Sexually Transmitted Diseases What’s New?

Sexually Transmitted Diseases What’s New?
By:Linda Creegan, FNP
California STD/HIV Prevention Training Center


Common STDs

* Humanpapilloma Virus
* Trichomoniasis
* Chlamydia
* Genital herpes
* Gonorrhea
* Hepatitis B
* Syphilis

Overview of Complications of Sexually Transmitted Diseases

Fetal Wastage*
Low Birthweight*
Congenital Infection*
Upper Tract Infection
Systemic Infection
STDs
Infertility
Ectopic Pregnancy*
Chronic Pelvic Pain
HIV Infection*
Cervical Cancer*
* Potentially Fatal
Increased Transmission of HIV in the Presence of Other STDs
* Transmission increased 3-5 times
* Increased susceptibility
* Increased infectiousness
Chlamydia
Gonorrhea
Risk Factors
Recommendations
Syphilis
P&S Syphilis
Genital Herpes
Herpes simplex virus type 2
Genital Warts
What’s New with Chlamydia Infection?
Chlamydia Infections in Women and Neonates
Genital Chlamydia in Women: Complications
Untreated genital CT infection
Ectopic pregnancy
Infertility
Chronic pelvic pain
Public Health Approaches to Chlamydia Control
Chlamydia Screening & Treatment
CT Screening Cost-Effective
Chlamydia Screening Recommendations
Chlamydia Testing Current Diagnostic Methods
Chlamydia Testing Nucleic Acid Amplification Tests
Hybrid Capture
Genital Chlamydia Diagnostic Tests
Sensitivity
Urine-Based CT Tests
Cost Effectiveness of NAAT
Chlamydia Follow-up
Is Test-of-Cure Necessary?
Chlamydia Partner Management
What’s New with Gonorrhea?
Gonorrhea Infection
Gonorrhea Clinical Presentation
Gonorrhea Complications
Gonorrhea Diagnosis
Gonorrhea Anal and Pharyngeal Infections
Gonorrhea Treatment
Uncomplicated Genital and Rectal Infections,
Non-Pregnant Adults
GC Partner Management
Use of Fluoroquinolones to Treat GC Infection:Recommendations
GC LCR Screening
Gonorrhea Screening Recommendations
What’s New with Syphilis?
Syphilis Elimination Public Health Importance
National Plan for Syphilis Elimination Five Key Strategies
Understanding STD Trends in MSM
Syphilis Management in HIV Co-Infected Patients
Syphilis Diagnostic Testing
Syphilis New Therapies
What’ s New with Genital Herpes?
Herpes: Overview
Genital Herpes Infection Epidemiology
HSV-2 Seropositivity
Human Herpesvirus Family
Genital Herpes Transmission
Genital Herpes Natural History
Genital Herpes Categories of Infection
Genital Herpes First Clinical Episodes
Genital Herpes Reactivation of Virus
Genital Herpes Educating to Recognize Symptoms
Genital Herpes Patient’s Perception of Etiology
Genital Herpes Asymptomatic Shedding
Genital Herpes Spectrum of Presentations
Neonatal Herpes Infection
Herpes Transmission in Pregnancy
Herpes Diagnostic Tests
Herpes Diagnosis Serologic Tests
HSV Serology Testing
Genital Herpes Principles of Treatment
Antiviral Medications for Uncomplicated HSV
Genital Herpes What’s New in Treatment?
Genital Herpes Treatment in Pregnancy
Genital Herpes Vaccine Development
Dermal HPVs
Thin-Layer Pap Preparations
ThinPrep Pap Specimen Collection
ThinPrep Pap Test
HPV DNA Tests
Utility of HPV Testing
Conduct HPV test on stored specimen
HPV Disease Management of HIV Infected MSM
Prevention of Genital HPV Infection and Sequelae:
Abnormal Flora in Bacterial Vaginosis (BV)
BV: Complications in Pregnancy
BV: Diagnostic Criteria
Amsel Criteria
BV: Screening in Pregnancy
BV: Treatment Non-Pregnant Women
Trichomoniasis
Trichomoniasis: Diagnosis
Culture System for T. vaginalis
Trichomoniasis Treatment During Pregnancy
Recommended regimen:
Trichomoniasis
Role in Urethritis

Sexually Transmitted Diseases What’s New?.ppt