guidelines for screening and treatment

Table 1. INCUBATION PERIOD

No. Disease Incubation Period

1. Non Spersific Urethritis:

etiology: -chlamydia trachomatis
-ureaplasma urealyticum and
mycoplasma hominis
-bacterial: staphlyloccocus and 1-3 weeks
difteroid
-gardnerella vaginitis
2. Neisseria Gonorrhoeae 2-21 days
3. HSV I and II 1-2 weeks
4. Trichomonas Vaginalis 3 days – 4 weeks
5. Vaginosis Bacterial -
6. Syphilis:
I.primer 10 – 90 days
II.secondary 6 – 8 weeks
III.tertiary (latent) 3 – 7 years
7. Ulcus Mole 1 – 14 days
8. HIV 1 – 3 months
9. Human Pappiloma Virus ( HPV ) 3 – 4 months
10. Chancroid (Haemophylus ducrey) 3 – 10 days
11. Candidiasis 2-5 days
12. Hepatitis B 45-180 days
(60-90 days average)

sexually transmitted disease

 guidelines for screening and treatment

Table 2. SCREENING FOR SEXUALLY TRANSMITTED DISEASE

Category Category Category

No. PROCEDURE A B C
Panel Lab Result

1. Sexual history x X x - -
2. Physical
Examination
-external genital x x x -
-internal genital adult, adult, - -
adolescent adolescent

3. Laboratory test:
- Neisseria x x - GO(microscopic) 1 hour
gonorrhoeae
- Chlamydia x x - Chlamydia Trc. 7 days
trachomatis Ag.
- Treponema x x x VDRL, TPHA 1 days
pallidum
- Pap smear adult, adult, x Pap Smear 4 days
adolescent adolescent
- Hepatitis B optional optional x HBsAg 1 hour
(HBV)
- HIV x x x Anti-HIV q-Thu
11.00-16.00

Notes:
• Category A: case finding
• Category B: focused screening
• Category C: general screening

sexually transmitted disease

 guidelines for screening and treatment

Table 3. CAUSATIVE ORGANISM

No. STD Causative Organism

1. Bacterial
Gonorrhoea Neisseria gonorrhoeae
Non specific urethritis Chlamydia trachomatis
Ureplasma urealyticum
Mycoplasma hominis
Cervitis and PID Neisseria gonorrhoeae
Chlamydia trachomatis
Mixed vaginal flora
Syphylis Treponema palllidum
Bacterial Vaginosis Gardnerella vaginalis
Granuloma inguinale Calymmatobacterium granulomatis
Chancroid Haemophyllus ducreyi
Lymphogranuloma Chlamydia trachomatis
venerum
2 Viral
AIDS HIV1, HIV2
Genital Herpes HSV
Genital Warts Human Papilloma virus
Hepatitis HBV, HCV
Molluscum Pox virus
contagiosum
3. Fungal
Vaginal Thrush Candida albicans
Balanoposthitis
4. Protozoal
Vaginitis, Urethritis Trichomonas vaginalis
Balanopostitis
5. Arthropods
Genital scabies Sarcoptes scabiei
Pediculosis pubis Phthirus pubis

sexually transmitted disease

 guidelines for screening and treatment

Table 4. LABORATORY TEST FOR SCREENING STD

No. Last Sexual Contact

On Arrival (1st Day 4 weeks 12 weeks 24 weeks
1. HIV Chlamydia HIV HIV
2. Hepatitis B and C Hepatitis B and C Hepatitis B and C
3. Syphilis Syphilis
( VDRL and TPHA) ( VDRL and TPHA )
4. Chlamydia

VDRL TPHA
(+) (-)
(+) • Untreated syphilis • False (+)
• Recently treated
• Treated late
(-) • Treated syphilis • Not syphilis
• Latent syphilis • Very early stage
• 3rd syphilis

Latent syphilis :
< 1 year Æ infectious
> 1 year Æ not infectious
Latent syphilis can relapse become “2nd syphilis”.

sexually transmitted disease