Sexually Transmitted Infections

Mar 15, 2012 Issue
Gonorrhea [Clinical Evidence Handbook]

What are the effects of treatments for uncomplicated infections in men, nonpregnant, and pregnant women? What are the effects of treatments for disseminated gonococcal infection? What are the effects of dual treatment for gonorrhea and chlamydia infections?

Feb 15, 2012 Issue
Treatment of HSV Infection in Late Pregnancy [FPIN's Clinical Inquiries]

Pregnant women with a primary or recurrent episode of genital HSV infection who are later than 36 weeks of gestation should be treated with acyclovir (Zovirax) or valacyclovir (Valtrex) for viral suppression.

Feb 1, 2012 Issue
Diagnosis and Management of Genital Ulcers [Article]

Herpes simplex virus infection and syphilis are the most common causes of genital ulcers in the United States. Other infectious causes include chancroid, lymphogranuloma venereum, granuloma inguinale (donovanosis), secondary bacterial infections, and fungi. Noninfectious etiologies, including sexual...

Jul 1, 2011 Issue
CDC Updates Guidelines on Diagnosis and Treatment of Sexually Transmitted Diseases [Practice Guidelines]

The Centers for Disease Control and Prevention (CDC) recently updated its guidelines on the treatment of sexually transmitted diseases (STDs). The new guidelines focus on treatment, but also discuss prevention strategies and diagnostic recommendations.

Apr 1, 2010 Issue
Diagnosis and Treatment of Urethritis in Men [Article]

Symptoms of urethritis in men typically include urethral discharge, penile itching or tingling, and dysuria. A diagnosis can be made if at least one of the following is present: discharge, a positive result on a leukocyte esterase test in firstvoid urine, or at least 10 white blood cells per high-...

Mar 15, 2010 Issue
Behavioral Counseling to Prevent Sexually Transmitted Infections: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) recommends high-intensity behavioral counseling to prevent sexually transmitted infections (STIs) for all sexually active adolescents and for adults at increased risk of STIs.

Mar 15, 2010 Issue
Behavioral Counseling to Prevent Sexually Transmitted Infections [Putting Prevention into Practice]

Case study: A.B. is a 16-year-old girl who comes to your office for a sports physical examination. She tells you that since seeing you last year, she has become sexually active with a boy at her school.

Apr 1, 2009 Issue
Epididymitis and Orchitis: An Overview [Article]

Epididymitis and orchitis are commonly seen in the outpatient setting. Men between 14 and 35 years of age are most often affected, and Chlamydia trachomatis and Neisseria gonorrhoeae are the most common pathogens in this age group. In other age groups, coliform bacteria are the primary pathogens. Me...

Dec 15, 2008 Issue
Screening for Chlamydial Infection [Putting Prevention into Practice]

Case study: A 20-year-old woman comes to your office for her initial prenatal visit following a positive home pregnancy test. Her last menstrual period was 10 weeks ago. She is in a monogamous relationship and uses condoms inconsistently. Her only complaint is morning sickness.

Mar 15, 2008 Issue
USPSTF Recommendations for STI Screening [Article]

Since 2000, the U.S. Preventive Services Task Force (USPSTF) has issued eight clinical recommendation statements on screening for sexually transmitted infections. This article, written on behalf of the USPSTF, is an overview of these recommendations. The USPSTF recommends that women at increased ris...

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