Expanded Syphilis Screening Recommendations for the Prevention of Congenital Syphilis—2020

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

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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:

Congenital Syphilis Algorithm

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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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.

Video video

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.

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Primary Syphilis Patient Evaluation Algorithm

Algorithm to assist in evaluating patients for primary syphilis.

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Collecting Sexual Orientation and Gender Identity (SOGI) Data in Electronic Health Records

Collecting Sexual Orientation and Gender Identity (SO/GI) Data in Electronic Health Records

This presentation will enable participants to:

Summarize how to incorporate SOGI data collection into your EHR to improve communication, quality care, and data and quality management activities.
Describe the impact SOGI data collection and development of related decision support will have on key stakeholders (patients, staff, and management).
Identify at least one method to actively engage and educate staff on the importance of collecting SOGI data, how to do so, the data’s impact on health disparities, and how SOGI can be used to direct education and clinical practice.

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Ready, Set, Go! Guidelines and Tips for Collecting Patient Data on Sexual Orientation and Gender Identity

Collecting Sexual Orientation and Gender Identity (SO/GI) Data in Electronic Health Records

This guide is designed to help your health center successfully collect SOGI data, no matter where you are in the process. For those just beginning, the guide can be used from start to finish. If you have already created a system, but have encountered challenges and questions, this guide can help you address them. Even if your system is working smoothly, you will find resources and recommendations here that will help you move to the next level of data collection and analysis.

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You’ve Built It…Now What? Applying Sexual Orientation and Gender Identity Data to Clinical Quality Improvement and Decision Support

This publication for health centers walks through three steps for effectively and efficiently using sexual orientation and gender identity data to reduce health disparities among LGBTQ patients.

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