Sexually transmitted diseases: Difference between revisions
 
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==Background==
==Background==
*STD Prevalence: [[Human papillomavirus|HPV]] > [[Human papillomavirus|HSV-2]] > [[Trichomonas]] > [[Chlamydia trachomatis|Chlamydia]] > [[HIV]] > [[HBV]] > [[Neisseria gonorrhoeae|Gonorrhea]] > [[Syphilis]]
*STD New infections: HPV > Chlamydia > Trichomonas > Gonorrhea > HSV-2 > Syphilis > [[HIV]] > HBV <ref>[http://www.cdc.gov/std/stats/sti-estimates-fact-sheet-feb-2013.pdf CDC: STI Fact sheet 2013]</ref>


==Diagnosis==
==Clinical Features==
{{Genital images male}}
{{Genital images male}}
{{Genital images female}}
{{Genital images female}}


==Management==
==Differential Diagnosis==
==[[Urethritis]]/[[Cervicitis]]==
{{STD DDX}}
{{Cervicitis Urethritis Antibiotics}}


==[[GC]]/[[Chlamydia]] Conjunctivitis==
==Evaluation==


{{GC Conjunctivitis Treatment}}
==Management <ref> https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf </ref>==
*Consider empiric treatment for [[Gonorrhea]] and [[Chlamydia]]:
**[[Ceftriaxone]] 500 mg IM x1 (1g IM for pts > 150 kg) '''AND'''
**[[Doxycycline]] 100mg PO BID x 7 days (preferred) '''OR'''
**[[Azithromycin]] 1g PO x 1 (alternative regimen) '''OR'''
**[[Azithromycin]] 500 mg PO x 1 and 250mg PO daily x 4 days


==[[Trichomonas vaginalis]]==
*It is important to treat sexual partners for all STDs
{{Trichomonas antibiotics}}
**See [[Expedited Partner Therapy]]


==[[Bacterial Vaginosis]]==
==Disposition==
{{BV Metronidazole Adult}}
 
{{BV Clindamycin Adult}}
 
 
==[[Lymphogranuloma Venereum]]==
{{LGV antibiotics}}
 
==[[Syphilis]]==
===Early Stage===
This is classified as primary, secondary, and early latent syphilis less than one year.
 
Treatment Options:
 
{{Early Syphilis Treatment}}
 
===Late Stage===
Late stage is greater than one year duration, presence of gummas, or cardiovascular disease
 
Treatment Options:
 
{{Late Syphilis Treatment}}
===Neurosyphilis===
There are 3 Major options with none showing greater efficacy than others:
 
{{Neurosyphilis Treatment }}
 
*Desensitization to the penicillin allergy is still the preferred method of treatment for patients with early and late stage disease (especially during pregnancy)
 
===Pregnancy===
*Penicillin, dosage depends on stage <ref>Mackay G. Chapter 43. Sexually Transmitted Diseases & Pelvic Infections. In:DeCherney AH, Nathan L, Laufer N, Roman AS. eds. CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e. New York, NY: McGraw-Hill; 2013</ref>
 
==[[HSV|Herpes]]==
{{Herpes antiviral treatment}}
 
==[[Epididymitis]]/[[Epididymorchitis]]==
{{Epididymitis antibiotics}}
 
 
==[[Proctitis]]==
{{Proctitis antibiotics}}
 
==[[PID]]==
{{PID antibiotics}}


==See Also==
==See Also==
*[[Human Papillomavirus (HPV)]]
*[[Pelvic Inflammatory Disease (PID)]]
*[[Pelvic Inflammatory Disease (PID)]]
*[[Ulcerative STDs]]
*[[Ulcerative STDs]]
*[[Penile diagnoses]]
*[[Penile diagnoses]]
*[[Pelvic pain]]
*[[Pelvic pain]]
*[[Expedited Partner Therapy]]


== Source  ==
==External Links==
DeBonis


Adapted from CDC 2010 Guidelines
==References==
<references/>


[[Category:GU]] [[Category:ID]] [[Category:OB/GYN]]
[[Category:Urology]] [[Category:ID]] [[Category:OBGYN]]

Latest revision as of 16:16, 28 July 2022

Background

Clinical Features

STD Visual Diagnosis (Male)

STD Visual Diagnosis (Female)

Differential Diagnosis

Sexually transmitted diseases

Evaluation

Management [2]

Disposition

See Also

External Links

References

  1. ↑ CDC: STI Fact sheet 2013
  2. ↑ https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf
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