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.
Marcus JL, Bernstein KT, Kohn RP, Liska S, Philip SS. Infections missed by urethral-only screening for chlamydia or gonorrhea detection among men who have sex with men. Sexually transmitted diseases. 2011 Oct 1;38(10):922-4.
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Training STD Expert Hour Webinar – Sexual History Taking
STD Expert Hour Webinar – Sexual History Taking
February 6, 2019
Yvonne Piper RN, FNP covers the following learning objectives for this webinar:
Describe 5 key components of a routine sexual history to reduce infectiousness and decrease STD/HIV transmission
Demonstrate respectful, non-judgmental communication skills to discuss sexual practices, sexual risks, and risk reduction strategies with patients
Understand effective methods of dialogue with patients regarding issues of sexual history and sexual behaviors, to improve communication with patients and patient outcomes
Discuss the advantages and disadvantages of open-ended and closed questions to enhance sexual history taking
Congenital Syphilis Algorithm
This algorithm provides recommendations for the evaluation and management of infants <30 days old with in-utero exposure to syphilis
Taking A Sexual History – Using the 5Ps (A Practical Guide for Clinicians)
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.
Dr. Kim Erlich covers the following learning objectives for this webinar:
Describe common and unusual clinical features seen in patients with genital herpes, to improve diagnosis and management
Discuss effective counseling strategies, to aid in reducing herpes transmission
Describe current and future treatment options, to control symptoms, reduce outbreaks, and help prevent herpes transmission
Adolescent Sexual History Algorithm
This document provides examples of how to begin discussing sexual history with adolescent patients and types of risk assessment questions that should be asked.
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