00:01
We're gonna move on and talk about Trichomoniasis.
00:04
This is the most common curable STD worldwide
and many men are asymptomatic.
00:10
Women will present with vaginitis related symptoms.
00:14
They might have pruritus or itching, burning when they urinate,
urinary frequency, dyspareunia.
00:20
The cervical exam or pelvic exam can reveal
malodorous greenish color frothy discharge.
00:27
And this is diagnosed based on wet prep exam
and on wet prep exam, you'll see flagellated protozoa.
00:34
So you'll see flagellated protozoa
that are gonna be swimming around on the slide.
00:39
You might also see the white blood cells as well
and the sensitivity for that is 50 to 65%.
00:46
The treatment for trichomoniasis is metronidazole or Flagyl.
00:52
You can give two grams orally one time
or you can give it for over a course of 7 days.
00:58
Now again, we talked about the fact that giving a medication
one time for a dose in the Emergency Department
potentially may have benefit
over sending home a patient with medication for 7 days
because over a course of 7 days,
that patient might not necessarily be able to be compliant with their treatment.
01:17
You wanna beware or at least council a patient
of the disulfiram like reaction.
01:22
What that means is that a patient should not drink alcohol
when they're on this medication.
01:27
Metronidazole historically or can be used actually
to treat alcohol abuse.
01:32
So patients who drink alcohol regularly
can sometimes be given metronidazole
and what happens is if you drink alcohol
when you're on this medication,
it will make you have a lot of nausea and vomiting.
01:44
So definitely talk to patients about it,
have that discussion so they know when they're taking it
not to drink any alcohol because it can make them really quite sick.
01:53
It is okay to treat symptomatic pregnant women.
01:56
So if you have a woman who's pregnant
who has evidence of trichomoniasis infection,
metronidazole is okay to give orally.