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Department of Reproductive Health and Research (RHR), World Health Organization

Sexually transmitted and other reproductive tract infections

A guide to essential practice

 

 
    

Abbreviations


 

AIDS

acquired immunodeficiency syndrome

BV

bacterial vaginosis

CA

candidiasis, yeast infection

CO2

carbon dioxide

CRP

C-reactive protein

EC

emergency contraception

ELISA

enzyme-linked immunosorbent assay

Endo

endogenous

FP

family planning

FTA-Abs

fluorescent Treponema antibody absorption test

GUD

genital ulcer disease

HBV

hepatitis B virus

HIV

human immunodeficiency virus

HPV

human papilloma virus

HSV

herpes simplex virus

Iatro

iatrogenic

IM

intramuscular

IU

international units

IUD

intrauterine device

IV

intravenous

LGV

lymphogranuloma venereum

MCH

maternal and child health

MHA-TP

microhaemagglutination assay for antibodies to Treponema pallidum

MTCT

mother-to-child transmission

MVA

manual vacuum aspiration

PCR

polymerase chain reaction

PEP

postexposure prophylaxis

PID

pelvic inflammatory disease

ROM

rupture of membranes

RPR

rapid plasma reagin

RTI

reproductive tract infection(s)

STI

sexually transmitted infection(s)

TPHA

Treponema pallidum haemagglutination test

TV

Trichomonas vaginalis

UTI

urinary tract infection

VCT

voluntary counselling and testing

VDRL

venereal disease research laboratory

WBC

white blood cells

WHO

World Health Organization

 

Contents
html files

 

Infections of the male and female reproductive tract and their consequences:

What are RTIs?

Why STI/RTIs are important?

What can be done about RTIs?

The role of clinical services in reducing the burden of STI/RTI

Preventing STIs/RTIs and their complications

How to prevent STI

How to prevent iatrogenic infections

How to prevent endogenous infections

Detecting STI/RTI

Detecting STI/RTI

Syphilis

Vaginal infections

Cervical infections

Pelvic inflammatory disease

HIV counselling and testing

STI/RTI education and counselling

Key points

Privacy and confidentiality

General skills for STI/RTI education and counselling

Health education

Counselling

Promoting prevention of STI/RTI and use of services

Key points

Reducing barriers to use of services

Raising awareness and promoting services

Reaching groups that do not typically use reproductive health services

STI/RTI Assessment during Routine Family Planning Visits

Key points

Integrating STI/RTI assessment into routine FP services

Family planning methods and STIs/RTIs

STI/RTI Assessment in pregnancy, childbirth and the postpartum period

Key points

Management of symptomatic STIs/RTIs

Syndromic management of STI/RTI

Management of common syndromes

STI case management and prevention of new infections

STI/RTI complications related to pregnancy, miscarriage, induced abortion, and the postpartum period

Key points

Infection in early pregnancy

Infection in lated pregnancy

Infection following childbirth

Vaginal discharge in pregnancy and the postpartum period

Sexual violence

Key points

Medical and other care for survivors of sexual assault

Annex 1. Clinical skills needed for STI/RTI

History-taking

Common STI/RTI symptoms

Examining patients

Annex 2. Disinfection and universal precautions

Preventing infection in clinical settings

High-level disinfection: three steps

Universal precautions

Annex 3. Laboratory tests for RTI

Interpreting syphilis test results

Clinical criteria for bacterial vaginosis (BV)

Wet mount microscopy

Gram stain microscopy of vaginal smears

Use of Gram stain for diagnosis of cervical infection

Annex 4. Medications

Medications in pregnancy

Antibiotic treatments for gonorrhoa

Annex 5.

STI/RTI reference table

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