Sexually Transmitted Infections

Course Objectives
Outline the background of STIs and STDs 
Demonstrate the role of medical personnel in testing and reporting for STIs/STDs 
Break down exposure risks and responses in the healthcare setting 
Course Content
Course Creator: Nichelle Volker RMA
Total CE Hours: 1 Credit Hour 
Pace Course #: 586-2216-24

Key Terms: 
Asymptomatic 
Etiology 
STD 
STI 
Symptomatic 
Outline: 
  • Background and history of STIs/STDs 
    • General Education 
      • Transmission 
      • Curable and incurable 
      • Definition of work disease 
    • General Definitions 
      • STI 
      • STD 
      • Other euphemisms 
    • Infection or Disease 
      • Acute 
        • Treatable, curable 
      • Chronic 
        • Incurable 
    • Infection or Disease 
      • Root Words and Classification 
        • Origin of term “venereal disease” 
        • Origin of term “disease” 
    • Stigma 
      • Moral and religious stigma 
      • Who gets STIs? 
    • History 
      • European outbreak of syphilis 1494 
      • Le Clapiers 
      • Ebers Papyrus 
      • Hebrew bible, old testament 
      • London Lock Hospital 
      • Contagious Diseases Act 
      • Brussels Agreement 
      • Glasgow, VD officer Nora Wattie established contact tracing 
  • Symptoms and Transmission 
    • Means of transmission 
      • Skin to skin contact 
      • Transfusions 
      • Shared Needles 
      • Blood
      • Breast milk 
      • Semen 
      • Vaginal fluid 
    • Symptoms 
      • Asymptomatic 
      • Symptomatic 
        • Dyspareunia 
          • Vaginal Bleeding 
          • Discharge, vaginal or penile 
          • Lesions 
          • Dysuria 
          • Malodorous discharge 
          • Swollen, sore lymph nodes 
          • Fever 
          • Lower abdominal and pelvic pain 
      • From STI to STD 
        • Evolution of symptoms 
        • Fever 
        • Fatigue and persistent pain 
        • Memory loss 
        • Changes to vision or hearing 
        • Nausea and weight loss 
        • Lumps or swelling 
      • Pathophysiology 
  • Screening and Tests 
    • CDC recommendations 
    • Collection types 
      • Gonorrhea and chlamydia test collection method 
      • HIV, Syphilis, Hep C, HSV serology test collection 
      • HPV test collection 
      • HSV PCR collection 
    • Collection options 
      • Home testing 
      • Lab testing 
      • Blood testing 
      • Swab testing 
      • Urine testing 
  • Infections and Diseases 
    • Etiology 
      • Risk Factors 
    • Bacterial 
      • Chlamydia 
      • Gonorrhea 
      • Granuloma inguinale 
      • Mycoplasma genitalium 
      • •Syphilis 
    • Parasites 
      • Crab louse 
      • Scabies 
      • Trichomoniasis 
    • Viral 
      • Viral hepatitis 
        • Hep A 
        • Hep B
        • Hep C 
        • Hep D 
      • Herpes Simplex 
      • HIV 
      • Molluscum contagiosum 
      • Zika 
      • Viruses in semen 
    • Gonorrhea testing 
    • Chlamydia testing 
    • HSV testing 
    • HIV testing 
      • HIV and AIDS 
    • HBV and HCV testing 
    • HPV testing 
      • HPV, genital warts 
      • Cancers 
    • Trichomoniasis testing 
    • Syphilis Testing 
      • Tertiary syphilis 
    • PID 
    • Professionalism 
  • Patient Complications 
    • For women: 
      • Pelvic Inflammatory Disease (PID), 
      • Infertility 
      • Pregnancy complications 
      • Cancer (associated with HPV) 
    • For men: 
      • Cancer, throat and rectal (associated with HPV) 
      • Both: 
        • Arthritis 
        • Heart Disease 
        • Eye/vision complications 
    • Women and Youth 
      • Infertility 
      • Pregnancy Risks and Exposures 
  • Prevention 
    • Abstinence from sex 
    • Limiting partners 
    • Frequent testing 
    • Vaccination 
    • Latex or polyurethane condoms and dental dams 
    • Antiviral medications 
      • HIV prevention 
        • PrEP 
        • ART 
        • PEP 
      • HSV 
  • Diagnosis and Treatment 
    • Testing 
    • Antibiotics 
    • Antivirals 
    • Surgery 
    • Early detection
  • Exposure Risks to Medical Staff 
    • What to do if exposed? 
