D. Condyloma acuminatum (human papillomavirus) 尖锐湿疣(人乳头状瘤病毒)
1. Description 说明
a. Condyloma acuminatum is caused by human papillomavirus.
b. Infection affects the cervix, urethra, anus, penis, and scrotum.
c. A culture is indicated for clients with a positive history or with active lesions, and weekly cultures may be done at week 35 or 36 of pregnancy until delivery; the test is performed to determine the route of delivery.
d. Human papillomavirus is transmitted through sexual contact.
2. Assessment 评估
a. Infection produces small to large wart-like growths on the genitals.
b. Cervical cell changes may be noted because human papillomavirus is associated with cervical malignancies.
3. Interventions 措施
a. Lesions are removed by the use of cytotoxic agents, cryotherapy, electrocautery, and laser.
b. Encourage annual Papanicolaou smear.
c. Sexual contact should be avoided until lesions are healed (condoms reduce transmission).