What diagnostic criteria and coping methods does soft chancre have?
Soft chancre this kind of venereal disease whether for male or female, all seriously affected the physical and mental health, so, what is the diagnostic criteria and coping methods of soft chancre?
1. Diagnostic criteria
1. Contact history
There is a history of non-marital sexual behavior and a history of sexual partner infection, and the history of sexual contact should be asked for infected people from endemic areas.
two。 clinical manifestation
Soft chancre is caused by Haemophilus Ducrei (Haemophilusducreyi) infection. The incubation period of soft chancre is 3-7 days. The lesions mainly occurred in the easily damaged parts of the tissue during sexual contact, such as coronal sulcus best penis pump , prepuce, glans and perineum in males, and in lesser labia, greater labia and posterior commissure in females. It can be seen outside the genitals in the anus, upper thigh, mouth and fingers. The initial onset is inflammatory papules in the external genitalia, which quickly turn into pustules after 1-2 days, and break to form painful ulcers. The ulcers are round or oval, with irregular edges, and can sneak through the chisel, and the surrounding skin flushes. The ulcer base is soft, granulation tissue, easy to bleed, covered with purulent secretions. A single ulcer, the size of 3~20mm, can also occur multiple satellite ulcers, with varying degrees of pain, sometimes in women
Ulcers in the vagina and cervix are painless. About 50% of patients develop acute, painful inguinal lymphadenitis (transverse lymphadenitis) with red and swollen skin that can be broken. As a result of self-vaccination, the infection can also spread to the skin and mucous membranes of other parts of the body.
3. Laboratory examination
Smears: smears taken from ulcers or crossbones for Gram staining, Gram-negative Brevibacilli can be seen under the microscope, arranged in a long chain, multiple chains parallel, like "fish-like" vibrator for vaginal atrophy , can be considered as H.ducreyi, but the sensitivity of the smear is about 50%. In addition, other gram-negative bacteria in ulcers can cause false positive.
3.2 Culture: typical colonies can be found when the specimens are cultured on selective medium. Gram-negative Streptococcus brevis can be seen when typical colonies are taken as bacterial smears.
II. Principles of treatment
The principle of timely, adequate and regular medication should be followed, and the corresponding treatment plan should be adopted according to different conditions. Be careful not to use drugs that can mask the diagnosis of syphilis until syphilis hard chancre is ruled out. Sex should be avoided during treatment, and if sex is accompanied by the possibility of infection, it should be treated at the same time. Follow-up diagnosis should be carried out after treatment. Third, clinical treatment should be judged according to clinical and etiological examination, which are generally consistent if the pathogen persists and should be judged to be uncured. From 7 to 14 days after the start of clinical treatment, the pain of the ulcer relieved and the pus disappeared, and the epithelial regeneration healed completely within 28 days. It takes a little longer to heal. A small number of patients may have recurrence of the original damage within 10 days of treatment due to the presence of pathogens. Reinfection usually occurs after new sexual contact, usually damaging the new site where it occurs. Fourth best penis pump , management and prevention to strengthen publicity and education on the prevention and control of sexually transmitted diseases to reduce transmission and dissemination. Early detection of patients given reasonable treatment and pay attention to the emergence of drug-resistant strains. To track the source of infection and contacts of patients, sexual contacts within 10 days before the onset of the disease, regardless of whether they have symptoms or not, should be treated at the same time. Special attention should be paid to finding patients in high-risk groups. In areas with frequent occurrence of soft chancre, symptomatic treatment of genital ulcers can be carried out. Before the disease is effectively treated, in addition to avoiding sex life strap on dildo , pay attention to personal hygiene, separate use of towels, basins, bathtubs, sheets and other infectious media, pollutants can be boiled and disinfected. Condoms can be used for personal prevention.
1. Diagnostic criteria
1. Contact history
There is a history of non-marital sexual behavior and a history of sexual partner infection, and the history of sexual contact should be asked for infected people from endemic areas.
two。 clinical manifestation
Soft chancre is caused by Haemophilus Ducrei (Haemophilusducreyi) infection. The incubation period of soft chancre is 3-7 days. The lesions mainly occurred in the easily damaged parts of the tissue during sexual contact, such as coronal sulcus best penis pump , prepuce, glans and perineum in males, and in lesser labia, greater labia and posterior commissure in females. It can be seen outside the genitals in the anus, upper thigh, mouth and fingers. The initial onset is inflammatory papules in the external genitalia, which quickly turn into pustules after 1-2 days, and break to form painful ulcers. The ulcers are round or oval, with irregular edges, and can sneak through the chisel, and the surrounding skin flushes. The ulcer base is soft, granulation tissue, easy to bleed, covered with purulent secretions. A single ulcer, the size of 3~20mm, can also occur multiple satellite ulcers, with varying degrees of pain, sometimes in women
Ulcers in the vagina and cervix are painless. About 50% of patients develop acute, painful inguinal lymphadenitis (transverse lymphadenitis) with red and swollen skin that can be broken. As a result of self-vaccination, the infection can also spread to the skin and mucous membranes of other parts of the body.
3. Laboratory examination
Smears: smears taken from ulcers or crossbones for Gram staining, Gram-negative Brevibacilli can be seen under the microscope, arranged in a long chain, multiple chains parallel, like "fish-like" vibrator for vaginal atrophy , can be considered as H.ducreyi, but the sensitivity of the smear is about 50%. In addition, other gram-negative bacteria in ulcers can cause false positive.
3.2 Culture: typical colonies can be found when the specimens are cultured on selective medium. Gram-negative Streptococcus brevis can be seen when typical colonies are taken as bacterial smears.
II. Principles of treatment
The principle of timely, adequate and regular medication should be followed, and the corresponding treatment plan should be adopted according to different conditions. Be careful not to use drugs that can mask the diagnosis of syphilis until syphilis hard chancre is ruled out. Sex should be avoided during treatment, and if sex is accompanied by the possibility of infection, it should be treated at the same time. Follow-up diagnosis should be carried out after treatment. Third, clinical treatment should be judged according to clinical and etiological examination, which are generally consistent if the pathogen persists and should be judged to be uncured. From 7 to 14 days after the start of clinical treatment, the pain of the ulcer relieved and the pus disappeared, and the epithelial regeneration healed completely within 28 days. It takes a little longer to heal. A small number of patients may have recurrence of the original damage within 10 days of treatment due to the presence of pathogens. Reinfection usually occurs after new sexual contact, usually damaging the new site where it occurs. Fourth best penis pump , management and prevention to strengthen publicity and education on the prevention and control of sexually transmitted diseases to reduce transmission and dissemination. Early detection of patients given reasonable treatment and pay attention to the emergence of drug-resistant strains. To track the source of infection and contacts of patients, sexual contacts within 10 days before the onset of the disease, regardless of whether they have symptoms or not, should be treated at the same time. Special attention should be paid to finding patients in high-risk groups. In areas with frequent occurrence of soft chancre, symptomatic treatment of genital ulcers can be carried out. Before the disease is effectively treated, in addition to avoiding sex life strap on dildo , pay attention to personal hygiene, separate use of towels, basins, bathtubs, sheets and other infectious media, pollutants can be boiled and disinfected. Condoms can be used for personal prevention.
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