Posted by admin on March 12, 2009 under Men's Health-Erectile Dysfunction | 
Prevention of infection in health care establishments
Health care establishments including medical practitioners’ rooms should establish appropriate infection control guidelines to prevent exposure of staff to blood and body fluids. Detailed Infection control guidelines have been published by the AIDS Task Force. Staff at risk of hepatitis В should be immunised.
Management of exposure
Hepatitis В immunoglobulin (HBIG) is effective in protecting a person exposed to infection e.g. the sexual contact of a carrier or a person exposed to infection by a needlestick injury. HBI should be given soon after exposure (within 72 hours of a needlestick). Such a patient should be immunised.
Management of infants of hepatitis В carrier mothers Antenatal testing for HB There is a high risk of chronic infection in babies born to carrier mothers markers should be routine and me testing of pregnant women should be routine. The infants of carrier
mothers should be given immunoglobulin within hours of birth and
immunised. The infants of mothers who belong to high risk groups but
who are marker free should be immunised.
*103/56/1*
Posted by admin on under Men's Health-Erectile Dysfunction |
The treatment of choice is erythromycin 500 mg every 6 hours for at least 7 days and continued until the lesions heal. Alternatively, trimethoprim and sulphamethoxazole (160/800 mg) twice daily for at least 7 days, or intramuscular ceftriaxone may be used.
Local therapy has an important role particularly in the treatment of subpreputial lesions. Lesions should be kept clean and dry by careful cleaning; the prepuce should be kept retracted until the lesions heal.
Early antibiotic treatment will usually abort the development of buboes. Inguinal buboes may be aspirated through normal skin to relieve pain but should not be incised. If buboes are incised or spontaneous eruption occurs, permanent scarring and deformity are likely.
*77/56/1*
Posted by admin on under Men's Health-Erectile Dysfunction |
NGC may present as a vaginal discharge, as symptoms of urethritis or as low abdominal pain. Most women with NGC present as the symptom-free partners of men with NGU.
Speculum examination may reveal a cervical discharge with or without an inflamed cervix. The cervix may appear normal.
The most important complication of NGC is the spread to the upper genital tract to cause endometritis, salpingitis and PID.
Babies born to mothers infected with chlamydia are commonly infected and may present with conjunctivitis, pneumonitis or middle ear infections.
Reiter’s disease occasionally follows infection with С trachomatis.
*53/56/1*
Posted by admin on under Men's Health-Erectile Dysfunction |
Introduction
Causative organisms
Urethral and cervical inflammation are common presentations of STD. The most common STDs manifested by urethritis or cervicitis are gonorrhoea caused by Neisseria gonorrhoeae and non-gonococcal urethritis (NGU), and non-gonococcal cervicitis (NGC) caused by Chlamydia trachomatis. Other causes of these presentations include the genital mycoplasmas, candidiasis, trichomoniasis and herpes simplex infection.
*28/56/1*
Posted by admin on under Men's Health-Erectile Dysfunction |
In Western society most patients with STD are in the 15 to 30 year age group. There has been increased recognition of sexual abuse of children, and practitioners should be alert to the existence and significance of STD particularly in young children.
People with multiple sexual partners (including prostitutes) are at higher risk of STDs than are members of the general community. AIDS has had a considerable impact on the sexual behaviour of homosexual men among whom STDs had been common.
In Australia, the most important STDs are chlamydial infection, gonorrhoea, genital herpes, HIV infection, human papilloma virus infection, syphilis and hepatitis B. Penicillin resistant gonococcal infection is an increasing problem.
*4/56/1*
Random Posts
