Explain new guidelines for sexually transmitted diseases

Recently, Dr. Workowski guest Medscape, is to interpret new new guidelines for sexually transmitted diseases in the United states.

1.Treatment of gonorrhea

With the rapid development of the drug resistance of gonorrhea, the current treatment options are very limited. The currently recommended urogenital gonorrhea treatment plan: single treatment 250 mg intramuscular injection of ceftriaxone combined with oral azithromycin 1 g.

Two new double scheme can be considered as alternatives to ceftriaxone allergy in patients with uncomplicated gonorrhea. Jimmy was a 320 mg with 2 g azithromycin, single treatment; two. Jimmy is 240 mg with 2 g intramuscular injection of azithromycin, single treatment. However, some of the study participants reported gastrointestinal discomfort, or limit the application of these two programs.

2.The diagnosis of trichomoniasis

Recommend the use of nucleic acid sensitivity and specificity of the amplification of laboratory diagnosis of trichomoniasis, this method is wet smear can be found more infections.

3.Emerging issues

2015 guidelines, the new problem has been partially added on the genital mycoplasma urethritis and cervicitis diagnosis and treatment related information. This section also discusses the issue of sexual transmission of HCV, especially among HIV infected persons and gay men. Recommended annual HCV screening, specific circumstances can be more frequent.

4.Condyloma acuminatum

The treatment of condyloma acuminatum can choose 3.75% or 5% Imiquimod Cream.

5.The diagnosis and evaluation of urethritis

2 or more white blood cells were detected in the bed side of the urinary tract, and the white blood cells in the field of view of each oil lens can be used as the diagnosis basis of urethritis. Bedside detection of urethral secretion of methylene blue or crystal violet staining and its meaning is.

6.Chlamydia and gonorrhea in women

Recommended consistent medicine working group proposed in September 2014 and 2014 the United States Preventive, recommended for all sexually active women under the age of 25 and 25 years of age or risk of infection (women exposed to new sexual partners, multiple partners, partners and other people having a sexual relationship etc.) every year for chlamydia and gonorrhea.

7.Behavior counseling

Recommendations for adults with all sexually active adolescents and the presence of sexually transmitted disease and risk of HIV infection in adults with high intensity behavior counseling.

8.HPV

The new guidelines also include a summary of the U.S. HPV in March 2015 CDC vaccine related recommendations, re organization of the HPV Advisory section, HPV prevention part, as well as genital warts and other related issues.

9.Others

In addition, the new guidelines also include how to manage the denaturation, chlamydia, gonorrhea, and recommended trichomoniasis review.

Source：http://www.gonorrheatests.com/explainstd.htm

5 Common methods for gonorrhea test

5 Common methods for gonorrhea test
1.Smear: Patients with urethral discharge, as gram staining, gram negative diplococcus found in polymorphonuclear cells. There are a large number of smears of purulent secretions of simple gonorrhea patients, the positive rate was about 90%; the secretions of less chronic gonorrhea patients, the positive rate is low, so to get prostate massage fluid, to improve detection the rate of.

2.Training examination: Neisseria gonorrhoeae culture is an important evidence of diagnosis, the method of cultivation symptoms are mild or asymptomatic male and female patients are more sensitive, as long as the culture positive can be diagnosed. Before the advent of gene diagnosis, culture is the only method for the screening of gonorrhea recommended by WHO.

3.Antigen detection: includes two kinds, one is the solid phase enzyme immunoassay, can be used for the detection of Neisseria gonorrhoeae antigen in clinical specimens; two is the direct immunofluorescence test by monoclonal antibody detection of Neisseria gonorrhoeae I direct immunofluorescence test. The former can be used in the diagnosis of gonococcal infection in the population of women, the latter is not experimental recommended.

4.Drug sensitivity test: in the culture of positive backward one step for drug sensitivity test. Using disk diffusion method to do sensitive tests, or agar plate dilution method to determine the minimum inhibitory concentration (MIC), used to guide the use of antibiotics.


5.PPNG detection: β-lactamase,using paper acidity quantitative method, using I PP-NG filter paper Whatman strain can make its color from blue to yellow, positive for PPNG, negative for N-PPNG.

This information comes from gonorrhea test：http://www.gonorrheatests.com ,See more information on the test for gonorrhea, you can go to the site to see.

Chlamydia test

Chlamydia is a sexually transmitted disease, the need for timely Testing, once found Chlamydia should be treated in a timely manner and will not cause serious harm to the body. Chlamydia test:http://www.chlamydiatestnow.com must choose a safe and reliable place, so as to ensure that they will not be misdiagnosed. Test for chlamydia should be FDA-Approved.

should pay attention to Gonorrhea & Chlamydia

Hello,in the United States should pay attention to their health, but also to prevent sexually transmitted diseases, if unfortunately, the need for timely treatment. You have to choose FDA-Approved STD center.Here are a few on the test of several sites, very formal:
1.Gonorrhea Test: http://www.gonorrheatests.com
2.Chlamydia Test: http://www.chlamydiatestnow.com

Gonorrhea Testing

Gonorrhea needs to be testing in a timely manner, Once have symptoms of gonorrhea can be treated in a timely manner without serious harm to the body.
Gonorrhea test must choose a safe and reliable lab, so that will not be misdiagnosed. Test for gonorrhea should be FDA-Approved.Of course, Gonorrhea test is very simple, do not worry,Timely testing and treatment.