      • Reporting 
      • Testing 
      • Prophylactics 
    • Standard Precautions 
    • Proper PPE use during collection 
    • Contact tracing and reporting 
  • Duty to Warn 
    • Provider obligation 
    • Tarasoff v. Regents of the University of California 
    • Special Considerations 

References:
 
1. (n.d.). Merriam-Webster Dictionary. Retrieved October 15, 2024, from www.merriam- 
webster.com/dictionary/sexually%20transmitted%20disease 
2. (n.d.). Are STIs and STDs the same thing? Cleveland Health Clinic. Retrieved October 15, 
2024, from health.clevelandclinic.org/sti-vs-std 
3. (n.d.). Sexually Transmitted Diseases (STDs). Mayo Clinic. Retrieved October 15, 2024, from 
www.mayoclinic.org/diseases-conditions/sexually-transmitted-diseases-stds/symptoms- 
causes/syc-20351240 
4. (n.d.). Everything You Need to Know About Sexually Transmitted Diseases. Healthline. 
Retrieved October 15, 2024, from www.healthline.com/health/sexually-transmitted- 
diseases 
5. (n.d.). The Hidden Affliction: Sexually Transmitted Infections and Infertility in History. 
National Library of Medicine. Retrieved October 25, 2024, from https:// 
www.ncbi.nlm.nih.gov/books/NBK547155/ 
6. (n.d.). Sexually Transmitted Infections Also called: Sexually transmitted diseases, STDs, 
STIs, Venereal disease. Medline Plus. Retrieved October 15, 2024, from medlineplus.gov/ 
sexuallytransmittedinfections.htm 
7. (n.d.). HIV and Opportunistic Infections, Coinfections, and Conditions. HIVinfo.NIH.gov. 
Retrieved October 15, 2024, from hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and- 
sexually-transmitted-diseases-stds 
8. (n.d.). Sexually Transmitted Diseases STDs. Akamai.Mayoclinic. Retrieved October 15, 
2024, from www.akamai.mayoclinic.org/diseases-conditions/sexually-transmitted- 
diseases-stds/symptoms-causes/syc-20351240 
9. (n.d.). Sexually Transmitted Diseases. Johns Hopkins Medicine. Retrieved October 15, 
2024, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/sexually- 
transmitted-diseases 
10. (n.d.). STI. CDC. Retrieved October 15, 2024, from www.cdc.gov/sti/index.html 
11. (n.d.). Sexually Transmitted Infections (STI). Yale Medicine. Retrieved October 15, 2024, 
from www.yalemedicine.org/conditions/sexually-transmitted-diseases 
12. (n.d.). About STDs. WebMD. Retrieved October 15, 2024, from https://www.webmd.com/ 
sexual-conditions/ss/slideshow-std-pictures-and-facts 
13. (n.d.). Venereal Disease. Etymology Online Dictionary. Retrieved October 24, 2024, from 
etymonline.com/word/venereal 
14. (n.d.). The Difference between STD and STI. Very Well Health. Retrieved October 24, 2024, 
from www.verywellhealth.com/std-vs-sti-5214421 
15. (n.d.). Disease. Merriam-Webster Dictionary. Retrieved October 24, 2024, from merriam- 
webster.com 
16. (n.d.). Disease. Etymology Online Dictionary. Retrieved October 24, 2024, from 
etymonline.com17. (n.d.). Risk Factor. Merriam-Webster Dictionary. Retrieved October 25, 2024, from https:// 
www.merriam-webster.com/dictionary/ 
risk%20factor#:~:text=risk%20factor%20noun%20%3A%20something,that%20increases 
%20risk%20or%20susceptibility 
18. (n.d.). Sexually transmitted infections (STIs). The World Health Organization. Retrieved 
October 25, 2024, from https://www.who.int/news-room/fact-sheets/detail/sexually- 
transmitted-infections- 
(stis)#:~:text=Accurate%20diagnostic%20tests%20for%20STIs%20%28using%20molecul 
ar%20technology%29,and%20middle- 
income%20countries%20%28LMICs%29%20for%20chlamydia%20and%20gonorrhoea 
