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GONORRHEA AND CHLAMYDIA

Population

  • –Women <25 y who are sexually active.

  • –Women ≥25 y if at increased risk.a

Recommendations

CDC 2015, AAP 2014

  • –Screen annually.

Sources

  • –CDC. Sexually Transmitted Diseases Guidelines. 2015.

  • Pediatrics. 2014;134(1):e302.

USPSTF 2014

  • –Screen interval to be determined by patient’s sexual practices.

Source

  • –USPSTF. Chlamydia and Gonorrhea: Screening. 2014.

Population

  • –Young heterosexual men; nonpregnant women >25 y without risk factors.

Recommendations

CDC 2015, USPSTF 2014

  • –Insufficient evidence for or against routine screening.

  • –Consider screening in high prevalence clinical settings.

Sources

  • –USPSTF. Chlamydia and Gonorrhea: Screening. 2014.

  • –CDC. Sexually Transmitted Diseases Guidelines. 2015.

Comment

  1. Chlamydia and Gonorrhea are a reportable infection to the Public Health Department in every state.

Population

  • –Men who have sex with men.

Recommendations

CDC 2015

  • –Annual testing, regardless of condom use.

  • –Frequency of q 3–6 mo for high-risk activity.

Source

  • –CDC. Sexually Transmitted Diseases Treatment Guidelines. 2015.

Comments

  1. Urine nucleic amplification acid test (NAAT) for Chlamydia and/or Gonorrhea for men who have had insertive intercourse.

  2. NAAT of rectal swab for men who have had receptive anal intercourse.

aWomen age <25 y are at highest risk for gonorrhea infection. Other risk factors that place women at increased risk include a previous gonorrhea infection, the presence of other sexually transmitted diseases (STDs), new or multiple sex partners, inconsistent condom use, commercial sex work, and drug use.

HERPES SIMPLEX VIRUS (HSV), GENITAL

Population

  • –Adolescents, adults.

Recommendation

CDC 2015, USPSTF 2016

  • –Do not screen routinely for HSV with serologies.

Sources

  • JAMA. 2016;316(23):2525-2530.

  • –CDC. Sexually Transmitted Diseases Treatment Guidelines. 2015.

Comment

  1. In women with a history of genital herpes, routine serial cultures for HSV are not indicated in the absence of active lesions.

HUMAN IMMUNODEFICIENCY VIRUS (HIV)

Population

  • –Adolescents, adults.

Recommendations

AAFP 2013

  • –Screen everyone age 18–65 y. Consider screening high-risk individualsa of other ages.

USPSTF 2013

  • –Screen everyone age 15–65 y. Consider screening high-risk individuals of other ages.

CDC 2015

  • –Screen everyone age 13–64 y. Consider screening high-risk individuals of other ages.

Sources

  • AAFP. Clinical Recommendations: HIV Infection, Adolescents and Adults. 2013.

  • –CDC. Sexually Transmitted Diseases Treatment Guidelines. 2015.

  • –USPSTF. HIV Infection: Screening. 2013.

Comments

  1. HIV testing should ...

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