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Sexually transmitted diseases and infectious skin diseases
Everyone entering the pre-trial detention center is carefully examined to identify signs of a sexually transmitted disease or infectious skin diseases. Particular attention is paid to the condition of the skin of the scalp, mucous membranes of the oral cavity, genitals, and anal area.
Palpable cervical, submandibular, supraclavicular and subclavian, axillary and inguinal lymph nodes.
If you suspect a syphilis or gonorrhea, the patient must be examined by a dermatovenerologist.
The rationale for the diagnosis of a sexually transmitted disease is made out on an outpatient medical record.
Compulsory serological examination for syphilis are all received in pre-trial detention centers with a control serological examination after 3 months.
Clinical and laboratory examination for gonorrhea are subject to persons prosecuted under Art. 121,122, 131, 132, 134, 135 of the Criminal Code of the Russian Federation, and all women, including minors.
In order to prevent congenital syphilis in pre-trial detention centers and pre-trial detention facilities, all pregnant women are required to undergo a three-fold serological examination.
If, when studying the anamnesis, the subject has indications that he was treated for a sexually transmitted disease or was registered (serological control) in a skin and venereologic dispensary before being prosecuted, the medical unit of the pre-trial detention center makes a request to the skin - Venereological dispensary about the diagnosis, treatment and timing of serological monitoring.
Further treatment or serological monitoring of such patients is carried out in the medical unit of the detention center in accordance with the responses received. If the test results are positive, latent syphilis is treated in the prescribed manner.
After establishing a clinical diagnosis of a sexually transmitted disease and in the absence of contraindications, the necessary treatment is immediately prescribed.
If a sexually transmitted disease is detected, the medical unit of the institution sends a notice in the prescribed form to the dermatovenerological dispensary at the patient's place of residence before arrest.
If the treatment was not completed for a patient with syphilis in health facilities, then treatment for such a patient is carried out again.
After completion of a full-fledged specific therapy by any method, patients with syphilis and people who received preventive treatment are under clinical and serological control.
Preventive treatment is carried out in order to prevent syphilis to persons who were in close household and sexual contact with a patient with early forms of syphilis.
Preventive treatment is carried out for pregnant, sick or sick with syphilis, and children born to such women (according to indications).
Adults and children who received preventive treatment after sexual or close household contact with patients with early forms of syphilis are subject to a single clinical and serological examination 3 months after treatment. If preventive treatment was carried out in connection with a blood transfusion from a patient with syphilis, then control continues for 6 months.
Children born to mothers with syphilis, but not themselves suffering from congenital syphilis, are subject to clinical and serological monitoring for 1 year, regardless of whether they received preventive treatment or not.
Patients with neurosyphilis, regardless of the stage of development of the disease, should be monitored for 3 years.
The results of treatment are monitored by serological studies of blood serum within the time periods indicated above, as well as by mandatory liquorology examination in dynamics once every 6 months until the cerebrospinal fluid is completely rehabilitated.
Persons with seroresistance are under clinical and serological control for 3 years.
Compulsory serological screening for syphilis is carried out for convicts who had long visits and short-term leave, with control wassermanization after 3 months.
If patients with infectious forms of syphilis are identified, they are immediately isolated. After diagnosis, patients with an infectious form (primary, secondary syphilis) and patients with early latent syphilis (first established) are subject to mandatory hospitalization for preventive treatment.
Hospitalization of patients with sexually transmitted infections is carried out in the skin and venereologic departments of the penitentiary system hospitals or in other departments (infectious, therapeutic), in which separate beds (wards) are allocated for them.
If it is impossible to refer to the hospital, patients with sexually transmitted diseases are hospitalized in hospitals of medical units with separate beds (wards) for them.
After consultation with a dermatovenerologist, patients with syphilis with damage to the internal organs and nervous system receive specific treatment in specialized departments of hospitals. For syphilis of internal organs, treatment is carried out in therapeutic departments, with syphilis of the nervous system in neurological departments.
