sexually transmitted infections in juvenile offenders
Sexually transmitted infections and other reproductive tract infections in rural vietnam
... Vietnam in 1990, then continued with a three year postgraduate training as a resident doctor in dermato-venereology and obtained a Master of Science in Medicine in 1998 Since 1995, I have been working ... endogenous infections resulting from an overgrowth of organisms normally present in the vagina, including bacterial vaginosis and candidiasis; and iii) iatrogenic infections occurring when micro-organisms ... Mogren I, Stålsby Lundborg C Perceptions and attitudes in relation to reproductive tract infections including sexually transmitted infections in rural Vietnam: A qualitative study Health Policy...
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Báo cáo y học: "IV among pregnant women in Moshi Tanzania: the role of sexual behavior, male partner characteristics and sexually transmitted infections" pot
... perinatal interventions at the primary health care level as well as to determine factors associated with incident HIV and sexually transmitted infections (STIs) in the postpartum period The information ... period The information on determinants for HIV is intended to contribute in improving counseling and in planning for future preventive activities Results Ninety nine percent of the 2664 women counseled ... symptoms, clinical signs and sexually transmitted infections among pregnant women in Moshi Tanzania Predictor N Treatment for STI symptoms in past 12 months¶ No 1969 Yes 685 Report abnormal vaginal...
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Báo cáo y học: "Reproductive health for refugees by refugees in Guinea II: sexually transmitted infections" pptx
... strategies could work in comparable contexts In line with IAWG Field Manual on Refugee Reproductive Health guidelines, for refugees to participate in designing, maintaining and evaluating their own reproductive ... condoms during sexual intercourse) • NOT agreeing that three inappropriate methods for protecting against STIs were effective (swallowing a tablet before sexual intercourse, avoiding public toilets, ... 60% 70% 80% 90% Symptoms in Men - penile discharge** - pain on passing urine*** - genital ulcers / open sores** - blood in urine** - genital itch Symptoms in Women - vaginal discharge*** - dysuria***...
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The long term effects of behavioral interventions on condom use and sexually transmitted infections among female brothel based sex workers in singapore, 1994 2002
... succeeded in increasing condom use to almost 100% Sentinel surveillance of all provinces in Thailand showed a marked increase in condom use among sex workers from 14% in 1989 to 94% in 199310,45 ... after intervention in the intervention and comparison groups, Singapore, 1994 83 4.3 Consistent condom use for vaginal sex among sex workers at baseline and at months after intervention in the intervention ... corresponding significant decline in pharyngeal gonorrhea incidence from more than 12 to per 1000 person-months Sex workers receiving brothel-targeting interventions showed a 10.8% absolute increase in...
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SEXUALLY TRANSMITTED INFECTIONS pptx
... urethral discharge genital ulcers inguinal swellings (bubo, which is a swelling in the groin) scrotal swelling vaginal discharge lower abdominal pain neonatal eye infections (conjunctivitis of the ... detailed in Table 10 Sexually Transmitted Infections 3.5 Lymphadenopathy (LAP) Inguinal lymphadenopathy is a nonspecific finding that is characteristic of inflammatory pathology almost anywhere in ... Chapter Part Introduction Sexually Transmitted Infections: An Overview Nancy Malla and Kapil Goyal Bacterial Infections 29 Chapter Chlamydia trachomatis Infections of the Adults Sabina Mahmutovic...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part pdf
... suppurate, loculated, with initial loculated, usually episode pseudobubo unilateral usually es unilateral Source: From RM Ballard, in KK Holmes et al (eds): Sexually Transmitted Diseases, 4th ... nonpurulen erythematou easily bleeds t, relatively s, readily nonvascula nonvascular r Indurati on Fir None Soft m Pain ommon Freq Usua Fir m, uently lly tender denopathy Firm ally firm Unc Lympha Occasion ... Table 124-7 Clinical Features of Genital Ulcers Feature Syp hilis Herp es Cha ncroid Lympho granuloma Don ovanosis Venereum Incubati on period 9– 90 days 2–7 days 1–14...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 18) Table 124-8 pps
