Vagina Trichomoniasis
Vagina Trichomoniasis
Vagina Trichomoniasis
CAUSES/RISK FACTOR
DIAGNOSTIC
DEFINITION
COMPLICATION
TREATMENT
NCP
DEFINITION
Trichomoniasis
vaginalis Trichomoniasis commonly referred to as a trich Most common, curable sexually transmitted diseases in the world. Called the ping pong diseases y Because sexual partners frequently pass it back and forth.
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TRICHOMONAS VAGINALIS
CAUSES
protozoa infection by trichomas vaginalis. Single or one celled parasite. It can affect the men and women The main location site infection for women is vagina and male is urethra. Spread the transmitted diseases through y Penis to vagina intercourse y Vulva to vulva y Using contaminated toilet
A
Pear shaped
Overview T. vaginalis
RISK FACTORS
VAGINAL DISCHARGE
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VAGINAL DISCHARGE
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Urethral discharge
Pruritus
Dysuria
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URETHRAL DISCHARGE
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PELVIC EXAMINATION
The pelvic examination showing the red blotches on the vaginal wall or cervix and also shows red ulcerations on the vaginal wall.
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PELVIC EXAMINATION
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WHIFF TEST 18
VAGINAL PH TEST
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PAP S
AR
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WET MOUNT
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DIAGNOSTIC TEST WHIFF TEST Vaginal pH test Pap smear test Wet mount Culture specimen Affirm VP III Microbial Identification Test (BD) Genzyme diagnostics Polymerase chain reaction
RESULT A Strong amine (fishy) smell produce Scale pH above 6.0 Occasionally detect trichomoniasis Showing infection to the vagina Showing the microorganism multiply present Showing detecting the trichomonas vaginalis More sensitive and showing the present microorganism The number of DNA fragments are quantified
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COMPLICATION (FEMALE)
HIV
HSV-2
Infertility
Cervical neoplasia
PID
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COMPLICATION (FEMALE)
HIV Because of the having multiple sexual partners. Herpes Simplex Virus Type II If the women having trichomoniasis four times it can acquire this diseases. Female infertility Trichomoniasis vaginalis acts as vector for pathogens. PID Severe abdominal pain and blocking fallopian tubes. Cervical neoplasia Changes at the cellular cervix(neck of vagina).
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COMPLICATION (MALE)
HI
Nongonococcal urethritis
Infertility
Chronic prostatis
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COMPLICATION (MALE)
HIV
Because of the multiple sexual partners. Nongonoccocal urethritis Inflammation on the urethra due to other infection bacterium Neisseria gonorrhea. Male infertility Decrease the sperm motility. Chronic prostatis Inflammation of the prostate gland.
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NONGONOCCOCAL URETHRITIS
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CHRONIC PROSTATIS
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Deliver prematurely
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TREATMENT sexual intercourse. Serve medication metronidazole or tinidazole. Vaginal pessaries may be prescribed. Treat the sexual partner.
Avoid
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Metronidazole gel
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VAGINAL PESSARY
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NURSING CARE
Avoid douche before physical examination be done Insert first dose of vaginal pessary while teaching client. Encourage to eat yogurt or capsules containing lactobacillus acidophilus to replenish normal vaginal microorganism Encourage sitz bath to relieve itching, burning and swelling of the vulva and perineum. Encourage bath daily and particular attention given to perineal hygiene.
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GOAL
NURSING INTERVENTION Daily hygiene Instruct the patient to take antibiotics agents Avoid wear tight clothing Teach the client insert the vaginal pessary Avoid SI or use condom 42
NURSING DIAGNOSIS
GOAL
NURSING INTERVENTION Serve the medication as prescribed Encourage sitz bath Daily hygiene Change frequency panty liners
Discomfort Relief of the related to itching, discomfort odor ,vaginal discharged due to the trichomoniasis infection
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GOAL
NURSING PREVENTION
Relief of the pain Encourage the patient to cleanse the perineum gently Encourage rest on the bed Encourage to pour warm water over vulva during voiding Serve analgesics or aspirin to control the pain.
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REFERENCES
Textbook of medical-surgical nursingBRUNNER and SUNDDARTHS pages 1664/1665 http://www.cdc.gov/std/trichomonas/STDFactTrichomoniasis.htm http://www.trichomoniasis.org http://www.plannedparenthood.org/health-topics/stdshiv-safer-sex/trichomoniasis-4282.htm http://en.wikipedia.org/wiki/Trichomoniasis http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002 307/ http://kidshealth.org/teen/infections/stds/std_trichomoni asis.html#
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