Bacterial STIs

chlamydia s/s

usually asymptomatic, nonspecific symptoms, organism expensive to culture

maternal risks of chlamydia

acute salpingitis, PID, inflammation of the cervix, ectopic pregnancy, PROM, premature labor, postpartum endometritis

infant risks of chlamydia

conjunctivitis, ophthalmia neonatorum, pneumonia, low birth weight

when do women screen for chlamydia and gonorrhea during pregnancy

first prenatal appointment and late third trimester (if high risk)

recommended treatment for chlamydia

azythromycin

gonorrhea s/s

often asymptomatic, greenish yellow purulent discharge, menstrual irregularities, pelvic or lower abdominal pain

gonorrhea maternal risks

salpingitis, miscarriage, PROM, chorioamnionitis, preterm labor/birth, postpartum endometritis, postpartum sepsis, UTI

gonorrhea infant risks

PROM, preterm birth, chorioamnionitis, neonatal sepsis, IUGR

recommended treatment for gonorrhea

ceftriaxone

primary s/s of syphilis

painless chancre sores

secondary s/s of syphilis

rash on hands and feet

tertiary symptoms of syphilis

neuro, cardio, musculo, multiorgan are effected

syphilis maternal risk

systemic infection through the phases of s/s, miscarriage, preterm labor

infant risks of syphilis

congenital syphilis which can be deadly

when should syphilis be screened in pregnency

first PN appointment, late third trimester, time of giving birth if high risk

lab screenings for syphilis

positive RPR and positive VDRI

recommended treatment for syphilis

penicillian G

who also needs to be treated for syphilis other than the pregnant mother

the partner