STI worksheet:Fill in the Blanks by going to the following resources:1.Search: https://www.cdc.gov/std/healthcomm/fact_sheets.htm (use basic fact sheets)2.Search: https://www.cdc.gov/std/treatment-guidelines/pocket-guide.pdf3.Determine if Expedited Partner therapy is recommended for the STI? https://www.cdc.gov/std/ept/legal/default.htm4.Information HPV vaccination: https://www.cdc.gov/std/hpv/stdfact-hpv-vaccine-young-women.htmSTIWhat is it? How is it spread? I’m pregnant. How does BV affect my baby/Fertility? What are the symptoms? How will my healthcare provider know? (Diagnosis)RecommendedTreatment for adults and Newborn or pregnancy(add first treatment option only)Expedited partner treatment needed?Yes or NoBacterial Vaginosis Bacterial vaginosis (BV) is a condition that happens when there is too much of certain bacteria in the vagina. This changes the normal balance of bacteria in the vagina. BV is a result of an imbalance of “good” and “harmful” bacteria in a vagina. Douching, not using condoms, and having new or multiple sex partners can upset the normal balance of vaginal bacteria, increasing your risk for getting BV.Pregnancy:Fertility:A healthcare provider will examine your vagina for signs of discharge. They also can test a sample of vaginal fluid to determine if BV is present.metronidazole oral 500 mg orally 2x/day for 7 daysOR metronidazole gel 0.75%, one 5 gm applicatorintravaginally, 1x/day for 5 daysOR clindamycin topical cream 2%, one 5 gm appWhat are the three routes of recommended treatment?noChlamydial Infections Chlamydia is a common STD that can cause infection among both men and women. It can cause permanent damage to a woman’s reproductive system. This can make it difficult or impossible to get pregnant later. Chlamydia can also cause a potentially fatal ectopic pregnancy (pregnancy that occurs outside the womb). You can get chlamydia by having vaginal, anal, or oral sex with someone who has chlamydia. Also, you can still get chlamydia even if your sex partner does not ejaculate (cum). A pregnant person with chlamydia can give the infection to their baby during childbirth.Pregnancy:Fertility:Women:An abnormal vaginal discharge; andA burning sensation when peeing.Men:A discharge from their penis;A burning sensation when peeing; andPain and swelling in one or both testicles (although this is less common).Both Men and women rectal:Rectal pain;Discharge; andBleeding.Other symptoms:An unusual sore;A smelly discharge;Burning when peeing; orBleeding between periods.Laboratory tests can diagnose chlamydia. Your healthcare provider may ask you to provide a urine sample for testing, or they might use (or ask you to use) a cotton swab to get a vaginal sample.Adult:Newborn: erythromycin base 50 mg/kg body weight/day orally,divided into 4 doses daily for 14 daysOphthalmia in Neonates: erythromycin base 50 mg/kg body weight/day orally,divided into 4 doses daily for 14 daysIs chlamydia curable?Resume sex??Genital Herpes Simplex Genital herpes is an STD caused by two types of viruses – herpes simplex virus type 1 (HSV-1) and herpes simplex virus type 2 (HSV-2).You can get genital herpes by having vaginal, anal, or oral sex with someone who has the infection. You can get herpes if you have contact with:A herpes sore;Saliva from a partner with an oral herpes infection;Genital fluids from a partner with a genital herpes infection;Skin in the oral area of a partner with oral herpes; orSkin in the genital area of a partner with genital herpes.You also can get genital herpes from a sex partner who does not have a visible sore or is unaware of their infection. It is also possible to get genital herpes if you receive oral sex from a partner with oral herpes.Pregnancy: may lead to miscarriage or make it more likely to deliver your baby too early. You can pass herpes to your unborn child before birth, can lead to a deadly infection in your baby (called neonatal herpes).If you have genital herpes, to take anti-herpes medicine towards the end of your pregnancy. At the time of delivery, your healthcare provider should carefully examine you for herpes sores. If you have signs or symptoms of genital herpes at delivery, a ‘C-section’ is likely to occur.Initial outbreak:Repeat Outbreaks:genital herpes by simply looking at any sores that are present. Providers can also take a sample from the sore(s) and test it.First exposure:Suppression: acyclovir 400 mg orally 2x/dayEpisodic: acyclovir 800 mg orally 2x/day for 5 daysSuppression in Pregnancy:Is herpes curable:noGenital Warts (Human Papillomavirus)You can get HPV by having vaginal, anal, or oral sex with someone who has the virus. It is most commonly spread during vaginal or anal sex. It also spreads through close skin-to-skin touching during sex. A person with HPV can pass the infection to someone even when they have no signs or symptoms.If you are sexually active, you can get HPV, even if you have had sex with only one person.Some people find out they have HPV when they get genital warts. Women may find out they have HPV when they get an abnormal Pap test result (during cervical cancer screening). Others may only find