Gonorrhea

Definition
Sexually transmitted bacterial
disease involving the mucosal lining
of the genito-urinary tract, the
rectum, and pharynx
Caused by Neisseria gonorrhoeae
Gonorrhea
Neisseria gonorrhoeae
Fragile and does not survive long
outside the body
Readily killed by drying, sunlight, or
ultraviolet light
Killed by ordinary disinfectant
Gonorrhea
Mode of transmission

Sexual contact
Childbirth
Gonorrhea
Symptoms
Gonorrhea
Symptoms
Exposure to microorganism

Infection of epithelial surface

Urethral epithelial cells

Prostate
Epididymis
Gonorrhea
Symptoms
Exposure to microorganism

Infection of epithelial surface

Cervix

Pelvic inflammatory disease

Endometriosis
Salpingitis
Gonorrhea
Symptoms
Exposure to microorganism

Infection of epithelial surface

Ophthalmia neonatorum
Rhinitis
Gonorrhea
Diagnostic exam
Gram staining

Culture of cervical smear

Culture of urethral smear

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Gonorrhea
Treatment Modalities
Ceftriaxone

Cefixime

Penicillin

Doxycycline

Ciprofloxacin
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Gonorrhea
Preventive measures
CDC’s ABC

DOH’s 4Cs

100% proper condom use

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Gonorrhea
Preventive measures
Practice Safe Sex
Chlamydia
Definition
Most common sexually transmitted
disease
Caused by Chlamydia trachomatis
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Chlamydia
Mode of transmission

Coitus
Childbirth
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Chlamydia
Symptoms
Remember: GONORRHEA

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Chlamydia
Symptoms

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Chlamydia
Diagnostic test
Swab from the site of infection

Culture of aspirated material

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Chlamydia
Treatment Modality
Doxycycline

Azithromycin
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Chlamydia
Preventive measures
Abstinence
Monogamy with a monogamous
partner
100% proper condom use
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Syphilis
Definition
Chronic, infectious, sexually
transmitted disease that usually
begins in the mucous membrane and
quickly becomes systemic
Caused by Treponema pallidum
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Syphilis
Treponema pallidum

Passes through the mucosa

Passes through the placenta
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Syphilis
Treponema pallidum

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Syphilis
Mode of transmission

Contaminated articles
Congenital
Coitus
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Syphilis
Clinical manifestations
Primary syphilis

Secondary syphilis

Latent syphilis

Late syphilis

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Syphilis
Clinical manifestations
Primary syphilis
Syphilis
Clinical manifestations
Secondary syphilis

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Syphilis
Clinical manifestations
Secondary syphilis

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Syphilis
Clinical manifestations
Secondary syphilis

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Syphilis
Clinical manifestations
Secondary syphilis

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Syphilis
Clinical manifestations
Secondary syphilis
Constitutional symptoms

Lymph
Fever Sore throat
adenopathy

Weight loss Hepatitis Pruritus

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Syphilis
Clinical manifestations
Latent syphilis
Syphilis
Clinical manifestations
Late syphilis
Destructive but non-infectious stage
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Syphilis
Clinical manifestations
Late syphilis

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Syphilis
Clinical manifestations
Late syphilis

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Syphilis
Diagnostic procedure
Dark field illumination test

Kalm test
Fluorescent treponemal antibody
absorption test
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Syphilis
Medical Management
Penicillin G

Tetracycline

Doxycycline
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Syphilis
Jarisch-Herxheimer rxn
Fever

Hypotension

Musculoskeletal pain

Tachycardia
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Syphilis
Nursing Management
Ask patient to complete treatment

Institute contact tracing

Keep lesions dry

Check for complications

Report all cases to DOH

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STIs
Commonalities
Usage of CDC’s ABC and DOH’s 4Cs

Same modes of transmission

STIs may coexist

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