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