Академический Документы
Профессиональный Документы
Культура Документы
TRANSMITTED
DISEASES
SUBMITTED BY:
BSN – IV C2
CONTENTS
1. SYPHILLIS
2. GONORRHEA
3. HIV / AIDS
4. CHLAMYDIA
5. GENITAL HERPES
ucous membranes or open skin to skin contact, sexual intercourse or blood transfusion
Enters the lymphatic system and blood stream and disseminates soon after contact
Chancre forms at the site of inoculation
Secondary Stage
HOME
Aka as ‘clap’; one of the most common STDs
second only to Chlamydia
Caused by Neisseria gonorrhoeae; its
incubation period is 2-8 days
Transmitted by sexual contact & during
passage through the birth canal
Usually targets the cervix & male urethra
Signs & Symptoms:
Symptoms may appear within 2-10 days after exposure to an infected person.
Women:
Men:
No symptoms (30- Pain or burning
40%) during urination
Infection & irritation of
Thick, yellow penile
the cervix
discharge
Need to urinate often
Inflammation or
Itching & burning of
the vagina with
infection in a duct
thick yellow green of the testicles
discharge Infection or
Bleeding between inflammation of
periods the prostate
Pelvic inflammation disease(20-40% of women
ronic pelvic pain and sterility from tubal adhesions in which fibrous tissue in the fallopi
thritis
gonorrheal
ningitis infections
(inflammation of the can
brain)be
or cured 95-99%
endocarditis of the
(infection time
of the heart) (1%)
lamydia, another sexually transmitted disease (60%)
Gonorrhea: Pathophysiology & Complications
Exposure to neisseriagonorrhea
Connective tissues
Cause inflammation
Spread of infection through lymphatic and blood circulation
GONORRHEA
If treated If untreated
Gonorrhea: Diagnostic Tests &
Treatment
Diagnosis : In men
urethral smear is done
urethral cultures may also be done
in women, cervical cultures may be
done
Clients infected w/ gonorrhea are
often infected w/ other STDs &
should be tested for syphilis,
chlamydia & HIV
Cefixime (Suprax), ceftriaxone
(Rocephin), ciprofloxacin (Cipro), or
ofloxacin (Floxin) may be used for
treatment
Rocephin may be given as a one time
injection for those who may not be
compliant
Gonorrhea: Nursing Care
Client needs to follow-up 4-7 days after
treatment to ensure infection has
been cured
Encourage referral of sexual partners
Abstain from sexual contact until client
& partners are cured
Instruct client on safe sexual practices
Instruct client to finish entire course of
antibiotics as prescribed by the
physycian
Notify all sexual partners to be tested
for infection
Aids
AIDS stands for Acquired
Immune Deficiency
Syndrome:
HOME
AIDS stands for Acquired
Immune Deficiency Syndrome:
Tissue preparation
Samples may be taken from whole tissue or from cell
culture. In most cases, solid tissues are first broken
down mechanically using a blender (for larger sample
volumes), using a homogenizer (smaller volumes), or by
sonication. Cells may also be broken open by one of the
above mechanical methods.
Gel electrophoresis
The proteins of the sample are separated using
gel electrophoresis. Separation of proteins may be by
isoelectric point (pI), molecular weight, electric charge, or a
combination of these factors. The nature of the separation
depends on the treatment of the sample and the nature of
the gel.
Transfer
In order to make the proteins accessible to antibody
detection, they are moved from within the gel onto a
membrane made of nitrocellulose or polyvinylidene difluoride
(PVDF). The membrane is placed on top of the gel, and a
stack of filter papers placed on top of that.
Detection
During the detection process the membrane is "probed" for the
protein of interest with a modified antibody which is linked to a
reporter enzyme, which when exposed to an appropriate
substrate drives a colourimetric reaction and produces a colour
Treatment of AIDS
RT Inhibitors
Protease Inhibitors
Fusion Inhibitors
HAART
•
Opportunistic infections
CAUSES COMPLICATIONS
SYMPTOMS TREATMENT
PREVENTION TESTS
SCREENING
CHLAMYDIA
HOME
CHLAMYDIA
HOME
CAUSES
CHLAMYDIA TRACHOMAT
HOME
CAUSES
gh:
n
rea.
ydia to her child during delivery, causing pneum
HOME
ANATOMY
HOME
SYMPTOMS
HOME
SYMPTOMS
HOME
SYMPTOMS
ØPainful urination
ØLower abdominal pain
Øvaginal discharge
ØPenis discharge
ØPainful sexual
intercourse in women
ØTesticular pain in men
HOME
ANATOMY
HOME
ANATOMY
HOME
SYMPTOMS
HOME
SYMPTOMS
HOME
COMPL
ICATIO
NS
HOME
COMPL
ICATIO
NS
Other STD
HOME
COMPL
ICATIO
NS
HOME
COMPL
ICATIO
NS
Infertility
HOME
COMPL
ICATIO
NS
HOME
COMPL
ICATIO
NS
HOME
COMPL
ICATIO
NS
HOME
COMPL
ICATIO
NS
HOME
COMPL
ICATIO
NS
Rectal inflammation
HOME
COMPL
ICATIO
NS
Infections in newborns
HOME
HOME
TESTS
HOME
TESTS
URINE TEST
HOME
TESTS
URINE TEST
HOME
MEDICATIONS
ANTIBIOTICS
Azithromycin (Zithromax)
Doxycycline
Erythromycin
HOME
MEDICATIONS
HOME
MEDICATIONS
HOME
MEDICATIONS
HOME
TREATMENT
HOME
TREATMENT
HOME
SCREENING
HOME
SCREENING
Pregnant women.
