STD Expert Hour Webinar – Vaginitis Cases

May 15, 2019

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

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

Extragenital Screening

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.

3 cotton swabs
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.

  1. 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.

STD Expert Hour Webinar – Sexual History Taking

February 6, 2019

Yvonne Piper RN, FNP covers the following learning objectives for this webinar:

  1. Describe 5 key components of a routine sexual history to reduce infectiousness and decrease STD/HIV transmission
  2. Demonstrate respectful, non-judgmental communication skills to discuss sexual practices, sexual risks, and risk reduction strategies with patients
  3. Understand effective methods of dialogue with patients regarding issues of sexual history and sexual behaviors, to improve communication with patients and patient outcomes
  4. 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

Extragenital Screening Resources

Extragenital (rectum and throat) gonorrhea and chlamydia screening resources for providers, clinics, and patients. 

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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.

Secondary Syphilis Patient Evaluation Algorithm

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. 

various microscopic images of pathogens

Primary Syphilis Patient Evaluation Algorithm

Algorithm to assist in evaluating patients for primary syphilis.

various microscopic images of pathogens

STD Expert Hour Webinar – Genital Herpes

April 10, 2018

Dr. Kim Erlich covers the following learning objectives for this webinar:

  1. Describe common and unusual clinical features seen in patients with genital herpes, to improve diagnosis and management
  2. Discuss effective counseling strategies, to aid in reducing herpes transmission
  3. 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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