tailieunhanh - Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 12) Figure

Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 12) Figure 124-5 Gram's stain of cervical mucus, showing a strand of cervical mucus containing many polymorphonuclear leukocytes. This picture is typical of mucopurulent cervicitis. Note that leukocytes are not seen in areas of the slide containing vaginal epithelial cells, adjacent to the mucus strands. Mucopurulent Cervicitis: Treatment Although the above criteria for MPC are neither highly specific nor highly predictive of gonococcal or chlamydial infection in some settings, the 2006 CDC guidelines call for consideration of empirical treatment for MPC, pending test results, in certain patients. Treatment with antibiotics active against C. trachomatis should. | Chapter 124. Sexually Transmitted Infections Overview and Clinical Approach Part 12 Figure 124-5 Soure Fauci AS. Mfpar PL. E. SL Lonijo PL. Jamtion JI. L4jcjl o Ji Hafriỉữnrỉ pHtiàpìts ữỉ Ỉĩỉĩiĩĩỉii L7th Edibom http 0WM. Copyright C Th M ir -Hill Cimparirst no. All riflhti tiíárttaiíi Gram s stain of cervical mucus showing a strand of cervical mucus containing many polymorphonuclear leukocytes. This picture is typical of mucopurulent cervicitis. Note that leukocytes are not seen in areas of the slide containing vaginal epithelial cells adjacent to the mucus strands. Mucopurulent Cervicitis Treatment Although the above criteria for MPC are neither highly specific nor highly predictive of gonococcal or chlamydial infection in some settings the 2006 CDC guidelines call for consideration of empirical treatment for MPC pending test results in certain patients. Treatment with antibiotics active against C. trachomatis should be provided for women at increased risk for this common STI risk factors age 25 years new or multiple sex partners and unprotected sex especially if follow-up connot be ensured and if a relatively insensitive diagnostic test not a NAAT is used. Concurrent therapy for gonorrhea is indicated if the prevalence of this infection is high 5 in the relevant patient population . young adults a clinic with documented high prevalence . In this situation therapy should include a single-dose regimen effective for gonorrhea plus treatment for chlamydial infection as outlined in Table 124-4 for the treatment of urethritis. In settings where gonorrhea is much less common than chlamydial infection initial therapy for chlamydial infection alone suffices pending test results for gonorrhea. The etiology and potential benefit of treatment for endocervicitis not associated with gonorrhea or chlamydial infection have not been established. Although the antimicrobial susceptibility of M. genitalium is not yet well defined the .