1/10. Interactions between hiv infection and other sexually transmitted diseases.Mechanisms and implications of the interaction between hiv and other STDs such as syphilis, herpes simplex, Chlamydia and neisseria gonorrhoeae infection are presented and relevant case reports and trials described.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
2/10. Using self-administered tampons to diagnose STDs.The new nucleic acid amplification techniques (e.g., LCR and PCR) have allowed the introduction of non- and minimally-invasive techniques for the detection of sexually transmitted diseases (STDs). In this article, we describe one of these-the self-administrated tampon method-which we have used to detect the presence of chlamydia trachomatis, neisseria gonorrhoeae, trichomonas vaginalis, and human papillomavirus in women.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
3/10. Infectious diseases. 6: Sexually transmitted infections: new diagnostic approaches and treatments.1. Commercially available nucleic acid amplification assays (eg, polymerase or ligase chain reaction) are now the "gold standard" tests for genital chlamydial infection and also have a role in screening for gonococcal infection. 2. Single-dose oral antibiotics are available for treatment of chlamydia trachomatis, neisseria gonorrhoeae and trichomonas vaginalis infections. 3. Strains of N. gonorrhoeae in urban australia are often penicillin resistant, while strains from South East asia and those in homosexually active men may show high-level resistance to quinolones. 4. Imiquimod, a novel immune-response modifier, is now available for effective, safe, self-administered treatment of genital warts. 5. The Pap smear remains the cornerstone of screening for precursor lesions of cervical cancer, but human papillomavirus genotyping may have a role in clinical decision-making for women with equivocal or early precancerous lesions. 6. Treatment of primary genital herpes changes the clinical course, and long-term suppressive therapy is effective for those with multiple recurrences. New technologies have made diagnosis and screening easier for patients and clinicians- - - - - - - - - - ranking = 2keywords = gonorrhoeae (Clic here for more details about this article) |
4/10. Fitz-Hugh-Curtis syndrome.The Fitz-Hugh-Curtis syndrome consists of right upper quadrant abdominal pain, perihepatitis and genital tract infection. neisseria gonorrhoeae and chlamydia trachomatis have been identified as causative agents. This syndrome frequently mimics other diseases and typically occurs in sexually active young women. A high index of suspicion is essential for early diagnosis. laparoscopy may be indicated for diagnosis and for lysis of adhesions.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
5/10. Purulent rectal discharge associated with a nontreponemal spirochete.A nontreponemal spirochete was isolated from the rectum of a homosexual man with a chronic purulent discharge. Known infectious causes of the disease were excluded. Although the pathogenicity of the organism was not proved, the patient's symptoms rapidly resolved following penicillin g benzathine therapy. When culture of a nonhemorrhagic, purulent rectal discharge fails to verify neisseria gonorrhoeae, health care personnel are encouraged to carefully examine a Gram's-stained smear of the discharge for spiral-shaped organisms.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
6/10. Isolation of neisseria meningitidis from anogenital sites in adolescents: clinical implications.neisseria meningitidis is being increasingly isolated from the urethra, cervix, and anal canal of sexually active individuals. We found a similar phenomenon in inner-city black and Hispanic adolescents. In 1981, cultures of 92 isolates of Neisseria were made from the anogenital region of sexually active adolescents; 81 (88.0%) were N. gonorrhoeae, 3 (3.3%) could not be speciated, and 8 (8.7%) were N. meningitidis. Since N. meningitidis has been associated with urethritis and pelvic inflammatory disease, it should be considered a pathogen when identified in the urethra or cervix and should be appropriately treated. The health implications of isolating N. meningitidis from the anal canal are less clear, although it has been rarely associated with proctitis. Neisseria isolates from anogenital sites cannot be assumed to be gonococci and, therefore, should be distinguished from N. meningitidis.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
7/10. Vaginal chlamydia trachomatis infection in children with sexual contact.To determine whether vaginal infections with chlamydia trachomatis in children were associated with sexual contact, 50 children ages 1 to 12 years with a history of sexual contact and 34 children without such a history were studied. Vaginal, throat and rectal cultures for C. trachomatis and neisseria gonorrhoeae were performed in all children. Three children with sexual contact and none of the children without a history of sexual contact had vaginal infections. The three infected children were asymptomatic and only one had had vaginal intercourse. None of the 10 children with a history of sexual contact and gonorrheal vaginitis had C. trachomatis isolated. Although C. trachomatis vaginal infections as detected by vaginal cultures are infrequent, we recommend that all girls being evaluated for sexual contact be routinely cultured for C. trachomatis so that those infected can be treated.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
8/10. Isolation of Branhamella (Neisseria) catarrhalis from men with urethritis.Branhamella (Neisseria) catarrhalis was recovered from urethral exudates of three men with acute urethritis. In all cases gram stain of the urethral exudates revealed intracellular gram-negative diplococci morphologically compatible with neisseria gonorrhoeae. Branhamella (Neisseria) catarrhalis should be considered as a potential cause of acute urethritis in men with urethral discharge microscopically consistent with, but culture-negative for, N. gonorrhoeae.- - - - - - - - - - ranking = 2keywords = gonorrhoeae (Clic here for more details about this article) |
9/10. Radiographic findings of infectious proctitis in homosexual men.Homosexual men are known to have an increased incidence of sexually transmitted proctitis. A knowledge of the pathogenesis and the radiographic appearance of these processes has resulted in earlier diagnosis and more rapid institution of appropriate therapy. While gonococcus (neisseria gonorrhoeae) and lymphogranuloma venereum (usually Chlamydia) have long been considered the common etiologies of proctitis in this population, other organisms, such as herpes, mycoplasma, and entamoeba have been implicated and could give an identical radiographic and clinical pattern. Diffuse narrowing and ulceration limited to the rectum was seen in five affected homosexual men recently studied at Northwestern Memorial Hospital, chicago.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
10/10. Childhood sexually transmitted diseases: one consequence of sexual abuse.Numerous sexually transmitted diseases (STDs) of both viral and bacterial origin exist. nursing and medical literature typically focuses on adults with STD, with vague regard for the epidemiology of STD among prepubertal children. This article focuses on childhood sexually transmitted disease as a consequence of sexual abuse. nurses are encouraged, however, to assess both for STDs among child victims of sexual abuse and for sexual abuse among child victims of STDs. Some of the more common sexually transmitted diseases among adults, such as neisseria gonorrhoeae, Chlamydia trachmatis, treponema pallidum, genital herpes simplex Virus, human papillomavirus and hiv/AIDS are discussed as they occur in children between the ages of 1 and 12 years. Suggestions are provided for nurses regarding assessment and protocols (interviews and examinations) and interventions.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
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