STI’s: bacteria
Syphilis
Gonorrhea
Chlamydia
STI’s: viruses
HPV
Genital herpes
HIV
Hepatitis B
Vaginal Infections:
Trichomoniasis
Yeast
Group Beta Strep
Bacterial Vaginosis
Prevention
The surest way to avoid transmission of sexually transmitted diseases is to:
to be in a long-term mutually monogamous relationship with a
partner who is known to be uninfected
Use latex condoms correctly
Abstain from sexual contact
Risk Factors
Having a new sex partner or multiple sex partners
Douching
Early age of sexual intercourse
Nursing Care of Patients with STIs
Use a nonjudgmental approach
Be straight forward when taking a history
Reassure client that all information is strictly confidential
Obtain a sexual history (including):
Client’s sexual orientation
Sexual practices (vaginal, oral, anal)
Type of protection (barrier), e.g. condom
Contraception
Previous history of STIs
, Teaching Plan for STIs
Signs and symptoms
Mode of transmission
Explain that sexual contact should be avoided with anyone while infected
Assess literacy level of client
Provide written instructions about treatment
Ask for return verbalization of the instructions to ensure that the client
understands
Signs and symptoms
Mode of transmission
Explain that sexual contact should be avoided with anyone while infected
Assess literacy level of client
Provide written instructions about treatment
Ask for return verbalization of the instructions to ensure that the client
understands
Encourage client to provide information regarding all sexual contacts
Report incidence of STIs to appropriate health agencies
Instruct women of childbearing age about the risks to a newborn
Gonorrhea conjunctivitis
Neonatal herpes
Congenital syphilis
Oral candidiasis
Teach Safer Sex
Reduce the number of sexual partners
Avoid sex with those who have multiple partners
Examine genital area, and avoid sexual contact if anything abnormal is
present
Wash hands before and after sexual contact
Use latex condom as a barrier
Use water-based lubricants not oil-based
Use vaginal spermicidal gel
Avoid douching
Seek attention from HCP if symptoms occur
Sexually transmitted infections and pregnancy and her risk for acquiring
HIV
Complications to the pregnancy
Effects on fetus and infant