complete verified
solutions 2025
what is the most common STI in the US?
Human papillomavirus (HPV)
clinical signs of HPV
-wart-like growths in perineal area
-body can clear most infections within 2 years, some may persist
maternal/fetal effects of HPV
-lesions can grow more rapidly during pregnancy
-rarely transmitted though placenta
-cannot give vaginal birth with lesions
-#1 cause of cervical, vaginal, penile, oropharyngeal cancers
plan of care of HPV
no cure
vaccinate
can spread without active lesions
get regular papsmears
trichloroacetic acid
laster/surgical removal of lesions
how is HPV diagnosed?
pap smear
how is HPV treated?
trichloroacetic acid
HPV vaccine
, Gardasil 9
-children 11-12, 2 vaccines 6-12 months apart
-children 15+, 3 vaccines
-can be given up to age 45
-DO NOT GIVE TO PREGANT PATIENTS
-dont give to someone who has been exposed to HPV
is HSV 1&2 bacterial or viral?
viral
how is HSV 1&2 transmitted?
direct contact with person shedding the virus
primary outbreak of HSV
-malaise
-muscle aches
-headache
-painful lesions
subsequent outbreaks of HSV
less severe, shorter duration
maternal/fetal effects of HSV 1&2
-PTB (preterm birth)
-dermatological scarring
-microcephaly (small head)
-encephalitis (inflammation of brain)
-NO vaginal birth with active outbreak
-neonatal sepsis/death
what is the only way to prevent HSV?
no sex (abstinence), but condoms and antivirals can decrease risk of
transmission
what STI is the leading cause of death in babies?
HSV due to sepsis