Home Training STD Expert Hour Webinar – Understanding the Concerning Rise in Maternal and Congenital Syphilis in Hawaii

STD Expert Hour Webinar – Understanding the Concerning Rise in Maternal and Congenital Syphilis in Hawaii

Oct 13, 2020

The California Prevention Training Center (CAPTC) and the STI/HIV Prevention Program at the Hawaiʻi Department of Health’s (HIDOH) Harm Reduction Services Branch present this webinar for healthcare providers and community service providers who work with communities that face cultural, economic, and language barriers to obtaining good prenatal and neonatal care.

This webinar will address the increasing rate of syphilis cases within Hawaii, with a special focus on maternal syphilis and congenital syphilis. Learners will gain an understanding of the local epidemiology of syphilis as well as the important role the Hawaii Department of Health performs in syphilis case follow-up and investigation. An overview of the pathophysiology of syphilis with its varied clinical manifestations will be discussed. Content will include the importance of staging, stage-based treatment as well as best practices for diagnosis and follow-up.

CDC Viral Hepatitis Professional Tools

CDC’s compilation of resources for diagnosing and managing hepatitis A, B, and C.

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Home Training STD Expert Hour Webinar – Delivering Sexual Health Services in the Time of COVID-19

STD Expert Hour Webinar – Delivering Sexual Health Services in the Time of COVID-19

August 13, 2020

The coronavirus (COVID-19) is impacting the delivery of sexual health services in California and throughout the United States. Dr. Ina Park and Dr. Rosalyn Plotzker provide an overview of recent CDC recommendations for STD diagnosis and treatment when in-person exams and visits are limited. They also discuss best practices for the use of telehealth and home-testing for STD care and PrEP management.

Drs. Park and Plotzker cover the following learning objectives for this webinar:

Share implementation strategies for self-collected testing to minimize clinician exposure to COVID-19 when seeing clients for STD-related symptoms
Identify changes to recommended syndromic treatment of urethritis, including treatment for gonorrhea and chlamydia
Describe management recommendations for patients with genital ulcer disease
Discuss HIV PrEP telehealth management approaches to ensure continuation of PrEP use for clients who are unable to get care in a clinic setting during and after the COVID-19 public health emergency

Home Training Implementing the 2019 ASCCP Risk-Based Management Guidelines for Abnormal Cervical Cancer Screening Tests in Your Practice

Implementing the 2019 ASCCP Risk-Based Management Guidelines for Abnormal Cervical Cancer Screening Tests in Your Practice

July 23, 2020

The long-awaited new ASCCP Management Guideline App is now available, as well as the print version of the 2019 Guidelines. The new guidelines are streamlined for ease of use and can be significantly more individualized than the 2012 guidance by integrating information about an individual’s previous screening test and biopsy results, and personal factors such as age and immunosuppression. The guidelines now provide recommended follow up for all 3 available cervical screening strategies.

The following topics are covered in detail:

The rationale used in developing the Guidelines
How various abnormalities should be managed
Interactive demonstrations of how to use the app
Specific considerations for the application of Family PACT benefits, including coding and billing

Learning objectives: At the end of this session, the learner will be able to:

Describe the risk-based paradigm for managing abnormal cervical cancer screening test results.
Explain how risk-thresholds guide the clinical actions of immediate treatment, colposcopy, and short-interval follow up.
Demonstrate use of the ASCCP app to apply the new guidelines to patient care.

Presenters:

Resources

Home Training STD Expert Hour Webinar – Genital Dermatology 101

STD Expert Hour Webinar – Genital Dermatology 101

June 1, 2020

Dr. Kenneth Katz covers the following learning objectives for this webinar:

Differentiate between genital skin diseases
Formulate differential diagnoses for genital skin disease
Identify genital skin diseases that warrant referral to specialty care

Home Training Clinical Practice Alert: Cervical Cancer Screening and Emergency Contraception

Clinical Practice Alert: Cervical Cancer Screening and Emergency Contraception

Clinical Practice Alert: Cervical Cancer Screening and Emergency Contraception

March 24, 2020

This webinar features two new Family PACT Clinical Practice Alerts.

Cervical Cancer Screening

Topics in this portion of the webinar will include benefits through Family PACT that have been expanded to include high-risk HPV-alone screening, use of this test, alternative cervical cancer screening options, and new guidelines regarding cervical cancer screening for females who are HIV positive or who are immunocompromised.

Emergency Contraception

Topics in this portion of the webinar will include the relationship between body weight and emergency contraception failure rates, when oral contraceptives can be started with females who have used ulipristal acetate, options for accessing emergency contraceptive pills and the use of the copper IUD as emergency contraception.