In order to detect gonorrhea and concomitant urogenital infections, clinical material for laboratory research is taken from all foci of possible lesions (from the urethra, vagina, cervix and rectum; oropharynx - according to indications). When examining for gonorrhea, special attention should be paid to women with chronic inflammatory diseases of the genitourinary system.
Laboratory verification of the diagnosis of gonorrhea is based on the results of microscopic and (or) cultural studies.
Persons held criminally responsible for violent acts of a sexual nature conduct an additional study of material from the rectum.
With negative results of the examination for gonorrhea and the presence of anamnestic data (sexual contact with a patient with gonorrhea for up to 60 days), preventive treatment is performed.
After establishing a diagnosis of a sexually transmitted disease, a conversation is held with the patient about the nature of the disease, the rules of conduct, the timing of treatment and follow-up, the current legislation on sexually transmitted diseases. At the same time, a warning form is filled out for a person who has a venereal disease, on which the patient’s and doctor’s signatures are placed, after which the warning is attached to the outpatient’s medical record or hospital patient’s medical record.
After establishing a diagnosis of a sexually transmitted disease, the medical unit of the institution sends an emergency notification of the disease to the center of the Sanitary and Epidemiological Supervision of the territorial body of the penal correction system.
Before the departure of a patient with a venereal disease from the pre-trial detention center to the correctional facility, the dermatovenerologist or therapist makes a record in the medical record of the outpatient patient of the suspect, accused, convicted in the form of a stage epicrisis with recommendations for further treatment and follow-up.
It is forbidden to send to other institutions persons with infectious forms of syphilis and gonorrhea (before conducting a course of antisyphilitic or antipyretic treatment), as well as with infectious forms of skin diseases.
In the medical units of institutions, cards of dispensary observation are entered on patients with foot skin mycoses, which reflect the treatment and observation data.
Prevention of foot mycoses should be comprehensive, providing for the impact on all parts of the epidemiological chain, including: compliance with sanitary and hygienic norms and rules, hygienic education, timely detection, follow-up and treatment of patients with mycoses.
For the prevention of foot mycoses in places of sanitary treatment, in baths, showers, wooden lattices are replaced with rubber or plastic mats as more hygienic and easily disinfected, the persons contained in the institution are provided with disinfected washcloths, bath shoes with their obligatory subsequent disinfection. For washing feet, special marked basins should be highlighted. The use of anonymous shoes is unacceptable. Persons suffering from sweating feet should be required to carefully care for them, wash them daily with cool water and soap, cut their nails, and often wash their socks and footcloths. With excessive sweating, feet should not wear rubber shoes and socks made of synthetic materials.
The main preventive measure against the spread of scabies is the early detection of patients with all types of medical examinations, as well as on outpatient appointments in the medical units of the penitentiary system.
If a patient is found to have scabies, the medical worker immediately isolates the patient and begins his treatment in the hospital of the medical unit. At the same time, a chamber disinfection of the patient’s clothes, linen and bedding is carried out. In the absence of a camera, outer clothing is thoroughly ventilated, and linen is ironed with a hot iron. On the day a patient with scabies is identified, a thorough physical examination of contact persons is carried out, followed by sanitation.
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Sexually transmitted diseases and infectious skin diseases
- P. D. Walk. Skin and sexually transmitted diseases, 2003
The training manual sets out the basic data on the anatomy, histology, physiology of the skin, their features in childhood. Various examination methods used in everyday practice for the diagnosis of skin and sexually transmitted diseases are presented, questions of skin and hair hygiene, nutrition and treatment of patients are highlighted. The etiology, clinic and prevention issues are presented in a short and accessible form.
- Lectures. Skin and sexually transmitted diseases, 1997
Anatomical and physiological features of the skin. Rash. Pyoderma, scabies, head lice. Allergic skin diseases. Fungal skin diseases. Bubble and vesicular skin diseases. Diffuse connective tissue diseases. Psoriasis. Diseases transmitted mainly through sexual contact. Secondary syphilis. Tertiary syphilis. Congenital syphilis. Serological diagnosis of syphilis.
- Tables. Skin and sexually transmitted diseases, 2011
Description of diseases throughout the course of the CAB in the tables: etiology, classification, symptoms,
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