California Clinical Guidelines for Gonorrhea Treatment and Management of Suspected Treatment Failure
This guideline summarizes the California Department of Public Health (CDPH) clinical recommendations to enhance detection and management of suspected gonorrhea treatment failure and assure adequate treatment.
This guideline summarizes the California Department of Public Health (CDPH) clinical recommendations to enhance detection and management of suspected gonorrhea treatment failure and assure adequate treatment.
The California Department of Public Health (CDPH) has received increasing reports of disseminated gonococcal infection (DGI), a severe complication of untreated gonorrhea. Dr. Laura Quilter and Dr. Eric Tang discuss DGI epidemiology, clinical presentation, and management, and review California’s recent DGI investigation and what clinicians can do to help.
Drs. Quilter and Tang cover the following learning objectives for this webinar:
Describe the epidemiology of uncomplicated gonorrhea and DGI
Recognize the clinical manifestations of DGI and increase clinical suspicion for DGI in patients with joint pain
Demonstrate how to diagnose, manage, and treat DGI
Report all laboratory-confirmed and clinically-suspected cases of DGI to public health
Prioritize routine screening, testing, and treatment of STDs among high-risk patients
The Gonorrhea STD Module is a web-based training course designed to guide in the diagnosis, treatment, and prevention of gonococcal infections. CNE/CME credit is available.
Recommendations for Partner Services Programs for HIV Infection, Syphilis, Gonorrhea and Chlamydial Infection
Quick reference guide for the MMWR Recommendations & Reports, Recommendations for Partner Services Programs for HIV Infection, Syphilis, Gonorrhea, and Chlamydial Infection
A quick reference resource, it only lists the recommendations and data security guidelines included in the MMWR. The document is available in its entirety at www.cdc.gov/nchhstp/partners.
April 28, 2025
12:00PM-1:15PM (PDT)
This presentation reviews four separate cases of congenital syphilis (CS). Each case illustrates one of the four CS Scenarios, as defined by the Centers for Disease Control and Prevention (CDC). Through these cases, learners will gain an understanding of the diagnosis and management of the CDC CS Scenarios. The cases are shown from two viewpoints: a clinical pediatric infectious disease perspective and a public health medical officer standpoint.
Regional Training Center, National Network of STD Clinical Prevention (NNPTC)
Funded by the Centers for Disease Control and Prevention (CDC), CAPTC supports healthcare providers in the western United States (AZ, CA, HI, NM, and NV) to promote health equity and improve clinical outcomes for those affected by sexually transmitted infections and HIV.
We provide in-person and virtual training events, technical assistance, clinical tools, and STI clinical consultation (via the STD Clinical Consultation Network) to support providers in addressing the rise of STIs in their communities. We focus on complex issues in patient care including evolving PrEP modalities, congenital syphilis management and prevention, and complications of gonorrhea and chlamydia. Our faculty consists of physicians and nurses who are subject matter experts in the field of sexual health with extensive academic, clinical, and public health experience in STI control and response.
The CAPTC Clinical Program has been funded for over 30 years by the CDC and is part of the National Network of STD Clinical Prevention Training Centers (NNPTC). CAPTC also has a long-standing partnership with the California Department of Public Health (CDPH) STD Control Branch to deliver training on STI diagnosis and treatment to California counties experiencing high rates of STIs. CDPH and CAPTC regularly collaborate on issuing statewide guidance related to STI screening and treatment, as well as creating co-branded job aids and educational materials for providers throughout the state.
CAPTC is also proud to collaborate with San Francisco City Clinic (SFCC), San Francisco’s preeminent municipal STI clinic, to offer observerships in sexual health care. Clinicians interested in arranging a shadowing experience at SFCC of up to 4 half-days (which could potentially be structured to 2 full days, depending on the learner’s needs) can contact us at captc@ucsf.edu to learn more.
