Definition of Sexually Transmitted Diseases (STDs):
The sexually transmitted diseases (STD) are a group of communicable disease that are transmitted predominantly by sexual contact and caused by wide range of bacterial, viral, protozoal, and fungal agents and ectoparasites.
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How to Manage or Treat Sexually Transmitted Diseases (STDs)?
1. Syndromic treatment:
- For vaginal discharge in all cases: Treat for vaginitis (Trichomoniasis and BV plus candidiasis).
- If the risk assessment is positive and or discharge from the cervix is detected: Treat for cervicitis (Gonorrhea and chlamydial infection).
- Syndromic treatment for urethral discharge includes both gonorrhea and chlamida.
- Therapy for uncomplicated gonorrhea:
- Ciprofloxacin, 500 mg orally, as a single dose (for 7 days. Or
- Ceftriaxone, 125 mg by intramuscular injection, as a single dose. Or
- Cefixime, 400mg orally, as a single dose.
2. Therapy for Chlamydia:
- Doxycycline, 100 mg orally, twice daily for 7 days. Or
- Azithromycin, 1 gm orally, as a single dose.
3. Recommended regimen for chlamydial infection during pregnancy:
- Erythromycin, 500 mg orally, 4 times a days for 7 days. Or
- Amoxycillin, 500 mg orally, three times a day for 7 days.
[Patients should be advised to return if symptoms persist 7 days after start of therapy]
Social and Behavioral Factors Involved in the Spread of Sexually Transmitted Diseases (STDs):
Social and behavioral factors involved in the spread of Sexual Transmitted Disease STDs are-
- Prostitution: The prostitute acts as a reservoir of infection. The prostituant (male component of prostitution) is equally important.
- Broken homes: Children of broken families are frustrated and go to prostitutes.
- Sexual disharmony.
- Easy money: Prostitution provides an occupation for earning easy money.
- Emotional immaturity of teenagers.
- Social disruption.
- International behavioral pattern: Freedom from supervision, equal right for both sexes, relaxation of moral and cultural values, live together.
- Social stigma: Shy to go to VD clinic. Not disclosing the source of contact, going to quacks for treatment, and dropping out drugs before treatment is complete.
- Greater sexual encounter: More female employment, more co-educational sch0oling.
- Alcoholism: as it may encourage prostitution.
- Homosexuality.
- Easy to get contraceptive.
- Availability of photograph blue film pornography etc.
- Economic factors: Rapid economic development, greater prosperity and affluence.
- Absence of heal thy recreation facilities.
- Frequent partner change.
- Having more partners.
- Sex with casual partners.
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Maria Khatun Mona is a Founder and Editor of Nursing Exercise Blog. She is a Nursing and Midwifery Expert. Currently she is working as a Registered Nurse at Evercare Hospital, Dhaka, Bangladesh. She has great passion in writing different articles on Nursing and Midwifery. Mail her at “[email protected]”