GUESS THE STI CONCEPTS

SYPHILIS

1

CAUSATIVE AGENT

TREPONEMA PALLIDUM

3

STAGES OF SYPHILIS

PRIMARY

SECONDARY 

LATENT

TERTIARY

4

DRUG OF CHOICE

PENICILLIN G

5

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

10

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

GONORRHEA

1

CAUSATIVE AGENT 

NEISSERIA GONORRHOEAE

3

MEDICATION TO PREVENT OPTHALMIA NEONATORUM

ERYTHROMYCIN (0.5%) OPHTHALMIC OINTMENT

4

DRUG OF CHOICE

CEFTRIAXONE WITH DOXYCYCLINE

5

DIAGNOSTIC TEST

1. Gram staining Culture

2. Culture of cervical and urethral smear

3. (PCR) Polymerase Chain Reaction

10

DISSEMINATED GONOCOCCAL COMPLICATIONS

PERIEHEPATITIS

ENDOCARDITIS

MENINGITIS

CHLAMYDIA

1

CAUSATIVE AGENT 

CHLAMYDIA TRACHOMATIS

3

COMPLICATION OF CHLAMYDIA TO NEWBORN

CHLAMYDIAL CONJUNCTIVITIS

4

DRUG OF CHOICE 

Doxycycline (Vibramycin)  PO BID for 7 days

  or

 Azithromycin (Zithromax)- 1G PO OD for 7days

Levofloxacin 500mg PO OD for 7days

5

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

10

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.

TRICHOMONIASIS

1

CAUSATIVE AGENT 

TRICHOMONAS VAGINALIS

3

DRUG OF CHOICE

METRONIDAZOLE

4

ADVERSE REACTION WHEN ANTIFUNGAL MEDICATION IS TAKEN WITH ALCOHOL

DISULFIRAM-LIKE REACTION

flushing, throbbing headache, nausea, vomiting, tachycardia, hypotension

5

DIAGNOSTIC TEST

1. microscopic examination of vaginal secretions

2. Culture swab

3. Pap smear

4. pH testing

10

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

VIRAL STDs

1

CAUSATIVE AGENTS OF GENITAL WARTS AND GENITAL HERPES (DOUBLE POINTS)

GENITAL HERPES - caused by HSV 2

GENITAL WARTS - caused by HPV

3

DIAGNOSTIC EXAMINATION FOR GENITAL WARTS

1. CLINICAL EXAMINATION

2. PAP SMEAR

3. COLPOSCOPY

4. ACETIC ACID

5. BIOPSY

4

DRUG OF CHOICE FOR GENITAL HERPES

ANTIVIRAL (ACYCLOVIR, FAMCYCLOVIR, VALACYCLOVIR)

7-10 DAYS

5

DRUG OF CHOICE FOR GENITAL WARTS

0.15-0.5% PODOPHYLLOTOXIN SOLUTION GEL/CREAM

10

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