HOME
SCREENING
HOME
PREVENTION
Use condoms
HOME
PREVENTION
HOME
PREVENTION
HOME
PREVENTION
Avoid douching
HOME
PREVENTION
AVOID DOUCHING
HOME
PREVENTION
HOME
Source
http://edition.cnn.com/HEALTH/library/ch
lamydia/DS00173.html
HOME
PATHOPHYSIOLOGY
EXPOSURE TO (chlamydia trachomatis)
> Sexual intercourse
ØIntimate contact between genitals and the rectal area
chlamydial infection
Onset of symptoms
IF left untreated If treated
AMYDIA COMPLICATIONS ANTIBIOTICS
POOR PROGNOSIS
GENITAL HERPES
( Herpes Simplex Virus II )
Genital herpes
• is a recurrence, life-long viral infection
that causes hepatic lesions (blisters) on the
cervix, vagina, and external genitalia
Sexually transmitted or
It can be transmitted asexually
from wet surface
by self transmission
touching a cold sore
touching the genital area
There is no cure for herpes.
Once infected, the virus remains
in the body for life. However,
after several years, some people
will become perpetually
asymptomatic and will no longer
experience outbreaks, though
they may still be contagious to
others.
GLOBALLY:
LOCALLY
From the Sentinel STI Etiologic Surveillance System (SSESS) their studies
showed that the prevalence of syphilis, genital warts and genital herpes were
still not that high in the country and particularly there is 0.03% of genital herpes
cases in Davao City.
ETIOLOGY
PRECIPITATING FACTORS:
•Herpes Simplex Virus type 2
•
•Multiple Sex Partners
•Unsafe sex
•
•Immunocompromised
•
PREDISPOSING FACTORS
•Poor Hygiene
•Starting Sexual activity before 18
•Gender: Women
SYMPTOMS :
Dysuria Anorexia
Fever Halitosis
Heparin sulphate binds to variety of protein ligament (gD), (gH), (gL), (gB)
Formed a complex and creates a hemifusion state then creates an entry pore
FEVER Replication continues and provides entry to the cutaneous neurons Lymphadenopathy
Virus ascends through a peripheral nerve to the sacral dorsal ganglia
Hsvrna.swf
HSV.rna
structure.swf
Structure
Latency.swf
Latency
Binding.swf
Binding
Release.swf
Release
Encap.swf Encap
LATENCY ESTABLISH
Exposure to strong sunlight
FEVER
Breakage of latency causes
virus to travel back down to the
STRESS nerve axon
Irritation of the genital area
Immune
suppression
Leads to renewal of virus
proliferation in the nerve
cell
REOCCURENCE OF INFECTION
GENITAL HERPES
If treated If not treated:
•Medications •Complications
ØAcyclovir (Zovirax)
-Multiple
ØFamiclovir
Sclerosis
ØAnalgesics
•Tests -Alzheimer’s
ØViral culture disease
ØTzanck test
-Cervical
Cancer
-Perianal
ulcer
Continuous exposure to
Prevent reoccurence of outbreak infection
Overwhelming infection
PROGNOSIS
DEAT
H
V . MANAGEMENT
Specificity
•Nursing intervention
ØRelief of Pain
ØControl of Infection
ØPatient Education
ØPatient Education and Self-Care
for Genital Herpes
PHARMACOLOGICAL
MANAGEMENT
ACYCLOVIR (Zovirax )
Classification: ANTIVIRALS
Indication:
•Recurrent genital herpes infections.
•Treatment of limited non-life threatening herpes simplex
infections in immunocompromised patients
ACTION:
Interferes with viral DNA synthesis .It inhibits the
viral replication,decreases viral shedding and
reduced time for healing lesions.
ADVERSE REACTION/SIDE EFFECTS
seizure, dizziness, headache
diarrhea, nausea, vomiting
pain, phlebitis and local irritation
IBUPROFEN (Advil )
Classification: antipyretics ,antirheumatics,
nonopioid analgesic, nonsteroidal
anti-inflammatory agent
Indication:
•Mild to moderate pain od dysmenorrheal
•Slows progression of lung disease
Action:
Inhibits prostaglandin synthesis.
Decreased pain and inflammation.
Reduction of fever.
ADVERSE REACTION / SIDE EFFECTS :
Indication:
Mild pain or fever
Action:
May produce analgesic effect by blocking pain
impulses, by inhibiting prostaglandin or pain receptor
sensitizers. May relieve fever by acting I hypothalamic heat-
regulating center. Relieves pain and reduces fever.
SURGICAL MANAGEMENT