and discharge Urine and discharge Pap smear Culture VDRL screening test Lab Tests – culture culture DNA testing HSV-2 test RPR screening test – NAAT NAAT FTA-Abs - confirmatory EIA EIA Can’t culture TP-PA confirmatory – DFA DFA (these tests can have false negatives and false Women smears/ positives) – gram stains not helpful Culture of secretions from b/c it looks a lot like chancres normal flora Also test for HIV Test all pregnant women 7 days oral 1 dose oral or IM Gardisil vaccine for 5 days oral 1 dose IM Penicillin G or Treatment – – – – Doxycycline or Rocephin females age 9-26 for acyclovir (can oral doxycycline 1 dose oral prevention (3 IM shots continue to use as – Zithromax Also need to treat for over 6 months) suppressive tx) Treat sex contacts for past chlamydia 90 days Also need to treat Chemical treatment, No sex while there for gonorrhea cryotherapy, are lesions electrocauterization, laser, surgery Must use latex condoms even when no lesions Cotton underwear, sitz baths, keep genitals dry Cure Yes won’t come Yes won’t come back No No chronic and Yes – – – back unless they get unless they get recurrent reinfected reinfected hides in the nerve endings) Do have some resistant strains
Lab Tests and discharge culture NAAT EIA DFA Urine and discharge culture NAAT EIA DFA Women – smears/ gram stains not helpful b/c it looks a lot like normal flora Pap smear DNA testing Can’t culture Culture HSV-2 test VDRL – screening test RPR – screening test FTA-Abs - confirmatory TP-PA – confirmatory (these tests can have false negatives and false positives) Culture of secretions from chancres Also test for HIV Test all pregnant women Treatment 7 days – oral Doxycycline or 1 dose – oral Zithromax Also need to treat for gonorrhea 1 dose – oral or IM Rocephin Also need to treat for chlamydia Gardisil vaccine for females age 9-26 for prevention (3 IM shots over 6 months) Chemical treatment, cryotherapy, electrocauterization, laser, surgery 5 days – oral acyclovir (can continue to use as suppressive tx) No sex while there are lesions Must use latex condoms even when no lesions Cotton underwear, sitz baths, keep genitals dry 1 dose – IM Penicillin G or oral doxycycline Treat sex contacts for past 90 days Cure Yes – won’t come back unless they get reinfected Yes – won’t come back unless they get reinfected Do have some resistant strains No No – chronic and recurrent hides in the nerve endings) Yes