This guide can help healthcare providers better integrate sexual health conversations and recommended preventive services into routine visits with adolescents and adults.
This document was created to enhance syphilis detection among people who are or could become pregnant (e.g. pregnant women and females of childbearing age) to prevent congenital syphilis (CS). Evidence-based recommendations in this document support policies and best practices intended to strengthen the response to the recent dramatic rise in CS incidence across California.
Please also see the associated Dear Colleage letter
August 13, 2019
Dr. Oliver Bacon facilitates an audience-led panel discussion with PrEP Experts and covers the following learning objectives for this webinar:
May 15, 2019
Dr. Caroline Mitchell covers the following learning objectives for this webinar:
Don’t forget to swab! Among men who have sex with men, 84% of gonorrhea and chlamydia infections would be missed with urine-only screening1. Make sure your clients are screened for gonorrhea and chlamydia of the throat and rectum.
| What: | Extragenital Screening for Gonorrhea and Chlamydia |
| Where: | Rectum and throat |
| Who: | Men who have sex with men (MSM), transgender women, people living with HIV, and people on PrEP who report having receptive anal and/or oral sex |
| When: | At least annually, or every 3 to 6 months as needed based on exposure |
| Why: | When urine-only screening is performed, up to 90% of rectal gonorrhea and 77% of rectal chlamydia infections remain untreated1. HIV-negative men diagnosed with rectal infections are excellent candidates for PrEP, because they have a high risk of HIV infection |
| How: | Swab specimen (self or clinician-collected swab) |
The California Prevention Training Center supports clinics and providers in implementing rectal and pharyngeal STI screening.
For more information, contact us.
Extragenital Chlamydia and Gonorrhea Among Community Venue–Attending MSM, CDC MMWR
April 11, 2019
CA Department of Public Health, Dear Colleague Letter
February 20, 2019
National Coalition of STD Directors – Extragenital Testing
NYC Department of Health and Mental Hygiene – STI’s Among MSM Protocol Card
Self Swab Instructional Posters:
CDC Recommendations for Laboratory-Based Detection of Gonorrhea and Chlamydia, March 14, 2014
Verification of Patient Self-Collected Extragenital Nucleic Acid Amplification Tests
February 6, 2019
Yvonne Piper RN, FNP covers the following learning objectives for this webinar:
Video example of a disease intervention interview linking a person co-infected with syphilis and HIV to care, and providing partner services.
Extragenital (rectum and throat) gonorrhea and chlamydia screening resources for providers, clinics, and patients.
Dr. Christoper Ried, Medical Director of HIV/STD Services for Orange County, demonstrates a sexual health history screening using the 5Ps of taking a sexual history.
Algorithm to evaluate patients for secondary syphilis. Includes sexual history taking and physical exam, diagnostic work-up, treatment and follow-up, and reporting and partner management.
