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58 Cards in this Set
- Front
- Back
Most common vaginal infection
Affects how many women |
BV
16% |
|
S/S of BV
Diagnose with the |
discharge, odor, pain, burning, itching, fishy odor
whiff test (KOH plus potassium hydroxide) |
|
BV treatment is woman is
|
Metronidazole
Symptomatic |
|
Exposure to BV
Do male partners need to be treated? Do lesbian partners need to be? |
No
Yes |
|
BV causes
|
Preterm labor
Low Birth weight PID Ectopic |
|
If previous premie or low birth weight baby screen for ____
|
BV
|
|
Trichomoniasis affects
|
Men and Women
Symptoms are more common in women |
|
Trich most common area of infection in men and women?
|
Women vagina
Men urethra |
|
Most common curable STI in young sexually active women?
|
Trichomoniasis
|
|
S/S of Trich
|
frothy, green discharge
strong odor Discomfort during intercourse and urination Irritation and itching Abdominal pain Strawberry patches on vaginal walls or cervix |
|
With _________________ both partners should be treated
|
Trichomoniasis
|
|
Trich causes what with pregnancy
|
preterm labor
Low Birth Weight |
|
HSV-2 is what
|
generally transmitted during sexual contact
may be released between outbreaks |
|
First outbreak of hsv-2
|
with 2 weeks of transmission
flu like symptoms |
|
You can expect ______ outbreaks with a year from the first episode of hsv
Outbreaks_________ with time |
4-5 outbreaks
decrease |
|
HSV blisters take _________ weeks to resolve
|
2-4
|
|
Treatment of HSV
|
None
|
|
Medicine that can help HSV
? for oral herpes |
acyclovir (Antiviral medicine)
Abreva |
|
Aggravating factors of HSV (diet)
|
Orange, sun, arginine, and chocolate
|
|
Natural remedies for HSV?
|
Herp-Elim tincture
Soak cloths in black tea, clove tea, or witch Hazel Paste of baking soda or corn starch Lysine & nettles |
|
HSV risk to babies
|
Fatal infection
Cesarean if active outbreak |
|
If HSV contracted during pregnancy
|
greater risk of transmission to baby
|
|
Infection from woman to baby during delivery of HSV
|
Rare
|
|
All pregnant women should be screened for
(CDC guidelines) |
Chlamydia, Gonorrhea, Hep B, Hep C, HIV, Syphilis,
BV if previous LBW |
|
Counseling the positive woman
|
Expression of feelings
Provide facts & support How to tell partner Fulfill reporting requirements Treatment Follow up Discussion of future sexual behaviors |
|
Decrease in HIDS from 2004-2009
|
14%
|
|
2/3rd of ____ are infected with AIDS due to .....
|
men
MSM |
|
Is the US what prevalence rate of HIV %?
How many people living with HIV |
0.6%
1.2 million |
|
New infections of HIV in women increasing to ______ in ______ from
|
1 in 4
IVDU |
|
Are 12 times more likely to be infected with HIV
|
African Americans
|
|
AIDS is the leading cause of death amongst?
what age? |
African Americans
25-34 |
|
Name 5 ways HIV is transmitted
|
blood, semen, vaginal secretions, breast milk, and amniotic fluid
|
|
In first month after HIV exposure what happens
|
Flu like symptoms
|
|
In untreated AIDS victims how long do they live?
|
10 years
|
|
Vulnerability to HIV for women
|
younger, more virus in sperm than vaginal secretions
|
|
Most MTCT of HIV occurs during
|
time of birth 66/75%
|
|
Vertical transmission of HIV occurs
|
15-25% industrialized countries
25-45% developing countries |
|
Other transmission of HIV can occur during
|
Smoking, preterm birth, chorioamnioitis, invasive fetal monitoring, episiotomies
|
|
Babies of untreated HIV women
|
20% will get AIDS in 1st year and die by 4 years.
Other will get AIDS by 6 |
|
Breastfeeding with AIDS...
|
Increases 5-15% of fetal infection
|
|
Zudovudine...
|
decreases MTCT from 25% to 8.3%
|
|
Most recent treatment for HIV
|
HAART
Highly Active Anti Retroviral Therapy |
|
gynecological risk factors that can show lead you to HIV
|
Penicillin resistant gonorrhea
Chronic monilia or herpes Cervical dysplasia HPV |
|
Pediatric HIV signs
|
Frequent infections meningitis
developmental delays failure to thrive frequent diarrhea Pneumocystis carinii pneumonia |
|
Education for HIV
|
Focus on behaviors not high risk groups
Education on risk free behaviors |
|
When to test for HIV
|
At initial
Offer at 28 week If not tested in 3rd trimester-baby and mom's blood taken within 2 hours of birth and results back within 6 hours |
|
Hepatitis A
Contracting how? Vaccine? |
Acute liver disease (Not chronic)
Ingestion of fecal matter Yes >1 year |
|
Hepatitis B
|
Acute and Chronic
|
|
What percentages will Hepatitis B be chronic or acute
|
10% chronic
90% acute |
|
Hep B Vaccine?
|
Yes anyone not previously vaccinated and adults at risk
|
|
Hepatitis C
Leads to? Vaccine? |
Most often Chronic
Cirrhosis of the liver and liver cancer NO |
|
Most common chronic blood borne infection in US
|
Hepatitis C
|
|
Hepatitis D
Common in US Vaccine |
Have to have Hep B to get Hep D
NO NO |
|
Hepatitis E
Common in US? Transmission? |
Acute Infection
No Water, fecal matter |
|
Hepatitis E and pregnancy
Vaccine |
Maternal and fetal mortality common
No |
|
Hep B transmission to infant?
How many will die? |
without post exposure immunoprophylaxis 40% of infants will develop chronic HEP B
One fourth will day from chronic liver disease |
|
How can you prevent HEP B transmission
|
Hep B immune globulin and HEP B vaccine to infants with 12 hours of birth
|
|
Guidelines for labwork with Hep B
|
Universal screening of all
Routine vaccination of all infants starting at birth |