Sarah is an 18-year-old female who comes to the ED with burning on urination, lower abdominal pain, and urethral discharge that is clear and sparse. She also complains of eye irritation
a. Discuss the possible STI she might have along with possible treatment.
b. What microorganism is involved?
c. What could explain her eye irritation/infection?
d. What teaching tips would be recommended?
Students' answers should include the following:
a. Chlamydia is the infection; Chlamydia trachomatis is the microorganism, which is bacterial.
Most common of the STIs
Treatment includes 7 days of doxycycline, erythromycin, ofloxacin, or levofloxacin or a one-time dose of Zithromax.
If pregnant, doxycycline and Zithromax are contraindicated.
b. Chlamydia trachomatis from spreading the microorganism
c. Autoinoculation is due to not washing her hands and spreading the microorganism to her eyes.
d. Teaching on safe sex, spread of STIs, good handwashing, etc.
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