Bacterial Sexually

Transmitted
Infections
Infections in Pregnancy
Prepared by:
Rita E. Penaso MAN, RN
NCM 2208 Lecturer
Bacterial Sexually Transmitted
Infections

• - often
co-exist and many • If a woman does not, she is
times do not have outward
symptoms of infection. If
left untreated, these
infections can impact on a
woman’s ability to bear
children due to scarring
from untreated infections.
infected, she can unknowingly
pass the infection to someone
else. It is important that
every partner is treated before
engaging in sexual activity
again.
 Bacterial Sexually Transmitted
Infections
Causative Signs and Diagnosis Management and
Organism Symptoms Treatment

Chlamydia Chlamydia Usually Culture, DNA Azithromycin single

trachomatis asymptomatic, probe, enzyme dose; doxycycline,
irregular menses, immunoassay, erythromycin or
postcoital spotting, nucleic acid amoxicillin in
purulent cervical amplification pregnant
discharge, dysuria
 Bacterial Sexually Transmitted
Infections
Causative Signs and Diagnosis Management and
Organism Symptoms Treatment
Gonorrhea Neisseria Usually Thayer-Martin Cefixime,
gonorrhoeae asymptomatic, cultures ceftriaxone,
purulent cervical ciprofloxacin,
discharge, ofloxacin,
menstrual levofloxacin, treat
irregularities, presumptively for
pelvic pain chlamydia
Thayer-Martin Agar is used for
the isolation of pathogenic
Neisseria from specimens
containing mixed flora of
bacteria and fungi. Aug 14,
2019
Bacterial Sexually Transmitted
Infections
Causative Signs and Diagnosis Management and
Organism Symptoms Treatment
Syphilis Treponema Period of active Venereal Disease Penicillin G: if
pallidum symptoms and Research penicillin allergic,
latency. Laboratory (VDRL) doxycycline or
Primary: chancre or rapid plasma tetracycline
Secondary: reagent (RPR).
maculopapular rash To confirm:
on palms and soles fluorescent
Tertiary: central treponemal
nervous system, antibody absorbed
cardiovascular and microhemag-
changes; gumma glutination assays
lesions for antibody to T.
palidum
Bacterial Sexually Transmitted Infections:
Protozoan Sexually Transmitted Infections

• Trichomonas vaginalis is an organism • There is no incubation period for it.

that lives in the female genitalia and Easily treated with a single dose
is a sexually transmitted infection. It antibiotic, it is important that both
has a characteristic green or yellow or all partners are treated before
frothy vaginal discharge, and most having sexual intercourse again.
women are unaware they have been
infected until they become
symptomatic.
Protozoan Sexually Transmitted
Infections
Causative Signs and Diagnosis Management and
Organism Symptoms Treatment
Trichomoniasis Trichomonas Asymptomatic in Wet mount, culture Metronidazole
vaginalis 50% of women, single dose; treat
yellow/ green all partners
frothy malodorous
vaginal discharge,
dysuria,
dyspareunia
Sexually Transmitted Infections