1. 5. Describe assessment, treatment & teaching for STDS
Chlamydial Infection-caused by virus “chlamydial trachomatis”
S/s Men
penile discharge
Painful and frequent urination

2. Cont. S/s woman Vaginal discharge & lower abdominal pain
No symptoms may be experienced

3. Assessment & Treatment
Take sexual hx
Chlamydial antigen test
Cell tissue culture
Treatment-single dose asithromyacin-Zithromax, or 7 day course of Vibromyacin(doxycycline)

4. chlamydia

5. Chlamydia Vaginitis

7. Gonorrhea Caused by neissara gonorrhoeate S/s male
d/c from penis that is white or green
Burning on urination

8. Gonorrhea S/s female Vaginal discharge
Redness swelling of external genitalia
Burning on urination
Abdominal pain
Abnormal menstruation

9. Treatment
Single dose of Rocephin IM, Cipro IM or Orthoflex IM followed by 7 days of oral vibromyacin
If untreated, can cause sterility
Person remains infectious if untreated, even though symptoms disappear after 3-4 weeks

10. Gonorrhea

11. Syphillis Caused by a spirochete Treponoma Pallidum.
Can be passed through placenta causing congenital syphilis
S/s progress in 4 stages

12. First stage Chancre-may last from 1 to 5 weeks
Disappears and becomes a painless red ulcer that may last from 1-5 weeks

13. Primary syphilis-chancre

14. Primary syphilis - chancre

15. Primary syphyilis

16. Second Stage Occurs 6 weeks from contact
Rash on extremities hands and trunk

17. Third Stage-Latent stage
No Symptoms
Disease may be spread by blood contact
Major organs being invaded

18. Fourth Stage-Late stage
S/s: BLINDNESS
MENTAL ILLNESS
PARALYSIS
HEART DISEASE

19. Diagnosis and Treatment
Dx based on blood confirmation of organism
Treatment of choice Pen G injections
patients allergic to penicillin may be treated with doxycycline 300mg daily for 21 days or oral amoxycillin 3gm twice daily with 1 gm of probenecid for 2 weeks.

20. Herpes Simplex Type II transmitted by sexual contact S/s
Painful itching sores around genitals
Rash ,then blisters
Flu-like symptoms and burning on urination
Appearance and lab tests used to dx

21. Herpes Simplex
Women Men

22. Treatment for Herpes
No cure
May keep in check with antivirals

23. Trichomonis Caused by the parasite Trichomonas Vaginalitis
Usually transmitted sexually but can live on damp clothes and towels

24. S/s women blood spotting in vaginal discharge
heavy, yellowish-green or gray, frothy vaginal discharge
infection in the urethra, the tube that carries urine from the bladder out of the body
itching, burning or pain in the vagina
lower abdominal pain
musty vaginal odor
pain and/or burning when urinating
pain or discomfort during sexual intercourse (dyspareunia)
swelling in the groin
swollen and irritated vagina and cervix
urinating more than usual
vaginal or vulval redness
worsening symptoms when menstruating

25. Trichomoniasis S/s men Few or no symptoms
infection of the urethra or prostate gland, which is involved in semen production
painful and/or difficult urination
thin, whitish discharge from the penis
tingling inside the penis
Treatment
Flagyl is drug of choice
Diagnostics by microscopic study and cultures

26. Trichomoniasis

27. Condylomata Acumulata
Venereal warts
Treatment-removing visible parts of warts for symptom relief High reoccurrance rate

28. Condylamata

29. Condylamata

30. Vulva

31. Bacterial Vaginosis Caused by Gardenella Vaginalis
S/s are grey discharge and fishy odor
Treatment is Flagyl
Client teaching-no alcohol when taking meds as can have a rx with vomiting, tachycardia and hypotension
Note! Flagyl is contraindicated during pregnancy so a menstrual history or pregnancy test should be obtained before administration

32. Vaginitis
Etiology:
 bacteria
 protozoa
 viruses
 yeasts

33. The acidic environment (pH less than 5
The acidic environment (pH less than 5.0) of the vagina inhibits the growth of many pathogens. Several factors increase risk for infection.

34. Factors that increase Risk
Skin diseases
Skin irritation
Perfumes
Nylon underwear
antibiotics

35. Diagnosis made from description of symptoms and identification of pathogens in sample of vaginal discharge

36. Types of vaginitis
 candidiasis caused by Candida albicans, a fungus
 trichomoniasis, caused by Trichomonas vaginalis, a protozoan

37. Ways to decrease risk Avoidance or irritants-chemicals, dyes, soaps
Cotton underwear, nonrestrictive clothing
Frequent cleansing with neutral agents
Heat in the form of sitz baths or irrigation
Avoid sexual intercourse during course of treatment