What is an STI? (affect more than 20 million Americans
per year, and 1/2 are younger than 25 years. Hidden
epidemic. - correct answer STI: is the general term for
any disease that can be spread by intimate and/or sexual
contact.
Includes systemic diseases such as hepatitis and
tuberculosis
Is prevalent in all socioeconomic and racial or ethnic
groups
Individuals who have unprotected nonmonogamous sex
have the greatest risk for STI exposure and infection.
•Rare systemic complication brought about by the spread
of infection through the bloodstream
•Life-threatening condition causing a generalized rash
and severe joint pain
Perihepatitis
•Spread of N. gonorrhoeae to the liver
Ophthalmia neonatorum
•Gonococcal eye infection in an infant from an infected
mother (most states require prophylactic opthalmic
antibiotics to prevent gonococcal eye infection. Topical
antibiotics may not be effective in eliminating neonatal
infection and systemic tx. is indicated for all newborns
with known exposure. (onset of symptoms 1-12 days)
Newborns may also develop gonorrheal rhinitis.
Gonnorhea (Bacterial infection) - correct answer Is
caused by Neisseria gonorrhoeae.
Transmission generally requires the contact of epithelial
surfaces such as vaginal, oral, or anal intercourse, and
infection in the adults can be in the vagina, rectum,
oropharynx, and the urethra.
Pregnant woman can pass gonorrhea to her fetus through
infected cervical and vaginal secretions, and a mother
can pass it to her newborn child. Following vertical
,Unit 3 NU 545 question and
answer 2024-2025 Exam
transmission, the newborn eyes can be infected and
result in blindness if untreated.
Humans are the only natural hosts.
Presence of pili helps N. gonorrhoeae attach to the
epithelial cells of mucous membranes.
Why is treatment for gonorrhea becoming more difficult? -
correct answer because of rapidly developing
resistance to antibiotics. CDC and WHO advise dual drug
treatment to treat the infection and staunch increasing
resistance.
Antibiotic resistance is most common in those who
frequently have oral and anal intercourse (men with men)
CDC says gonorrhea likely to become resistant to all
antibiotics in the near future.
Common sites/complications of gonorrhea (Bacterial
infection) - correct answer •Endocervical canal (inner
portion of the cervix): most common site for women
•Urethra
•Skene and/or Bartholin glands
•Urethra or rectum: most common site for men
Complications:
, Unit 3 NU 545 question and
answer 2024-2025 Exam
Clinical manifestations of gonorrhea (Bacterial infection) -
correct answer •Men: sudden onset of painful urination
or purulent penile discharge, or both (within a week from
infection)
•Women (within 10 days of exposure or 1-2 days after the
next period. More than half are asymptomatic
Symptoms often do not appear until they have spread to
the upper reproductive tract (uterus, fallopian/uterine
tubes, and ovaries)
Dysuria (difficult/painful urination)
Increased vaginal discharge, increased flow or
dysmenorrhea, dyspareunia (painful sex) , lower
abdominal and/or pelvic pain
Fever; mucopurulent discharge from the cervical os
treatment for gonorrhea (Bacterial infection) - correct
answer •Antibiotic (ceftriaxone)
•Multidrug administration to reduce resistance
•Resistant to many antibiotics
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