Management of Sexually Transmitted Diseases in HIV-Infected Men and Women
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:
- A syphilis epidemic among MSM
- Progressive increases in antibiotic-resistant gonorrhea ...
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Keywords: Sexually Transmitted Diseases