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Sexually
Transmitted
Infection
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TRICHOMONIASIS
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DEFINITION

 Cause by TRICHIMONAS VAGINALIS,

anaerobic protozoa that lives in the alkaline
environment

 May be spread by sexual contact

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CLINICAL MANIFESTATION

 Vaginal or vulvar itching due to accompanied vulvitis

 Thin, malodorous, greenish yellow or frothy vaginal discharge

(greater than 4.5 pH)

 Not transmitted thru placenta

 Males seldom present with any symptoms

 Vaginal or cervical erythem with multiple petechiae pr

“strawberry spots”
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INTERVENTIONS

 Assist with mount preparations

Pharmacologic:

 Metronidazole or Tinadazole 3 times a day for 1 week for both

partner

 Abstain from alcohol – 24 hrs after Metronidazole and 72 hrs after

Tinadazole

 Flagyl – avoid with ETOH, do not give to pt under 14 yrs old

 If pregnant, use only metronidazole in the first trimester

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HERPES GENETALIS
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 Caused by Herpes Simplex Virus II

 Transmission occurs by direct contact with the infected person

 Life long viral infection

 Virus may be killed at room temperature or by drying

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CLINICAL MANIFESTATION

 Vesicles on the genetalia appear 2 to 20 days after exposure

and lasts for almost 15 days

 Clusters on vulva, perinueom or perianal area

 Painful lesions that lasts for a week

 Flu – like symptoms during initial exposure or 3 – 4 days after

lesions appear

 Itching and Redness noted

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INTERVENTION

 Assist with culture

 Acyclovir, Valacyclovir , Famciclovir reduces pr suppresses s/sx

 Abstain from sexual contact while lesions are present

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SYPHILIS
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 Caused by TREPONEMA PALLIDUM

 Divided into three phases: primary, secondary and tertiary

 Transmitted by sexual contact with a person who has active

spirochete lesions

 May cross placental barrier

 Infants are treated with Erythromycin eye ointment

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Primary Stage

 Painless chancre on genetalia, anus or mouth

 Lymphadenopathy – may not be noticed

 Lasts about 6 weeks then fades

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Secondary Stage

 2 – 4 wks primary chancre disappear the generalized macular ,

copper – colored appears

 Rash at the soles of the feet and palms of hands

 Positice serologic tests

 Hepatosplenomegaly

 Headache, anorexia

 Condylomata on the vulva

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Tertiary Stage

 Heart involvement, CVS

 CNS - paralysis
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INTERVENTIONS

Primary Stage:

 Assist with scraping of chancre

 Treated with Penicillin

 Erythromycin is the alternative for penicillin

Secondary Stage

 Obtain for blood specimens for RPR (rapis plasma reagent – to

check for non specific microorganism that may indicate Syphilis