Presenters:

Resources:

Syphilis and HIV Linkage to Care and Partner Services Interview

Video example of a disease intervention interview linking a person co-infected with syphilis and HIV to care, and providing partner services.

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Home Training Clinical Practice Alert: Chlamydia and Gonorrhea Screening and Treatment

Clinical Practice Alert: Chlamydia and Gonorrhea Screening and Treatment

June 20, 2019

Rates of sexually-transmitted diseases (STDs) such as chlamydia trachomatis (CT) and gonorrhea (GC) have reached an all-time high. In the U.S., California leads the nation in reported cases of these STDs. Because persons with CT and GC are often asymptomatic, screening is essential for the early detection and treatment that can prevent reproductive complications including pelvic inflammatory disease (PID), tubal infertility, ectopic pregnancy, and chronic pelvic pain in females and epididymitis in males.

This webinar covers current clinical guidelines for routine and targeted screening, treatment, follow-up, and prevention of CT and GC.

Learning objectives:

Understand current guidelines for screening for CT and GC among sexually active women and men
List the indications for anorectal and oropharyngeal CT/GC screening
Explain when test-of-cure is indicated
Identify the proper ICD-10 codes for lab requests and billing information

Presenters:

Resources:

New tool for clinicians unveiled to ensure appropriate treatment for congenital syphilis

May 22, 2019

by Rosalyn Plotzker, MD, MPH, Sexually Transmitted Diseases Fellow
and Jennifer Rogers, Communications Specialist

Download the full congenital syphilis algorithm

The California Prevention Training Center (CAPTC) and the California Department of Public Health (CDPH) Sexually Transmitted Diseases Control Branch have developed a Congenital Syphilis (CS) algorithm to illustrate the inherently complex evaluation and treatment of infants who are born to mothers with syphilis during pregnancy.

The algorithm, a one-page graphic flowchart, serves as a short-hand reference for the Centers for Disease Control and Prevention’s (CDC) complex CS treatment guidelines. It was conceptualized by Sexually Transmitted Diseases Fellow Rosalyn Plotzker, MD, MPH, who hoped to create a tool to outline CS evaluation and treatment in the face of a continued CS epidemic in California.

Congenital syphilis can be disabling or potentially life-threatening if not treated appropriately. In 2018, the CDC announced that CS cases have more than doubled nationally between 2013 and 2017, from 362 to 918. California observed an even more dramatic 750 percent increase in CS cases, from 33 in 2012 to 283 in 2017, which represented more than 30 percent of the nation’s CS cases for that year.

Due to comparatively low syphilis rates among females and infants in the late 1990’s through the early 2000’s, many providers are seeing CS cases for the first time in their careers.

A recent CDPH review of CS cases from high-morbidity counties showed approximately 14 percent received suboptimal evaluation or management at the time of delivery. Similarly, 10 percent of clinical inquiries submitted during 2017 to the CAPTC’s STD clinical consultation network sought guidance for the management of an infant with possible syphilis infection.

“Evaluating a baby for congenital syphilis and treating them appropriately can be really complicated, especially for physicians who haven’t done it before,” explained Dr. Plotzker.

This is the first tool of its kind to visually present the comprehensive recommendations put forward in the 2015 CDC STD Treatment Guidelines. Rather than a replacement for the Guidelines, the algorithm offers physicians a starting point to plan the evaluation and treatment of this challenging clinical scenario.

“We hope this resource will help guide the care clinicians provide to infants who might have congenital syphilis and reduce negative downstream consequences of the illness for entire communities,” says Dr. Plotzker.

You can see the algorithm here.

Rosalyn Plotzker, MD, MPH, is the University of California San Francisco Sexually Transmitted Disease Fellow for the California STD/HIV-Prevention Training Center (CAPTC), and the California Department of Public Health (CDPH) STD Control Branch. She received her medical degree from the State University of New York Downstate Medical Center. Rosalyn completed her Preventive Medicine Residency at the Icahn School of Medicine at Mount Sinai Hospital, where she also earned her Masters of Public Health in Health Promotion and Disease Prevention. As a fellow, she provides clinical care at the San Francisco City Clinic. She also contributes to STD prevention education, programming, and research with both the CAPTC and the CPDH.

Home Training STD Expert Hour Webinar – Vaginitis Cases

STD Expert Hour Webinar – Vaginitis Cases

May 15, 2019

Dr. Caroline Mitchell covers the following learning objectives for this webinar:

Describe the normal vaginal milieu and changes that are associated with vaginal pathology, to better diagnose and treat vaginal infections
Discuss the most common causes of vaginitis, to reduce infectiousness and decrease transmission
Summarize the current treatment guidelines for vaginitis, to ensure appropriate treatment and follow-up testing