for HSV
  18. PregTreatment for HPV
    • prevention: woman and men
    • women - Cervarix (age 9-25), gardasil
    • men - Gardasil (age 9-26)
    • pt applied: podofilox solution/gel, imiquimod cream
    • provider applied: podophyllin resin, cryotherapy or cryoprobe
  19. Pregnancy and STDs
    • harmful effect of STDs: stillbirth, low birth weight, conjunctivitis, pneumonia, sepsis, neurological damage
    • Passes through placenta: HIV, syphilis
    • transmitted through delivery: gonorrhea, chlamydia, genital herpes (C=section required)

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