SYPHILIS
CAUSATIVE AGENT
TREPONEMA PALLIDUM
CAUSATIVE AGENT
NEISSERIA GONORRHOEAE
CAUSATIVE AGENT
CHLAMYDIA TRACHOMATIS
CAUSATIVE AGENT
TRICHOMONAS VAGINALIS
CAUSATIVE AGENTS OF GENITAL WARTS AND GENITAL HERPES (DOUBLE POINTS)
GENITAL HERPES - caused by HSV 2
GENITAL WARTS - caused by HPV
STAGES OF SYPHILIS
PRIMARY
SECONDARY
LATENT
TERTIARY
MEDICATION TO PREVENT OPTHALMIA NEONATORUM
ERYTHROMYCIN (0.5%) OPHTHALMIC OINTMENT
COMPLICATION OF CHLAMYDIA TO NEWBORN
CHLAMYDIAL CONJUNCTIVITIS
DRUG OF CHOICE
METRONIDAZOLE
DIAGNOSTIC EXAMINATION FOR GENITAL WARTS
1. CLINICAL EXAMINATION
2. PAP SMEAR
3. COLPOSCOPY
4. ACETIC ACID
5. BIOPSY
DRUG OF CHOICE
PENICILLIN G
DRUG OF CHOICE
CEFTRIAXONE WITH DOXYCYCLINE
DRUG OF CHOICE
Doxycycline (Vibramycin) PO BID for 7 days
or
Azithromycin (Zithromax)- 1G PO OD for 7days
Levofloxacin 500mg PO OD for 7days
ADVERSE REACTION WHEN ANTIFUNGAL MEDICATION IS TAKEN WITH ALCOHOL
DISULFIRAM-LIKE REACTION
flushing, throbbing headache, nausea, vomiting, tachycardia, hypotension
DRUG OF CHOICE FOR GENITAL HERPES
ANTIVIRAL (ACYCLOVIR, FAMCYCLOVIR, VALACYCLOVIR)
7-10 DAYS
DIAGNOSTIC TEST
A. Blood Test:
i. Non Treponemal: (VDRL) Venereal Disease Research Lab, (RPR) Rapid Plasma Reagin
ii. Treponemal Test: (TPPA) Treponemal Pallidum Particle Agglutination (FTA-Abs) Flourescent Treponemal Antibody Absorption Test
DIAGNOSTIC TEST
1. Gram staining Culture
2. Culture of cervical and urethral smear
3. (PCR) Polymerase Chain Reaction
DIAGNOSTIC TEST
a. Tissue culture of cellular material
best and most sensitive diagnostic test
expensive and technically difficult
b. Endocervical or urethral swab
c. Nucleic acid amplification tests (NAAT)
d. Urine specimen
DIAGNOSTIC TEST
1. microscopic examination of vaginal secretions
2. Culture swab
3. Pap smear
4. pH testing
DRUG OF CHOICE FOR GENITAL WARTS
0.15-0.5% PODOPHYLLOTOXIN SOLUTION GEL/CREAM
ADVERSE REACTION OF PENICILLIN
Jarisch-Herxheimer Reaction
Rapid release of products from the disruption of cells of the organism
Symptoms: generalized aches, pain at the injection site, vasodilation, hypotension, and fever
DISSEMINATED GONOCOCCAL COMPLICATIONS
PERIEHEPATITIS
ENDOCARDITIS
MENINGITIS
WHY DOES CHLAMYDIA CAUSE STERILITY?
Chlamydia causes sterility by leading to inflammation and scarring in the reproductive organs, particularly the fallopian tubes in women and the epididymis in men. This damage, often from a complication called pelvic inflammatory disease (PID) in women, can block the tubes, preventing sperm from reaching an egg, and in men, can impair sperm production or transport.
HOW LONG SHOULD BREASFEEDING BE DISCONTINUED DURING METRONIDAZOLE TREATMENT?
STOP breastfeeding during the course of metronidazole treatment and for 12-24 hours after the last day
for tinidazole, STOP breastfeeding and for 3 days after the last dose
MEDICAL MANAGEMENT FOR GENITAL WARTS
Physical ablation by:
1. Excision
2. Liquid Nitrogen Cryosurgery
3. Electrocauterization or Loop Electrical Excision Procedure (LOOP)
4. Laser ablation