Management of Sexually Transmitted Diseases in HIV-Infected Men and Women

  • Author: Jeanne Marrazzo, MD, MPH, FACP, FIDSA (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 2/8/18 (What's New)

Introduction to Sexually Transmitted Diseases

  • Most STDs are asymptomatic
  • Screening is essential to prevent transmission and reduce morbidity
  • Joint guidelines from the CDC and other national organizations recommend all HIV-infected patients should be[CDC STD]:
    • Assessed for sexual and drug-using risk behaviors at every visit
    • Screened at least annually for common STDs using the most sensitive tests (Table 1)
      • More frequent screening is advised in patients at high risk, eg, quarterly in MSM who report unprotected anal intercourse[CDC 2004a]
  • Condom use and other behavioral and biomedical interventions are effective in protecting HIV-infected persons from new STDs[Lin 2008]
  • Current trends of STDs in HIV care settings include the following: