Sexually Transmitted Diseases

Dexter L. Morris


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Sexually transmitted diseases (STDs) are commonly encountered in emergency and urgent care settings. It is important to diagnose and treat them to protect the health and future fertility of the patient as well as the health of the patient's sexual contacts. Furthermore, individuals with STDs are more likely to acquire human immunodeficiency virus (HIV) infection than the general population. Thus diagnosis of an STD suggests the need for HIV counseling and testing. This chapter discusses the major STDs with the exception of HIV infection, which is discussed in Chap 139, and hepatitis B infection, which is discussed in Chap..82. Vaginosis and pelvic inflammatory disease (PID) are also discussed elsewhere (Chap 104 and Chap 105, respectively). In addition to specific antimicrobial treatment for STD

patients, the end of this chapter contains important guidelines for follow-up and reporting of STDs. Treatment guidelines for STDs change frequently. The Morbidity and Mortality Weekly Report of the Centers for Disease Control and Prevention (CDC) is an excellent source of updates.

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