性传播疾病STD双语教学培训课件

Sexuallytransmitteddisease,STDSTD

isusedtodenotedisordersspreadprincipallybysexualintercourseorbehaviorsimilartothat.Formsoftransmission:SexualtransmissionIndirectcontacttransmission

bloodtouchiatrogenic(医源性)

transmission

STDsurveillanceinChinaSyphilisGonorrheaAIDSNongonococcalurethritis(NGU,非淋菌性尿道炎)Condylomaacuminata(尖锐湿疣)Chancroid(软下疳)Lymphogranulomavenereum(性病性淋巴肉芽肿)Genitalherpes(生殖器疱疹)Sexuallytransmitteddisease,STDSexuallytransmitteddisease,STD

Pathogens：BacteriaVirusSpirochete(螺旋体)MycoplasmaChlamydiaProtozoa(原虫)Fungi(真菌)Ectoparasite(寄生虫)Sexuallytransmitteddisease,STD

Gonorrhea

Pathogen：

NeisseriagonorrhoeaeTransmission：

primarilybysexualcontactInvasion：

columnar

epithelium

andtransitionalepitheliumcervix,urethra→upperreproductivetract

Gonorrhea

Clinicalfindings：Incubationperiod：1-10days50%~70%patientsareasymptomatic.1.Lowergenitaltractinfection:endocervicitisurethritisbartholinitis(前庭大腺炎)2.Uppergenitaltractinfection:pelvicinflammatorydisease(PID)3.Disseminatedgonococcalinfection(DGI)passbybloodcirculationGonorrheaDiagnosis：Accordingtobadsexualencounter,clinicalfindingsandlaboratoryfindingsGram-negativediplococci(双球菌)canbeseenmicroscopicallyinsecretions.Cultureisthebeststandard.PCR

Gonorrhea

Gonorrhea

Sexuallytransmitteddisease,STDSyphilisPathogen：

Treponemapallidum

Transmission：sexuallytransmissionindirectcontacttransmission

bloodtouchfrominfectedmothertofetusSyphilisClinicalfindings：1.Primarysyphilis

：chancre(硬下疳)indurated,firm,painlesspapuleorulcerwithraisedbordersonlabia,vulva,vagina,cervix,anus,lips,ornipples2.Secondarysyphilis

：diffusebilaterallysymmetricextragenitalpapulosquamouseruption(丘疹鳞屑性皮疹),condylomalatum(扁平湿疣)3.Tertiarysyphilis：cardiac，neurologic(神经的),ophthalmic(眼的),andauditory(耳的)

lesionsSyphilissecondarysyphiliscondylomalatum(扁平湿疣)secondarysyphilis:papulosquamous(丘疹疹鳞屑性皮疹)SyphilisTertiarysyphilisSyphilisSyphilisTreatment：penicillinCriterionofcure：ClinicalcureSerologiccureSexuallytransmitteddisease,STDCondylomaacuminata（尖锐湿疣）Pathogen:

humanpapillomavirus(HPV)

mainlyTypes6and11——low-riskHPVTransmission：

sexuallytransmissionCondylomaacuminataClinicalFindingsSymptomsneoplasm：vulvae,cervix,vagina,perianalarea(肛周)vulvarpruritusvulvarburningsensationpostcoitalbleedingSigns：Tiny,isolatedorclusteringpinkpapules(丘疹)arepresentatfirst,thengettogetherjustlikecombshape(鸡冠状).CondylomaacuminataCondylomaacuminataCondylomaacuminataTreatmentThereisnocureforHPValthoughlesionscanberemoved.Externalmedicine

–Podophyllin(0