Hepatitis B It is a PREVENTABLE infection Safe sex & Standard Precautions with body fluids provide primary prevention Hepatitis B vaccines- series of 3 injection given in the deltoid at 0, 1 month and 6 months Given to anyone at risk, such as nurses Is given to infants in newborn nursery or doctor’s office at the first visit All pregnant women are screened Having any STD can make you more likely to get HIV If you have an STD, get treatment because persons who are infected with STDs are more likely than uninfected persons to acquire HIV infection. Vaginal Infections Trichomoniasis- STI Yeast GBS: Group Beta Strep BV: Bacterial Vaginosis Trichomoniasis :Trichomonas vaginialis-protozoan Symptoms: Male: no symptoms, maybe urinary s/s Female: frothy yellow-green discharge with a strong odor, painful urination and itching of genital area, pink spots on cervix Diagnosis: speculum exam and wet mount Treatment: metronidazole (Flagyl) or tinidazole, given by mouth in a single dose BOTH partners need to be treated Pregnancy complications- can cause premature births and low birth weight Metronidazole (flagyl) is safe to use during pregnancy (although some sources think it is not safe unless other treatments have failed) Drinking alcohol when taking Flagyl can result in a reaction similar to Antabuse Abdominal cramps, nausea, vomiting, headaches, and flushing may occur. Therefore, women should be advised to avoid alcohol during treatment w/ flagyl for 24 hours after treatment is complete Antabuse is a drug used for people with an alcohol addicted to alcohol. If a person drinks while they are on Antabuse they will have nausea, vomiting, cramping.
Vaginal Yeast Infection (Candidiasis) Prevention Cotton underwear Abstain from intercourse until cured Pregnancy: Easily treated during pregnancy with Nystatin cream or similar tx Fetal effects: Oral thrush Perineal rash Group Beta Streptococcus (GBS) Gram + Bacteria Leading cause of life threatening perinatal infections in USA 15-40% colonized Asymptomatic Screening during late pregnancy Labor & delivery management: Antibiotics Infant management: Protocols Bacterial Vaginosis (BV) Other names – nonspecific vaginitis or Gardnerella vaginitis Syndrome in which normal H 2 O 2 -producing lactobacilli are replaced with high concentrations of anaerobic bacteria Can be implicated in PID Thin grayish-white d/c, fishy odor, itching, burning Treatment: Metronidazole or clindamycin Pregnancy complications: associated with preterm labor and birth Can cause premature rupture of membranes Implicated in postpartum endometritis Nursing Perspective Dignity and Respect Delicate Issues Full amount of teaching Partner
You've reached the end of your free preview.
Want to read all 10 pages?
- Fall '15
- Sexual intercourse, Human sexual behavior, Chlamydia infection, Sexually transmitted diseases and infections