Scaling Up HIV Prevention Services in STI Specialty Clinics
As a supplemental CDC-funded project, the CAPTC clinical team provides robust clinical training and technical assistance that supports STI specialty clinics to build capacity in biomedical HIV preventive services, such as PrEP, in the Western United States. The clinical team identified five STI clinics in high-morbidity areas serving key populations (including the Latinx community, African American men who have sex with men, women of reproductive age), conducted comprehensive clinic assessments to identify gaps and needs, and developed and implemented iterative trainings and technical assistance. We continue to provide targeted TA and training to the clinics with a particular focus on data systems, data-informed quality improvement, biomedical HIV service navigation and access (including injectable PrEP), and improvement of services for specific underserved populations.
Take a look at our PrEP page to learn about upcoming trainings and to access resources.
Sexual Health Education (SHE)
The Sexual Health Educator (SHE) Training Program is an online training for California educators working with youth in school, community, and clinical settings who desire to build their sexual health knowledge and education skills. Upon the successful completion of the program’s modules, participants will receive a certificate of completion. Both the required and elective modules include up-to-date information and research on a variety of priority sexual health topics.
This program was created by sexual health educators, trainers, and experts from the California Department of Public Health, STD Control Branch; the California Department of Education; the California Prevention Training Center; and other partner organizations.
This service is intended for licensed healthcare professionals and STI public health program staff. We do not provide direct medical care, treatment planning or medical treatment services to individuals.
Below, explore trainings and resources from the clinical team. To view additional materials from other CAPTC programs, check out our trainings and resources.
April 28, 2025 12:00PM-1:15PM (PDT) This presentation reviews four separate cases of congenital syphilis (CS). Each case illustrates one of the four CS Scenarios, as defined by the Centers for…
Designed to support clinicians and public health practitioners, this resource provides detailed algorithms for the evaluation, treatment, and follow-up of neonates, infants, and children exposed to syphilis during pregnancy. Developed…
Designed for healthcare providers in California, this resource provides a detailed list of laboratories that offer Neisseria gonorrhoeae culture and/or antimicrobial susceptibility testing – both of which are recommended for…
This clinical resource outlines the CLIA-waived point-of-care testing options available for syphilis, including the Syphilis Health Check and the DPP HIV-Syphilis System. The document summarizes and compares the two CLIA-waived…
February 26th, 10:00 AM PST. In the last installation of NNPTC’s 3 part Syphilis Series, learn from experts Dr. Jason Zucker of the New York City STI PTC & Dr….
February 19th, 10:00 AM PST. In the second installation of NNPTC’s three part Syphilis Series, learn from our NNPTC experts, Dr. Khalil Ghanem of the PTC at Johns Hopkins &…
Tuesday, February 25, 2025 11:30AM-12:45PM (PST) A plethora of national guidelines recommend shared decision making as a person-centered way to engage with patients who are making decisions about their health….
Opt-out screening is an approach where all patients are informed that HIV/STIs screening will be performed as part of routine medical care, unless the patient specifically declines.
December 3, 2024 11:30AM-1:00PM (PST) 1.5 CME units at no cost. Dr. Claudia Borzutzky, an adolescent medicine specialist, will present an overview of confidential care for teens and supporting adolescent…
January 30, 2025. Please join us for a morning half-day STI Intensive offered in-person and virtually at no cost at the University of California, San Francisco at the ZSFG campus.
November 2024 Oral PrEP Financing Update November 15, 2024 Special guests: Ryan Wilder Blue, CAPTC and Brian Abascal, Pacific AIDS Education & Training Center.
November 20, 2024 12:00PM-1:15PM (PST) 1.25 CME units at no cost. Drs. Kathleen Jacobson and Wyatt Hanft will provide a 1-hour virtual training focused on syphilis clinical presentation, screening/testing, diagnosis,…
Webinar
Clinical Practice Alert: Chlamydia and Gonorrhea Screening and Treatment
Key recommendations for chlamydia and gonorrhea screening and treatment for individuals assigned female at birth.
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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
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