NURS 471 Lecture Notes - Lecture 2: Clindamycin, Cervical Cancer, Azithromycin
17 Dec 2017
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Incidence of herpes and chlamydia increasing now a days. Lowest number of cases in us in 1999-2000, highest cases in 2010-2012. Factors: men having sex with men, hiv infection, decreases in safe sex. Exposure: sexual or nonsexual direct contact with lesions. Vertical transmission) --- congenital syphilis occurs transplacentaly can lead to fetal demise is untreated (still birth, blindness, deafness, abnormalities, etc) Primary - chancre sore- 3 weeks to 6 months. Latent early( less than 1 year) or late (more than 1 year) can last 15-40 years. Mucous membranes of gu tract can be transmitted even without ejaculation through body fluids. Can develop into pid in women leading to infertility if not treated. Treatment ceftriaxone 250mg im and azithromycin or doxycycline. Silent disease (most women don"t know they have it) can cause infertility. Rates increasing transmission cervix transmitted by regular sex, oral or anal sex, and men having sex with men are at high risk.
