Bacterial STDs are

are sexually transmitted diseases (STD), also known as sexually transmitted infections (STIs) referred to by a number of microorganisms causes that vary greatly in size, life cycle, symptoms, and the sensitivity to available treatments. Bacterial STDs are syphilis, gonorrhea ulcer Molle ( “Soft chancre”) lymphogranuloma venereum (LGV) granuloma inguinal chlamydial, mycoplasma and ureaplasma infections Viral STDs include genital eand anorectal warts genital herpes, molluscum contagiosum HIV infection Parasitic infections which can be sexually transmitted, trichomoniasis include (caused by protozoa) scabies (caused by mites) Pediculosis pubis (caused by lice) Many other infections such. As salmonellosis, shigellosis, campylobacteriosis, amebiasis, giardiasis, hepatitis (A, B and C) and cytomegalovirus are not primarily viewed as an STD, but can also be transmitted sexually. As can be associated to sexual activities and the close contact of skin and mucous membranes of the genitals, mouth and rectum, the pathogens are spread efficiently from person to person. Some sexually transmitted diseases cause inflammation (eg. As with gonorrhea or chlamydial infection) or ulceration (simplex z. B. in herpes, syphilis or chancroid) that predispose the transmission of other infections (eg., HIV). The STD prevalence is still in most parts of the world high despite diagnostic and therapeutic advances that can lead to surprising that patients with many STDs are no longer infectious. In the US, an estimated occur each year 20 million new cases of sexually transmitted diseases; about half occur in people aged between 15 and 24 years (see also Reported STDs in the United States: 2014 National Data for Chlamydia, Gonorrhea, and Syphilis). Among the factors that hinder the control of sexually transmitted diseases, including unprotected sex with multiple partners difficulties of both doctors and patients to talk about sexual issues Inadequate funding for the introduction of the present diagnostic tests and treatments and the development of new tests and treatments The susceptibility to reinfection if both partners Incomplete treatment that can lead to development of resistant organisms are not treated the same international trips that facilitate rapid global spread of sexually transmitted diseases symptoms and complaints the symptoms vary depending on the infection. Many STDs cause genital lesions (see Table: demarcation of the common sexually transmitted genital lesions). Demarcation of the common sexually transmitted genital lesions findings Other features basic * Solitary painless ulcer indurated, not druckdolente or little tenderness Relatively painless swelling of lymph nodes syphilitic chancre ( “hard chancre”) Frequent appearance of small, painful superficial ulcers on erythematous base Sometimes Inguinal with bubbles adenopathy Herpes simplex virus infections Flat painful ulcer Nichtindurierte, druckdolente ulcers with ragged, undermined edges and a red border, which vary in size and often coalesce. Regional adenopathy ulcer Molle ( “Soft chancre”) Small papule or ulcer, often asymptomatic or unnoticed very pressure-sensitive and painful adenopathy, sometimes with distal lymphedema or drainage of the skin sometimes fever lymphogranuloma venereum (LGV) Multiple, shallow ulcers Characteristic extragenital lesions and transitions Situated Scratched Multiple scabies, flat lesions visible lice or egg sac (Nissen), which are attached to hair sticks – Pediculosis pubis Blessed with peeling lesion Velvety, foul-smelling, granular lesions No inguinal adenopathy Inguinal granuloma Other causes of ulcers are for. B. plaques muqueses a secondary syphilis, erosive balanitis, gummatöse ulcers in tertiary syphilis, Behcet’s syndrome, epithelioma and trauma. Diagnosis Often clinical examination Gram stain and culture laboratory tests STDs are diagnosed under very different circumstances and treated; in many of which the diagnostic possibilities are limited or patient follow-up is uncertain. Therefore, the identification of the causative pathogen is often not sought. The diagnosis is often made only on the basis of clinical criteria. Diagnostic tests may include Gram stain and culture or laboratory tests such as nucleic acid amplification tests (NAATs). A diagnostic test is performed more frequently in the following cases: The diagnosis is unclear. The infection is difficult. The initial treatment is not effective. Other reasons (eg. B. Control of public health services, psychosocial reasons, including extreme psychological distress and depression) are required. Syndromic therapy treatment Sometimes antimicrobial agents Concurrent treatment of sexual partners Since diagnostic techniques are often limited or are not available and / or the follow-up of patients is uncertain, the initial therapy is often related disease, i. H. directed to the excitation spectrum, which causes the clinical syndrome (z. B. urethritis, cervicitis, genital ulcers, pelvic inflammatory disease / PID) most likely. Most STDs can be treated successfully with medication. However, make drug resistance a growing problem. Patients being treated for an STD, should refrain from sexual intercourse until the infection with them and their sexual partners has subsided. Sexual partners should be tested and treated simultaneously. Viral STDs, especially herpes and HIV infection persist for a lifetime, as a rule. Antiviral drugs can control all these infections, but no cure. Prevention Control and aftercare of STDs depends on a suitable facilities and trained personnel for diagnosis and treatment existence of programs of public health service for finding and treating current and back to the recent sexual partner of the patient follow-up options for patients to ensure that they were healed enlightenment of reduce health workers and the general public avoid high-risk behavior in the population condoms and Femidoms if used properly, significantly the risk of some sexually transmitted diseases. Vaccines are not available for most sexually transmitted diseases, except for hepatitis A and B, and HPV infection. For more information Centers for Disease Control and Prevention: Sexually Transmitted Diseases

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