1 / 37

5. Describe assessment, treatment & teaching for STDS

Learn about common STDs such as Chlamydial Infection, Gonorrhea, Syphillis, Herpes Simplex, Trichomoniasis, and Bacterial Vaginosis. Understand their symptoms, diagnostic methods, and treatment options. Discover the importance of early detection and prevention through education.

dpayton
Download Presentation

5. Describe assessment, treatment & teaching for STDS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 5. Describe assessment, treatment & teaching for STDS • Chlamydial Infection-caused by virus like bacteria “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 azithromyacin-Zithromax, or 7 day course of Vibramyacin(doxycycline)

  4. chlamydia

  5. Chlamydia Vaginitis

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

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

  8. 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

  9. Gonorrhea

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

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

  12. Primary syphilis-chancre

  13. Primary syphilis - chancre

  14. Primary syphyilis

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

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

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

  18. 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.

  19. 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

  20. Herpes Simplex • Women Men

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

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

  23. 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

  24. 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

  25. Trichomoniasis

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

  27. Condylamata

  28. Condylamata

  29. Vulva

  30. 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

  31. Vaginitis • Etiology:  bacteria  protozoa  viruses  yeasts

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

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

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

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

  36. 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

More Related