STDs

a patient with gonorrhea should also be tested for _____

chlamydia

what is the recommended treatment for uncomplicated gonorrhea?

ceftriaxone 500 mg IM once

who does chlamydia trachomatis infect?

humans ONLY

what type of bacterium is chlamydia trachomatis?

obligate intracellular organism

how does chlamydia trachomatis replicate?

requires cellular material from host cells

can chlamydia trachomatis be detected via a gram stain?

NO

how is chlamydia diagnosed?

women: endocervical cell scrapings

men: epithelial cell scrapings

NAAT testing

what is the preferred treatment of uncomplicated chlamydia?

doxycycline 100 mg BID 7D

how is conjunctivitis of newborn or pneumonia in infants, caused by chlamydia, treated?

erythromycin base

trichomiasis infect _________ of the genital tract

squamous epithelium

is trichomoniasis reported more commonly in men or women?

women

how does trichomoniasis affect pregnancy?

premature rupture of membranes

premature delivery

low birth rate

what infection, if left untreated, can last years?

trichomoniasis

what is the preferred treatment of trichomonas in men?

metronidazole 2 grams PO single dose

when treating PID, we use empiric coverage for ________ and _______

n. gonorrhoeae and chlamydia trachomatis

what is preferred PID treatment?

ceftriaxone 1 gram IV Q12H (or cefotetan 2 g IV Q12H or cefoxitin 2 g IV Q6H)

PLUS

doxycycline 100 mg PO BID 14D and metronidazole 500 mg BID 14D

what organism causes syphilis?

treponema pallidum (a spirochete)

what is the treatment of primary, secondary, or early latent (less than 1 year duration) syphilis in adults?

benzathine penicillin G 2.4 million units IM in a single dose

what is the treatment of primary, secondary, or early latent (less than 1 year duration) syphilis in children?

idk if important

benzathine penicillin G 50,000 units/kg IM in a single dose

up to 2.4 million units

what is the treatment of late latent syphilis, syphilis of unknown duration, tertiary syphilis, or treatment after failure?

same as the other syphilis treatment (benzathine penicillin G)

once weekly for 3 weeks

if a patient with syphilis has a penicillin allergy what can we use to treat them?

doxycycline 100 mg PO BID 14D

what are the preferred treatment options for first clinical episode of genital herpes?

acyclovir 400 mg TID 7-10D

famciclovir 250 mg TID 7-10D

valacyclovir 1 gram PO BID 7-10D

what HPV is associated with cervical neoplasm?

16 and 18

what is the recommended prevention of HPV in 9-14 year olds?

Gardasil 9

0.5 mL IM on day 1

second dose 6-12 months later