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Chapter 24 - Sexually Transmitted Infection and Pelvic Inflammatory Disease

from Section 4 - Contraception and STIs

Published online by Cambridge University Press:  24 November 2021

Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

This chapter discusses the STIs chlamydia, gonorrhoea, Trichomonas vaginalis (TV), genital warts, herpes, Mycoplasma genitalium (MG) and pelvic inflammatory disease (PID). HIV and syphilis are not covered. Chlamydia, gonorrhoea, TV, herpes and MG are diagnosed by PCR or NAAT testing. Warts and PID are predominantly diagnosed clinically. Management of all STIs involves discussion of information, both verbal and written, and advice on prevention by use of condoms and contact testing. Chlamydia, gonorrhoea, TV, MG and PID are managed by use of antibiotic regimens, which are described. Test of cure (TOC) is recommended for certain STIs (i.e. Gonorrhoea and MG) due to risk of antibiotic resistance. Treatment options during pregnancy and breastfeeding are discussed. Complications of the STIs where relevant are discussed.

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