Fast Facts: Sexually Transmitted Infections by Anne Edwards

By Anne Edwards

"A wonderful booklet. it really is concise and includes all non-specialist must be aware of. it is going to be super priceless for younger trainees beginning within the forte of GUM and for laboratory employees wishing to place medical viewpoint to their work". - The British Society for Antimicrobial Chemotherapy. "There has been an extended want for a concise, reasonable, available, and exact textbook on STIs for non-specialists in genitourinary medication and this quantity fills the space perfectly". - T G Stammers, GP, London. "The authors are to be congratulated on reaching to slot right into a pocket-size publication a such a lot thorough and concise evaluation of sexually transmitted infections that i've got read". - "International magazine of STD and AIDS".

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1). The most common symptoms in men are dysuria and/or urethral discharge, but many – at least 50% – are asymptomatic. Rectal infection (uncommon in heterosexuals) is usually asymptomatic, as is pharyngeal infection. 62 © 2007 Health Press Ltd. 1 Chlamydial cervicitis with cervical friability, edema and ectopy. 1). 1 Signs of chlamydial infection Men • No signs (up to 50%) • Meatitis • Urethral discharge and/or dysuria (approximately 50%) • Local complications, such as epididymitis (approximately 2%) Women • No signs (up to 70%) • Cervicitis with evidence of cervical friability, mucopurulent discharge, contact bleeding (up to 50%) • Local complications (up to 10%) – bartholinitis – skenitis – adnexal tenderness – cervical motion tenderness (cervical excitation) 63 © 2007 Health Press Ltd.

Management Establishing the diagnosis is highly therapeutic for many patients. It is also important to stress that, for the majority of patients, symptoms resolve over time. Strategies for managing chronic pain with low doses of tricyclic drugs used for their analgesic effects, for example, may accelerate recovery. Where there are also sexual problems, a combined management approach with a psychosexual specialist may also help. Full guidance about management is beyond the scope of this text. Initial assessment and treatment may require referral to a specialist.

Autoinoculation may result in chlamydial conjunctivitis. As with most STIs, chlamydial infection can facilitate transmission of human immunodeficiency virus (HIV). Diagnosis. C. trachomatis infection was traditionally diagnosed by cell culture, but this is expensive and time-consuming, and few laboratories still offer this service. Culture is the recommended method for detecting C. trachomatis at all exposed sites following sexual assault in adults because of 100% specificity, although the sensitivity is probably no more than 75%, even under ideal conditions.

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