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OB Chapter 7.docx - Chapter 7 STI 1. Describe prevention of...

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Chapter 7 STI1.Describe prevention of sexually transmitted infections in women, including risk reductionmeasures.
The Five P’s—Partners, Prevention of Pregnancy, Protection from STIs, Practices, and PastHistory of STIs—approach to obtaining a sexual history is an example of an effectivestrategy for eliciting information concerning five key areas of interest. Primary preventivemeasures are individual activities aimed at deterring infection.Bacteria• Chlamydia• Gonorrhea• Syphilis• Chancroid• Lymphogranuloma venereumViruses• Human immunodeficiencyvirus• Herpes simplex virus, types 1and 2• Cytomegalovirus• Viral hepatitis, types A and B• Human papillomavirusProtozoa• TrichomoniasisParasites• Pediculosis• Scabies2.Chlamydia trachomatis. SSX may be asymptomatic. Early identification ofC. trachomatisis important becauseuntreated infection often leads to acute salpingitis or pelvic inflammatory disease.Pelvic inflammatory disease (PID) is the most serious complication of chlamydialinfections, and past chlamydial infections are associated with an increased risk of ectopicpregnancy and tubal factor infertility.More than half of infants born to mothers with chlamydia will develop conjunctivitis orpneumonia after perinatal exposure to the mother’s infected cervix.Some women may experience spotting or postcoital bleeding, mucoid or purulent cervicaldischarge, or dysuria. Bleeding results from inflammation and erosion of the cervicalcolumnar epithelium.TX:azithromycin or doxycycline3.GonorrheaSSX may be asymptomatic
Rectal itching, fullness, pressure, and pain also are common symptoms, as is diarrhea. Adiffuse vaginitis with vulvitis is the most common form of gonococcal infection inprepubertal girls. There may be few signs of infection, or vaginal discharge, dysuria, andswollen, reddened labia may be present.

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Term
Fall
Professor
Trudy Williams
Tags
Chlamydia infection, Pelvic inflammatory disease

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