STD(s) AND HOW TO PREVENT IT

STDs means Sexually Transmitted Diseases. They are caused by organisms (virus, bacterial, fungi and protozoan) which are transmitted by sexual intercourse.


Viral STDs are:- Human Immunodeficiency Virus (HIV), Human Papilloma Virus (HPV), Herpes, Hepatitis B&C.

Bacterial STDs are: Gonorrhea, Syphilis, Pelvic Inflammatory Disease (PID), Chlamydia, Granuloma inguinale, Haemophilus ducreyi which causes Chancroid.

Fungal STDs are: Yeast infections

Protozoan STDs: Trichomoniasis

MEDICATIONS FOR STDs
It is important to know that taking medication against STI will yield no lasting significant clinical improvement if not taken at the right dosage and for the right length of time, otherwise, it becomes poorly managed.


HIV/AIDS: The essence of medication here is not to cure the disease but to keep the viral load low as much as possible. Classes of drug use are: Nucleoside Reverse Transcriptase Inhibitors (Stavudine, Zidovudine, Lamuvudine), Protease inhibitor (indinavir, saquinavir, ritonavir), Non-nucleoside Reverse Transcriptase Inhibitors (efavirenz, nevirapine).


Gonorrhea: Ceftriaxone, Cefixime


Chlamydia: Azithromycin, doxycycline, Levofloxacin, erythromycin, Unasyn.
According to Centers for Disease Control (CDC), recommends that Gonorrhea and Chlamydia be treated in tandem.


Human Papilloma Virus (HPV): topical preparation of importance for this condition include podophyllin, imiquimod, trichloroacetic acid.


Pelvic Inflammatory Disease (PID):- According to RCOG, appropriate regimen include:
Ofloxacin + Metronidazole
OR
Ceftriaxone + Doxycycline + Metronidazole
OR
Ofloxacin + Metronidazole
In pregnancy: Cefotaxime + Azithromycin + Metronidazole

Genital Herpes: Acyclovir, famciclovir


Syphilis: – The drug of choice for syphilis is penicillin. However, in some exceptional occasions, doxycycline, tetracycline or azithromycin can be used.

PREVENTION
1. Limit your sexual partners
2. Avoid risky sexual partner.
3. Get immunized for Hepatitis B and Human Papilloma Virus.
4. Make sure you are properly treated whenever you have STI by a competent and certified health professional to prevent re-occurrence.
5. Complete your dosage. Do not stop taking your drug because you are relieved. Discontinue the medication only when you have taken it for the right time as prescribed by your doctor or certified Pharmacist.

SOURCE
1. The American College of Obstetricians and Gynaecologist.
2. American Academy of Pediatrics.

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