out once they’ve developed more serious problems from HPV, such as cancers.There is no test to find out a person’s “HPV status.” Also, there is no approved HPV test to find HPV in the mouth or throat.There are HPV tests that can screen for cervical cancer. Healthcare providers only use these tests for screening women aged 30 years and older. HPV tests are not recommended to screen men, adolescents, or women under the age of 30 years.Patient-applied:imiquimod 3.75% or 5%13 creamUrethral/vaginal/cervical/anal warts:Is HPV preventable:When is vaccinated recommended?Should males be vaccinated?noGonococcal Infections(gonorrhea)Gonorrhea is an STD that can cause infection in the genitals, rectum, and throat. It is very common, especially among young people ages 15-24 years. Sexually active people can get gonorrhea through vaginal, anal, or oral sex without a condom with a partner who has gonorrhea.Pregnancy: infection to your baby during delivery. This can cause serious health problems for your baby.Women Fertility:Men fertility:Women:Painful or burning sensation when peeing;Increased vaginal discharge; andVaginal bleeding between periods.Men:A burning sensation when peeing;A white, yellow, or green discharge from the penis; andPainful or swollen testicles (although this is less common).Rectal infections:Discharge;Anal itching;Soreness;Bleeding; andPainful bowel movements.a urine sample to diagnose gonorrhea. However, if you have had oral and/or anal sex, your healthcare provider may use swabs to collect samples from your throat and/or rectum.Adults and Pregnancy: ceftriaxone 500 mg IM in a single doseOphthalmia in Neonates: ceftriaxone 25-50 mg/kg body weight by IV or IM ina single dose, not to exceed 250 mgResume sex?Retest after treatment??Pelvic Inflammatory Disease Pelvic inflammatory disease is an infection of a woman’s reproductive organs. It is a complication often caused by some STDs,Pregnancy: noneFertility:Pain in your lower abdomen;Fever;An unusual discharge with a bad odor from your vagina;Pain and/or bleeding when you have sex;Burning sensation when you urinate; orBleeding between periods.There are no tests for PID. A diagnosis is usually based on a combination of your medical history, physical exam, and other test results.Intramuscular Treatment: ceftriaxone 500 mg IM single dose PLUS doxycycline 100 mg orally 2x/day for 14 days WITHmetronidazole 500 mg orally 2x/day for 14 daysIs PID curable?noSyphilis Syphilis is a sexually transmitted infection (STI) that can cause serious health problems without treatment. Infection develops in stages (primary, secondary, latent, and tertiary). Each stage can have different signs and symptoms.You can get syphilis by direct contact with a syphilis sore during vaginal, anal, or oral sex.Syphilis can spread from a mother with syphilis to her unborn baby.Pregnancy:Congenital Syphilis Babies born with CS, CS can cause:Deformed bones,Severe anemiaEnlarged liver and spleen,JaundiceBrain and nerve problems, like blindness or deafness,Meningitis, andSkin rashes.Primary:Secondary: skin rashes and/or sores in your mouth, vagina, or anus. This stage usually starts with a rash on one or more areas of your body. The rash can show up when your primary sore is healing or several weeks after the sore has healed. The rash can be on the palms of your hands and/or the bottoms of your feet and look: rough; red; orreddish-brown, non-itchy. Other symptoms may include:fever; swollen lymph glands;sore throat;patchy hair loss;headaches;weight loss;muscle aches; andfatigue. Without treatment, infection will move to the latent and tertiary stages of syphilis.Latent: The latent stage of syphilis is a period when there are no visible signs or symptoms. Without treatment, you can continue to have syphilis in your body for years.Tertiary: affect many different organ systems. These include the heart and blood vessels, and the brain and nervous system.a blood test to test for syphilis. Some will diagnose syphilis by testing fluid from a syphilis sore.Primary, secondary, andearly latent: adults (includingpregnant women and peoplewith HIV infection):Late latent adults (includingpregnant women and peoplewith HIV infection): benzathine penicillin G 7.2 million units total, administered as 3 doses of 2.4 million units IMeach at 1-week intervalsIs retesting needed?Partner needs to be treated but no EPTTrichomoniasis Trichomoniasis (or “trich”) is a very common STD caused by infection with Trichomonas vaginalis (a protozoan parasite). Although symptoms vary, most people who have trich cannot tell they have it.Pregnancy: Pregnant people with trich are more likely to have their babies early. Also, their babies are more likely to have a low birth weight (less than 5.5 pounds).Men:Itching or irritation inside the penis;Burning after peeing or ejaculating; andDischarge from the penis.Women:Exam and a laboratory test will confirm the diagnosis.Women: metronidazole 500 mg 2x/day for 7 daysMen: metronidazole 2 gm orally in a single doseIs Trichomoniasis curable?Do I need to retest?Partner needs to be treated.No EPT
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