Sexually transmitted diseases

For example, pelvic inflammatory disease (PID) is usually caused by a concurrent infection with both N. gonorrhoeae and C. trachomatis (94). For these reasons many sexually transmitted diseases, including PID, are treated with mixtures of antibiotics to provide broad coverage for mixed, aerobic, and... 

The male barrier contraceptive device is known as the condom, or mbber, and is widely available in most countries. The condom is a mbber or latex sheath, sometimes packaged with a lubricant and spermicide, which serves as a cover for the penis and a receptacle for semen. The method is very effective if the condom is of good quaUty, remains on, and is replaced for each subsequent intercourse. It was reported that 6 biUion condoms were used in 1990 (101). Usage appears to be increasing as adjunctive use with other methods of contraception for prevention of HIV or other sexually transmitted diseases. By rough estimate, condoms may have been used in more than 13 biUion acts of sexual intercourse that risked unwanted pregnancy, HIV, and/or other sexually transmitted diseases (101). 

More then a dozen representatives of the above ring systems were introduced into the human therapy. Actisomide (2) and trequinsin (3) are used as antiarrhytmic and antihypertensive agents, respectively. Sunepitron (4), a a 2-adrenoceptor antagonist, is under clinical trials for the treatment of anxiety and depression. Representatives of the third generation of antibacterial quinolone-3-carboxylic acids the blockbluster ofloxacin (5), its levorotatory enantiomer, levofloxacin (6), and rufloxacin (7) have gained wide acceptance for the treatment of bacterial infections of the respiratory and urinary tracts, skin, and soft tissues, as well as sexually transmitted diseases, and pazufloxacin (8) is under development. Praziquantel (9) is widely applied for the treatment of schistosomes- and cestode-caused infection in both veterinary and human therapies (Scheme 4). 

The fluoroquinolones are used in the treatment of infections caused by susceptible microorganisms. The fluoroquinolones are effective in the treatment of infections caused by gram-positive and gram-negative microorganisms. They are primarily used in the treatment of susceptible microorganisms in lower respiratory infections, infections of the skin, urinary tract infections, and sexually transmitted diseases. Ciprofloxacin, norfloxacin, and ofloxacin are available in ophthalmic forms for infections in the eyes. 

This drug is contraindicated in known cases of hypersensitivity to spectinomycin. In addition, the drug should not be given to infants. If another sexually transmitted disease is present with gonorrhea, additional anti-infectives may be needed to eradicate the infectious processes. Safe use during pregnancy (Category B) or lactation or in children has not been established. 

Before insertion, a complete medical and social history is performed, including Pap smear, gonorrhea, and Chlamydia culture, and tests for other sexually transmitted diseases. 

All devices used for contraception or the prevention of the transmission of sexually transmitted diseases are in Class lib, unless they are implantable or long-term Invasive devices, in which case they are in Class III. 

Sexually transmitted disease (unspecified) as a teen and in her twenties, but has been monogamous since her last marriage in her mid-thirties she states, "It has not always been easy to stay with my husband" she feels sexually attracted to many men. 

Sexually transmitted diseases treatment guidelines 2002. Centers for Disease Control and Prevention. Morbid Mortal Wkly Rep (MMWR) 2002 51(RR-6) l-78. 

Oral, transdermal, and transvaginal contraceptives, as well as intrauterine devices and most barrier contraceptives, do not protect against sexually transmitted diseases. 

Exposure to sexually transmitted diseases (STDs) is also a concern for women who are sexually active. It is estimated that 15 million people in the United States become newly infected annually with an STD.5 Given that not all methods of contraception protect the user adequately against STDs, the provision of proper patient education by health care professionals regarding this risk is absolutely essential. 

Sexually active females should have a pelvic examination to screen for sexually transmitted diseases. 

Commonly used for sexually transmitted diseases (i.e., chlamydial infections) rather than UTIs. 

STD Sexually transmitted disease VRE Vancomycin-resistant Enterococcus... 

Hillier SL, Holmes KK Bacterial vaginosis in Holmes KK, Mardh PA, Sparling PF, et al (eds) Sexually Transmitted Diseases. New York, McGraw-Hill, 1999, pp 563-587. 

Men and women with a history of other sexually transmitted diseases and persons with a history of multiple sex partners (>1 partner/6 months)... 

International travelers who plan to spend >6 months in countries with high rates of HBV infection and who will have close contact with the local population Recipients of clotting-factor concentrates Sexually transmitted disease clinic patients HIV patienVHIV - testi ng patients Drug-abuse treatment and prevention clinic patients Correctional facilities inmates Chronic dialysis/ESRD patients... 

HIV, human immunodeficiency virus STD, sexually transmitted disease TSS, toxic shock syndrome UTI, urinary tract infection. 

Undiagnosed breast mass Sexually transmitted diseases... 

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