SEXUALLY TRANSMITTED INFECTION S/Sx: Heavy, gray-white vaginal discharge and
Diseases that are spread through sexual contact
with an infected partner.
● Candidiasis
● Trichomoniasis
● Bacterial Vaginosis
● Chlamydia Trachomatis
● HPV Infection
● Genital herpes
● Gonorrhea
● Syphilis
● HIV infection
CANDIDIASIS
CA: Candida Albicans
S/SX: A thick, cream cheese-like discharge,
vulvar and vaginal reddening, burning and
itching, and even bleeding from hairline
fissures.
DOC:Oral fluconazole (Diflucan)
ETIOLOGY:
- Increased estrogen level present during
pregnancy, which causes the vaginal
pH to be less acidic.
TRICHOMONIASIS
CA: Trichomonas
S/SX: Vaginal irritation and a frothy white or
grayish-green vaginal
discharge
DOC: Metronidazole
- Trichomoniasis infections are associated
with: a) preterm labor, b) premature
rupture of membranes, c) post-cesarean
infection
BACTERIAL VAGINOSIS
CA: Gardnerella Vaginalis
S/SX: Milky-white to gray, fishlike odor vaginal
discharges. Pruritus can be intense.
DOC: Metronidazole or Clindamycin for 7 days.
- Untreated G. vaginalis infections are
associated with: 1) amniotic fluid
infections. 2) preterm labor 3)
premature rupture of the membranes.
CHLAMYDIA TRACHOMATIS INFECTION
CA: Chlamydia Trachomatis
vulvar itching.
DOC: azithromycin or amoxicillin single dose
Chlamydial infection must be treated during
pregnancy because they are associated with:
1. premature rupture of the membranes
2. preterm labor
3. Endometritis in the postpartum period
4. An infant who is born while a chlamydial
infection is present can suffer
conjunctivitis or pneumonia after birth.
HPV INFECTION
CA: Human Papilloma Virus
S/Sx: Cauliflower-like lesions (Condylomatmata)
on the affected area.
DOC: Podophyllin (Podofin)
Treatment: Cryosurgery, Papsmear, HPV
vaccine.
Can be prevented by: abstinence, condom, HPV
vaccine
Pregnancy and HPV Infection
- Lesions increases in size because of increase
vascular flow.
- Podyphylum is contraindicated during
pregnancy.
- Can obstruct delivery if it becomes large.
Genital Herpes
TYPES of Genital Herpes
Type 1: oral herpes
Type 2: genital herpes
Type 3: cytomegalo-virus
Type 4: epstein barr
Type 5: varicella zoster
CA: Herpes Simplex Virus (HSV) Type 2
S/Sx: The vesicles ulcerate and become moist,
painful, draining, open lesions.
DOC: acyclovir (Zovirax)
Topical imiquimod (Aldata) or Foscarnet
(Foscavir) - for resistant lesions
Valacyclovir (Valtrex) - preventive measure
Pregnancy and Herpes Simplex Virus Type 2
Infection
- can be transmitted across the
placenta to cause congenital infection
in the newborn.
- can be transmitted thru vaginal with
active lesions.
- Congenital herpes, a severe systemic
infection that is often fatal.
Types of Lymphocytes:
 B-lymphocytes: memory cells
 T-lymphocytes: killer cells
Ca: RNA human immunodefieciency retrovirus
HI
S/Sx: Depends on what stage the condition is
and what infection does the patient has.
Anti-retroviral is used to control viral load.

Gonorrhea  Women with HIV are advised not to

het pregnant.
CA: Neisseria Gonorrhea  For Pneumocystis Carini trimethopim
S/Sx: with sulfamethoxzole (Bactrim),
Male: Urethritis  Deliver child through CS.
Female: Slight yellowish vaginal
discharge ALL STD management approaches should
emphasize the four Cs:
Doc: amoxicillin or azithromycin, Doxycycline for  Counseling and education
non-pregnant  Condom promotion
 Compliance with treatment
 It is important that gonorrhea be identified  Contacting partners for treatment
and treated during pregnancy because if
the infection is present at the time of birth, URINARY TRACT INFECTIONS
it can cause a severe eye infection that can
lead to blindness in the newborn. Definition: an infection that affects part of the
(opthalmia neonatorum) urinary tract.
Ca:
Syphilis 1. Escherichia coli
2. Streptococcus B
CA: Treponema Pallidum S/Sx:
S/Sx: Deep Ulcer that usualy painless (Chancre)  Urinary frequeny
Doc: Benzathine penicillin G  dysuria
 urinary urgency
Pregnancy and Syphilis
1. spontaneous miscarriage WOF:
2. preterm labor  pain
3. stillbirth  N/V
4. congenital anomalies in the newborn  malaise
 increase temperature may indicate
HIV INFECTION pyelonephritis

retrovirus (Acute immunodeficiency syndrome) Nursing Management

 Health education
reverse isolation - to protect  Obtain clean catch for culture and
immunocompromised patient sensitivity test.
strict isolation - opposite to reverse isolation  Maintain good hydration
 Advised proper hygiene technique