... Ciprofloxacin 500 mg PO as single dose or Ceftriaxone 250 mg IM as single dose or Azithromycin g PO as single dose Note: FA, fluorescent antibody; PCR, polymerase chain reaction; RPR, rapid plasma reagin; ... recurrences Painless, nontender, indurated ulcers with firm, nontender inguinal adenopathy suggest primary syphilis If dark-field examination and a rapid serologic test for syphilis are initially ... most useful when ulcers are painful and purulent, especially if inguinal lymphadenopathy with fluctuance or overlying erythema is noted; if chancroid is prevalent in the community; or if the patient...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 19) Ulcerative docx
... AIDS-related opportunistic intestinal infections increased rapidly, many associated with chronic or recurrent symptoms The incidence of these infections has since fallen with increasingly effective antiretroviral ... lymphatics drain to inguinal lymph nodes Diarrhea and abdominal bloating or cramping pain without anorectal symptoms and with normal findings on anoscopy and sigmoidoscopy occur with inflammation ... HSV infection involving the rectum can produce perirectal adenopathy that is sometimes mistaken for malignancy; syphilis, LGV, HSV infection, and chancroid involving the anus can produce inguinal...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 20) Proctitis, pdf
... HPV, and HSV infections as well as gonorrhea and chlamydial infection The only exceptions are probably sexually transmitted Phthirus pubis and Sarcoptes scabiei infestations Shortening of the duration ... especially to the young indigent patients most likely to acquire an STI Figure 124-8 Critical control points for preventive and clinical interventions against sexually transmitted diseases (STDs) ... in prevalence, and such screening also protects the individual woman from PID Sensitive urine-based genetic amplification tests permit expansion of screening to men, teenage boys, and girls in...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 21) Although ppsx
... identifying and informing partners of infected patients about possible exposure to an STI and of examining, testing, and treating partners as appropriate In a series of 22 reports concerning partner ... primary care clinicians has become increasingly important in prevention as well as in diagnosis and treatment Further Readings Centers for Disease Control and Prevention: Sexually transmitted diseases ... Randomized controlled trials of individual-level, population-level, and multilevel interventions for preventing sexually transmitted infections: What has worked? J Infect Dis 191(Suppl 1):S7, 2005...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 1) pot
... chlamydial infections, genital infections with HPV, and genital herpes can spread widely, even in relatively low-risk populations In general, the product of three factors determines the initial ... circumcision) In all societies, STIs rank among the most common of all infectious diseases, with >30 infections now classified as predominantly sexually transmitted or as frequently sexually transmissible ... vaginosis (arguably acquired sexually) All six of these curable infections have been associated with increased risk of HIV transmission or acquisition Table 124-1 Sexually Transmitted and Sexually...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 3) ppsx
... into a routine self-administered questionnaire for use in clinics The initial framing statement gives permission to discuss taboo topics Table 124-3 Ten-Question STD/HIV Risk Assessment Framing ... had any sexually transmitted diseases or any genital infections? If so, which ones? Sexual Preference: (4) Have you had sex with men, women, or both? Injection Drug Use: (5) Have you ever injected ... Do you have any reason to think you might have a sexually transmitted disease? If so, what reason? (2) For all adolescents
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 4) pps
... Gram's staining is negative; certain strains of N gonorrhoeae can result in negative urethral Gram's stains in up to 30% of cases of urethritis Results of tests for gonococcal and chlamydial infection ... urethral exudate containing inflammatory cells warrants a preliminary diagnosis of NGU and should lead to testing of the urethral specimen for C trachomatis However, an increasing proportion of men ... urethral specimen obtained by passage of a small urethrogenital swab 2–3 cm into the urethra usually reveals ≥5 neutrophils per 1000x field in areas containing cells; in gonococcal infection, such...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 5) pot
