Chlamydia Gonorrhea Condylomata Acuminata Molluscum Contangiosum Herpes Simplex Syphilis Chancroid G...
- Chlamydia
- Gonorrhea
- Condylomata Acuminata
- Molluscum Contangiosum
- Herpes Simplex
- Syphilis
- Chancroid
- Granuloma Inguinale
- Lymphogranuloma Venereum
Chlamydia
Chlamydia trachomatis most common STD often associated with N. gonorrhea
Risk factors
- < 25 years old
- history of previous STD
- new partner in last 3 months
- multiple partners
- not using barrier contraception
- contact with infected person
Symptoms
- asymptomatic
- muco-purulent endocervical discharge
- urethral syndrome
- dysuria, frequency, pyuria, no bacteria
- pelvic pain
- post-coital bleeding
Complications
- acute salpingitis, PID
- infertility - tubal obstruction from low grade salpingitis
- perinatal infection - conjunctivitis, pneumonia
- ectopic pregnancy
- Fitz-Hugh Curtis syndrome (liver capsule infection)
- arthritis, conjunctivitis, urethritis (Reiter syndrome - male predominance)
Diagnosis
- cervical culture or monoclonal antibody
- obligate intracellular parasite - require tissue culture for diagnosis
Treatment
- doxycycline 100 mg bid for 7 days
- or azithromycin 1 g orally in a single dose
- erythromycin 500 mg qid for 7 days if pregnant
- treat partners
- reportable disease
Screening
- high risk groups
- during pregnancy
Gonorrhea 
Neisseria gonorrhea
Symptoms and risk factors as with Chlamydia
Diagnosis
- Gram stain shows gram-negative intracellular diplococci
- cervical and rectal and throat culture
Treatment
- single dose of ceftriaxone 250 mg IM or cefixime 800 mg PO or ciprofloxacin 500 mg PO
- plus doxycycline 100 mg bid for 10 days to treat for concomitant chlamydial infection
- erythromycin 500 mg qid for 7 days if pregnant
- treat partner(s)
- reportable disease
screening as with Chlamydia
