7. STISs, Jimenez

OBJECTIVE: recall causative pathogen for each STI

Chlamydia: chlamidya trachomatis

Gonorrhea: Neisseria gonorrhoeae

Pelvic Inflammatory Disease (PID): Chlamydia trachomatis or N. gonorrhoeae and anaeorbes

OBJECTIVE: Recognize distinguishing signs/symptoms and notable characteristics for each STI

Chlamydia: cervicitis, urtheritis

Gonorrhea: symptoms more in men → urethritis and epididymitis (women → urethritis and cervicitis)

PID: mild symptoms

Genital herpes: vesicular or ulcerative lesions

OBJECTIVE: Recommend pharmacologic therapies for each corresponding STI

Chlamydia: doxycycline

Gonorrhea: Ceftrixone IM (cefixime for EPT, the partner); treat for chlamdiya with doxy if it was not excluded with testing

PID: ceftriaxone IM + doxyxline + metronidazole

Genital Herpes: acyclovir, famciclovir, valacyclovir (if severe, use IV acyclovir)

OBJECTIVE: Explain key counseling points and considerations for pharmacologic therapy