Please respond to your peer’s posts, from an FNP perspective. To ensure that your responses are substantive, use at least two of these prompts:

• Do you agree with your peers’ assessment?
• Take an opposing view to a peer and present a logical argument supporting an alternate opinion.
• Share your thoughts on how you support their opinion and explain why.
• Present new references that support your opinions.

Please be sure to validate your opinions and ideas with in text-citations and references in APA format. Substantive means that you add something new to the discussion, you aren’t just agreeing. Be respectful and thoughtful.This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.Minimum of 100 words.

Charli’s Post-

What is the most common sexually transmitted infection and what age population presents the highest prevalence? How is this infection detected, treated, and monitored?

Common STI

There are many sexually transmitted infections (STIs) that are commonly spread from person to person. Age, education level, financial circumstances, and other risk factors can all make an impact on the transmission of these infections. Chlamydia is one of the most commonly reported STI and one that is also the most common bacterial cause of STIs (Marrazzo, 2018). It is so common due to the fact that most of the time it is asymptomatic and continues to spread from person to person.

Chlamydia is consistently highest among young women and men that are aged 14 to 24 years of age (Marrazzo, 2018). In many studies performed there is always a higher prevalence in women than men with the highest being in African American women (Marrazoo, 2018).

Detected, Treated, & Monitored

This STI tends to me asymptomatic and is left untreated. Symptoms in women include abnormal vaginal discharge and burning with urination (CDC, 2014). Men experience discharge from their penis, during with urination, and pain and swelling in one or both of their testicles (CDC, 2014). If it is spread to the rectum there will be pain, discharge, and bleeding from the rectum. If a person is sexually active with more than one partner and does not always use protection they should have testing done yearly. Testing for chlamydia can be done through a urine test or with a swab inside of the penis or vagina and sent to the lab for testing (CDC, 2014). The two most common type of antibiotics are tetracyclines and macrocodes. Doxycycline and azithromycin are the two first-line agents used for treatment of chlamydia (Marrazzo, 2018). An individual that is treated for chlamydia should be retested in three months and again in one year to ensure that they have not been reinfected (Marazzo, 2018). Many people often get reinfected if their partner is not treated. It is important to retest as it can cause many complications in women including sterility as it damages the fallopian tubes. It is important for providers to offer this testing, especially in annual exams.

References

Chlamydia: CDC fact sheet. (2014). CDC. Retrieved from https://www.cdc.gov/std/chlamydia/stdfact-chlamydi…

Marrazzo, J. (2018). Treatment of Chlamydia trachoma’s infection. UpToDate. Retrieved fromhttps://www.uptodate.com/contents/treatment-of-chl…

Traci’s Post-

What is the most common sexually transmitted infection and what age population presents the highest prevalence? How is this infection detected, treated, and monitored?

STDs are a huge problem in the U.S. People are having unprotected sex, leading to the passing back and forth of sexually transmitted diseases. According to the Centers for Disease Control, HPV is the most common STD and is found most commonly in the ages of 25-29 years of age (Centers for Disease Control, 2019). There is no cure for HPV however, 90% of the cases clear on their own over the span of 2 years (Centers for Disease Control, 2019). HPV causes most cases of cervical cancer and strains 16 and 18 are the most dangerous. Some types of HPV can cause genital warts or no symptoms at all. There is a HPV vaccine that can be given to help men and women from contracting HPV but there is no cure after the infection has been acquired (Boskey, 2018). HPV can be detected in a woman via pap smear. There is no current recommended test for men but HPV can sometimes present as genital warts (Centers for Disease Control, 2019). According to the U.S Preventive Services Task Force, monitoring for HPV and cervical cancer should start at age 30 and end at age 65. For women who have normal paps, they can get screened every three to five years (US Preventive Services Task Force, 2016). For women who are HPV positive, their screening should be more frequent depending on what their doctor recommends.

References

Boskey, E. (2018). Common Sexually Transmitted Diseases (STDs) You Should Know About. VeryWellHealth. Retrieved from https://www.verywellhealth.com/the-most-common-std…

Centers for Disease Control. (2019, January 11). Sexually Transmitted Diseases. Retrieved from https://www.cdc.gov/std/life-stages-populations/st…

US Preventive Services Task Force. (2016, 12). Final Recommendation Statement:Cervical Cancer:Screening. Retrieved from https://www.uspreventiveservicestaskforce.org/Page…

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