19. (n.d.). Condom Use: An Overview. CDC. Retrieved October 25, 2024, from https:// 
www.cdc.gov/condom-use/index.html 
20. (n.d.). About STI Statistics. CDC. Retrieved October 25, 2024, from https://www.cdc.gov/ 
sti-statistics/about/index.html 
21. (n.d.). History of Sexually Transmitted Disease. News Medical and Life Sciences. Retrieved 
October 25, 2024, from https://www.news-medical.net/health/History-of-Sexually- 
Transmitted-Disease.aspx 
22. (n.d.). Phlebotomists play a major role in diagnosis and treatment of disease. Charleston 
Area Medical Center Vandalia Health. Retrieved October 30, 2024, from https://camc.org/ 
news/phlebotomists-play-major-role-diagnosis-and-treatment-disease 
23. (n.d.). Disease Intervention. National Coalition of STD Directors. Retrieved October 30, 
2024, from https://www.ncsddc.org/our-work/about-disease-intervention/ 
24. (n.d.). Mayo Clinic Minute: The vital role of phlebotomists in blood collection. Mayo Clinic 
News Network. Retrieved October 30, 2024, from https://newsnetwork.mayoclinic.org/ 
discussion/mayo-clinic-minute-the-vital-role-of-phlebotomists-in-blood-collection/ 
25. (n.d.). The Role of Phlebotomists in the Medical Lab: Prioritizing Tasks and Effective 
Communication. Http://Needle.Tube Your Personal Supply Assistant. Retrieved October 30, 
2024, from https://www.needle.tube/resources-26/The-Role-of-Phlebotomists-in-the- 
Medical-Lab:-Prioritizing-Tasks-and-Effective-Communication 
26. (n.d.). What does a phlebotomist do? Career Explorer by Sokanu. Retrieved October 30, 
2024, from https://www.careerexplorer.com/careers/phlebotomist/ 
27. (n.d.). What Tests Are Done for STDs? MedicineNet. Retrieved October 30, 2024, from 
https://www.medicinenet.com/what_tests_are_done_for_stds/article.html 
28. (n.d.). Correct samples for diagnostic tests in sexually transmitted diseases: Which sample 
for which test? Oxford Academic Pathogens and Disease. Retrieved October 30, 2024, 
from https://academic.oup.com/femspd/article/24/4/455/503875 
29. (n.d.). CDC's Core Infection Prevention and Control Practices Safe Healthcare Delivery in 
All Settings. CDC Infection Control. Retrieved October 30, 2024, from https://www.cdc.gov/ 
infection-control/hcp/core-practices/index.html 
30. (n.d.). Sexually Transmitted Infection Clinical Practice Guidelines (2019). Medscape. 
Retrieved October 30, 2024, from https://reference.medscape.com/viewarticle/916414? 
form=fpf 
31. (n.d.). STI Testing (STD Testing). Cleveland Clinic. Retrieved October 30, 2024, from https:// 
my.clevelandclinic.org/health/diagnostics/std-testing 
32. (n.d.). HPV Test. Cleveland Clinic. Retrieved October 30, 2024, from https:// 
my.clevelandclinic.org/health/diagnostics/22163-human-papillomavirus-hpv-test 
33. FDA approved HIV tests | HIV testing | HIV/AIDS | CDC. (n.d.). https://www.cdc.gov/hiv/ 
partners/testing/laboratorytests.html 
34. Mayo Foundation for Medical Education and Research. (2024, April). Hepatitis B: Testing 
Algorithm for Screening, diagnosis, and Management. Mayo Clinic Laboratories. Retrieved 
November 3, 2024, from https://www.mayocliniclabs.com/-/media/it-mmfiles/Special- 
Instructions/B/5/4/HepatitisBTesting-AlgorithmforScreeningDiagnosisManagement.pdf 
35. Trichomoniasis - Symptoms & causes - Mayo Clinic. (2022, May 17). Mayo Clinic. https:// 
www.mayoclinic.org/diseases-conditions/trichomoniasis/symptoms-causes/syc-2037860936. Salam, A. P., & Horby, P. W. (2017). The Breadth of Viruses in Human Semen. Emerging 
infectious diseases, 23(11), 1922–1924. https://doi.org/10.3201/eid2311.171049