... metronidazole or tinidazole (2 g PO in a single dose) plus azithromycin (1 g PO in a single dose); the azithromycin component is especially important if this drug has not been given during initial therapy ... NGU, such as azithromycin (1.0 g PO in a single dose) or doxycycline (100 mg PO bid for days) Both are effective, although azithromycin may give better results in M genitalium infection If gonococci ... available) of early-morning first-voided urine sediment or of a urethral swab specimen obtained before voiding Urethritis in Men: Treatment In practice, if Gram's stain does not reveal gonococci,...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 6) pdf
... following urinary tract instrumentation is usually caused by urinary pathogens Similarly, epididymitis in men who have practiced insertive rectal intercourse is often caused ... for 2006 are preliminary (January–June only) n, Intermediate resistance [ciprofloxacin minimum inhibitory concentrations (MICs) of 0.125–0.500 µg/mL] n, Resistance (ciprofloxacin MICs of ≥1.0 µg/mL) ... herpes or vulvovaginal candidiasis (and perhaps with trichomoniasis) is often described as "external," being caused by painful contact of urine with the inflamed or ulcerated labia or introitus Acute...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 7) ppsx
... dysuria (as urine passes over the inflamed vulva) or vulvar dyspareunia Certain vulvovaginal infections may have serious sequelae Trichomoniasis, bacterial vaginosis, and vulvovaginal candidiasis ... vulvovaginal candidiasis in industrialized countries actually have a serious predisposing illness) Thus vulvovaginal symptoms or signs warrant careful evaluation, including pelvic examination, ... of vaginal infection are summarized in Table 124-5 Table 124-5 Diagnostic Features and Management of Vaginal Infection Featur e Normal Vulvov Tricho Vaginal y monal Examination Etiolog aginal...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 8) pps
... Gardnerella vaginalis associated with bacterial vaginosis Vaginal Discharge: Treatment Patterns of treatment for vaginal discharge vary widely In developing countries, where clinics or pharmacies ... promulgated during the 1990s by the World Health Organization suggested treatment for cervical infection and for vulvovaginal candidiasis in women with symptoms of abnormal vaginal discharge; in retrospect, ... recommendations were faulty, since these conditions seldom produce such symptoms In industrialized countries, clinicians treating symptoms and signs of abnormal vaginal discharge should at least...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 9) pot
... peroxide–producing Lactobacillus spp., which constitute most of the normal vaginal flora and perhaps help protect against certain cervical and vaginal infections The use of broad-range polymerase chain reaction ... appearance and indistinct borders; Fig 124-3) on a wet mount prepared by mixing vaginal secretions with normal saline in a ratio of ~1:1 Figure 124-3 Wet mount of vaginal fluid showing typical clue ... signs of increased white homogeneous vaginal discharge; (2) a vaginal discharge pH of >4.5; (3) liberation of a distinct fishy odor (attributable to volatile amines such as trimethylamine) immediately...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 10) potx
... topical intravaginal treatment of bacterial vaginosis with clindamycin during pregnancy have not reduced adverse pregnancy outcomes Numerous trials of oral metronidazole treatment during pregnancy ... symptomatic vulvovaginal candidiasis, which probably arise from endogenous strains of C albicans that have colonized the vagina or the intestinal tract Complicated vulvovaginal candidiasis includes cases ... examination of vaginal fluid mixed with saline or 10% KOH or subjected to Gram's staining Microscopic examination is less sensitive than culture but correlates better with symptoms Vulvovaginal...
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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 11) ppt
... these serious bacterial infections in women, MPC can be a harbinger or sign of upper genital tract infection, also known as pelvic inflammatory disease (PID; see below) In pregnant women, MPC ... endocervix indicates the presence of PMNs The mucus should be rolled thinly on a slide for Gram's staining The presence of ≥20 PMNs/1000x microscopic field within strands of cervical mucus not contaminated ... mucus not contaminated by vaginal squamous epithelial cells or vaginal bacteria indicates endocervicitis (Fig 124-5) Detection of intracellular gram-negative diplococci in carefully collected endocervical...
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