STI TREATMENT

STI TREATMENT

STI TREATMENT (...Continued)

STI TREATMENT

Testing for Syphilis

  • A lot of tests are available for the accurate diagnosis of syphilis.
  • Screening for syphilis must be done in all pregnant women as part of their antenatal care

Management of Syphilis

  • This depends largely on the stage of the disease.
  • All positive cases must be treated with approprite antibiotics.
  • Pregnant women that are found positve must be treated to forestall untoward effects to the fetus.
  • Treatment should also be procured for all sexual partners
  • Additional treatments (eg surgery, physical therapy) might benefit those with tertiary syphilis.
  • It is important to note that some testing methods will be positive for life even after successful treatments.

"STI TREATMENT"

 

CHANCROID

Key Facts

  • This is transmitted by a bacterium known as Hemophilus ducreyi
  • It is transmitted via

- Sexual contact

- Autoinoculation to non sexual sites such as the eye and skin

  • Time from the entry of the microorganism into the body to the manifestation of symptoms is 1 day to 2 weeks
  • The disease begins as a painful boil at the site of entry of the microorganism. The boil ruptures with time to form a painful ulcer.
  • Chancroid is not a lethal disease; even if left untreated , the genital lesions may resolve spontaneously within 1 to 3 months

 

"STI TREATMENT"

 

Management

  • Clinic diagnosis is usually enough, however ulcer scrapings might be investigated for identification of Hemophilus ducreyi. PCR testing is also helpful
  • Administration of appropriate antibiotics will suffice.
  • Cleaning and dressing is necessary for large ulcers.
  • Surgery might be helpful in extreme cases.
  • Sexual contacts are tested as with all STIs.
  • Prevention is via the general preventive measures for all STIs
YOU CAN ALSO READ  BIRTH CONTROL OPTIONS/CONTRACEPTIVE METHODS

"STI TREATMENT"

 

CHLAMYDIAL INFECTION

Key Facts

  • Chlamydial infections is caused by a bacterium Chlamydia trachomatis.
  • It can be transmitted by anal, vaginal or oral sex.
  • If left untreated, a child can acquire it during passage through the mother`s birth canal.
  • Chlamydia is called the “silent” disease/ epidemic because three quarters of women do not know they are infected.
  • Symptoms occur within 1 to 3 weeks after exposure.
  • There are different serotypes of Chlamydia trachomatis and affect specific parts of the body

- Serotype A,B and C affects the face and eyes. It can cause chronic infection and leads to blindness if not well treated.

- Serotype D-K cause the genital infections

- Serotype L1-L3 also cause genital infection but usually affect men.

 

"STI TREATMENT"

 

Symptoms of Chlamydial infection

In Men

Ø Burning or painful sensation during urination

Ø Discharge from the penis

Ø Pain in the testis and/or epididymis

Ø Pain in the anus

Ø Swelling around the groin

Ø Fever

Ø Inability to have children

Ø Most men might have not complaints at all

In women

Ø Painful urination

Ø Burning sensation during urination

Ø Painful sexual intercourse

Ø Vaginal discharge

Ø Inability to conceive

Ø Can presents as a complication

NB: Complications of Chlamydia infection are varied in women, These include ctopic pregnancy, infertility, pelvic inflammatory disease, chronic pelvic pains

Ø Some women might have no symptoms at all.

In the fetus and the children

Ø Miscarriage

Ø Prematurity

Ø Eye discharge

Ø Eye redness

 

"STI TREATMENT"

 

Diagnosis

  • This is achieved via microscopy , culture and sensitivity of swabs from the vagina (women), urethra (men), cervix, and urine.
  • Nuclei acid amplification testing techniques like PCR,SDA can be done on swab specimens.
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Management

  • Chlamydial infection should be screened for in all pregnant women as part of their antenatal care.
  • Appropriate antibiotics is the main stay of treatment
  • Eye disease (Trachoma) is prevented by adopting WHO strategy of SAFE

S – Surgery for deformed eye

A- Antibiotics use

F- Facial cleanliness

E- Environmental improvement programmes which include provision of good source of water

  • Safer sexual methods, treating all positive pregnant women, use of condoms, treatment of all sexual contacts and general health education and promotion are some of the preventive measures.

 

"STI TREATMENT"

 

GENITAL HERPES

Key Facts

  • Genital herpes is an STI caused by Herpes simplex type 1 (HSV-1) or type 2 (HSV-2).
  • Most cases are caused by HSV-2
  • Symptoms includes may include painful genital ulcers, painful urination, tender swellings in the groin. Fever, malaise, weakness of the body and headache are not uncommon.
  • Treatment is usually by use of antiviral medications which help to shorten the cause of the disease
  • Good nutrition and treatment of co-infections is paramount.

 

"STI TREATMENT"

 

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