transmission of std’s is primarily through
sexual transmission
blood born pathogens such as HIV, hep B, & syphilis may also be spread through
-blood transfusions
-shared needles
-contact w another persons blood
risk factors
-multiple sex partners
-oral contraceptive use
-no use of barrier contraceptives
-cervical bleeding
prevention
-mutual, monogamous relationship in which both partners have no STD
-sexual abstinence
-barrier contraceptive
-universal precautions
bacterial STDS
-gonorrhea
-syphilis
-chlamydia
viral STDS
-hsv2
-hpv or genital warts
-hiv
required reportable to local, state, or public health authorities
-gonorrhea
-syphilis
-chlamydia
gonorrhea
caused by gram negative neisseria gonorrhoeae
what organs are effected by gonorrhea
-male urethra
-female cervix
-rectum
-oropharynx
incubation period of gonorrhea
4-7 days
s/s of gonorrhea in males
-urethritis
-dysuria
-purulent discharge
s/s of gonorrhea in females
-may have dysuria or no s/s
-urinary frequency
-redness/swelling @ site of contact
-purulent vaginal drainage
diag of gonorrhea
sterile swab into os, roll onto culture plate, & incubate
tx of gonorrhea
-single dose IM rocephin
-cipro
-suprax
-levaquin
-abstain from alcohol & intercourse during tx
-use of condoms or monogamy
male complications of untx gonorrhea
-prostatitis
-urethral strictures
-sterility
female complications of untx gonorrhea
-PID
-bartholin abscess
-infertility
-in pregnancy; spontaneous abortion, preterm labor/delivery, endometrious postpartum
gonorrhea in a newborn
-eye infection leading to blindness
-given antibiotic eye ointment; erythromycin
syphilis is caused by
treponema pallidum, a spirochete
syphilis enters the body through
small breaks in skin
syphilis incubation period
10-90 days, avg is 21 days
primary stage of syphilis
-painless chancre on penis, vulva, lips, &/or mouth
-lasting ab 4 weeks
secondary stage of syphilis
-systemic infection w cutaneous eruptions
-alopecia
-generalized adenopathy
-eruptions are highly infectious
-fever
-weightloss
-malaise
-cutaneous rashes
latent syphilis
-no clinical signs of disease
-70% never develop late syphilis
late or tertiary syphilis
-3-20 years after infection
-high morbidity & morality
-gummas
-neurosyphilis