Diagnosis of Sexually Transmitted Infections in Older Adults

Diagnosis of Sexually Transmitted Infections in Older Adults - #85

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Sexually Transmitted Infections (STIs) are increasing among older adults.  These infections may include chlamydia, gonococcal infections, and syphilis5. Patients may experience no symptoms or symptoms may be mistaken for a urinary tract infection.

Diagnosis of sexually transmitted infections in an older adult.

List typical presentations of infection (in men and women) presenting with sexually transmitted infections and subsequent diagnostic testing.

 

 

Chlamydial Infections: Caused by Chlamydia trachomatis

Gonnococcal Infections: Caused by Neisseria gonorrhoeae

Syphilis: Caused by Teponema pallidum

  1. List common symptom presentations associated with sexually transmitted diseases both in women and men.
  2. List appropriate testing to identify chlamydial, gonococcal and syphilitic infections.
  1. Marrazzo, J. (2018). Clinical manifestations and diagnosis of chlamydia trachomatis infections. In A. Bloom (Ed.), UpToDate. Retrieved from https://www-uptodate-com.pitt.idm.oclc.org/contents/clinical-manifestati...
  2. Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. (2017, October 04). Gonorrhea. Retrieved from https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea.htm
  3. U.S. Department of Health and Human Services Centers for Disease Control and Prevention. (n.d.). Syphilis Pocket Guide [Brochure]. Author. Retrieved from https://www.cdc.gov/std/syphilis/Syphilis-Pocket-Guide-FINAL-508.pdf
  4. Workowski KA, Bolan GA; CDC. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015;64(RR-3):1-137.
  5. Harvard Health Publishing. (2018, February). Sexually transmitted disease? At my age? Retrieved from https://www.health.harvard.edu/diseases-and-conditions/sexually-transmitted-disease-at-my-age
  6. Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. (2018, August 23). The State of STDs in 2017 | CDC. Retrieved from https://www.cdc.gov/std/stats17/infographic.htm
  7. Ghanem, K. (2018). Clinical manifestations and diagnosis of Neisseria gonorrhoeae infection in adults and adolescents. In A. Bloom (Ed.), UpToDate. Retrieved from https://www-uptodate-com.pitt.idm.oclc.org/contents/clinical-manifestati...
  8. Hicks, C. (2018). Syphilis: Screening and diagnostic testing. In J. Mitty (Ed.), UpToDate. Retrieved from https://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-...
This GFF ___ my competence in geriatrics.

Emily Kistler, Student Pharmacist, University of Pittsburgh School of Pharmacy

Jennifer Pruskowski, PharmD, BCPS, BCGP, CPE, Assistant Professor | University of Pittsburgh School of Pharmacy, Department of Pharmacy and Therapeutics, Palliative Care Clinical Pharmacy Specialist | UPMC Palliative and Supportive Institute (PSI)