Presented by Drs. Rosalyn Plotzker, Akanksha Vaidya, and Eric Tang
The California Department of Public Health (CDPH) continues to see statewide increases in all reportable sexually transmitted infections (STIs), including syphilis, gonorrhea and chlamydia.
For many patients, these STIs manifest as a complex syndrome that involves local and systemic symptoms. This webinar is the first of a two-part series, featuring Drs. Rosalyn Plotzker,
Akanksha Vaidya, and Eric Tang of the CDPH Sexually Transmitted Diseases Control Branch who will lead a case-based discussion on the presentation, diagnosis and syndromic management of STIs.
Learning Objectives
Describe the differential diagnosis and management of patients with vaginal discharge and pelvic pain
Discuss the exam findings and treatment of patients with penile discharge and testicular pain
Explain the management of patients with anorectal pain in the setting of a known STI exposure
Clinical Interpretation of Syphilis Screening Algorithms
Providing guidance on the traditional screening algorithm and reverse screening algorithm.
Clinical Practice Alert: Syphilis Screening, Diagnosis, and Treatment
Rates of syphilis have been rising in the US, including in California, which has resulted in a corresponding rise in the rates of congenital syphilis (CS). Fifteen percent of women of childbearing age diagnosed with syphilis are pregnant.
These trends mirror a sharp increase in all stages of syphilis among females, which increased more than 500 percent during the same period. Download the PDF to learn more.
This Clinical Practice Alert includes management of primary, secondary, and latent syphilis. It does not include screening and management of syphilis in people who are pregnant or the diagnosis and treatment of tertiary syphilis.
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Training STI Clinical Update Webinar – Neurosyphilis
STI Clinical Update Webinar – Neurosyphilis
Thursday, July 21, 2022, 11:30 AM – 1:00 PM (PDT)
The California Department of Public Health (CDPH) continues to see dramatic statewide increases in syphilis. Neurosyphilis, a syphilitic infection of the nervous system, poses a complex diagnostic and management challenge for providers caring for patients with syphilis. This webinar features Drs. Kathleen Jacobson, Chief of the CDPH Sexually Transmitted Diseases Control Branch and Sue Tuddenham, Assistant Professor of Medicine at the Johns Hopkins University School of Medicine, who will discuss the epidemiology, diagnosis and management of neurosyphilis.
Learning Objectives:
Review California and national epidemiology of neurosyphilis
Describe the pathophysiology of neurosyphilis
Delineate clinical diagnosis and management of patients with neurosyphilis
Opt-Out ED Screening for HIV, HCV, and Syphilis—Dear Colleague Letter from CDPH
March 28, 2022: Emergency departments (EDs) are uniquely positioned to identify people with syphilis, HIV, and hepatitis C who otherwise might remain undiagnosed. The California Department of Public Health (CDPH) recommends that EDs consider implementing routine opt-out testing for syphilis, HIV, and hepatitis C.
Identification and immediate treatment through the ED may have the added benefit of furthering health equity for those disproportionately affected by these infections
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Training STI Clinical Update Webinar: Congenital Syphilis Update for California Emergency Department Clinicians
STI Clinical Update Webinar: Congenital Syphilis Update for California Emergency Department Clinicians
December 14, 2021 Presented by Drs. Rosalyn Plotzker and Kristopher Lyon
The California Department of Public Health (CDPH) continues to see dramatic statewide increases in congenital syphilis (CS), a severe yet preventable condition when syphilis is passed from mother to fetus. In California, many infants with CS are born to parents who received care in an emergency department (ED) during pregnancy, suggesting syphilis screening in EDs may offer an important opportunity to detect syphilis in pregnancy and prevent CS.
This webinar features Dr. Rosalyn Plotzker, CDPH public health medical officer and co-author of the CDPH Expanded Syphilis Screening Recommendations for the Prevention of Congenital Syphilis. She will provide a clinical overview of CS prevention and discuss the recommendation to confirm syphilis status for pregnant patients in the ED. In addition, Dr. Kristopher Lyon, Public Health Officer and EMS medical director in Kern County, California and emergency department associate medical director, will present on syphilis screening in EDs from an on-the-ground perspective.
Discuss the pathophysiology and management of syphilis, including among pregnant patients
Explain and apply the CDPH recommendation to confirm syphilis status among pregnant patients receiving care in emergency departments
Perinatal HIV and Congenital Syphilis—Dear Colleague Letter from CDPH
November 16, 2021: CDPH is asking for assistance in responding to concerning increases in congenital syphilis and perinatal HIV in California. Perinatal HIV transmission and congenital syphilis can be prevented with timely testing and treatment. A common risk factor, however, is receiving late or no prenatal care.
CDPH requests your assistance to implement the following policies and best practices to Screen, Treat and Prevent, and Prepare for perinatal transmissions
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Training STI Clinical Update Webinar: San Francisco Department of Public Health, San Francisco City Clinic
STI Clinical Update Webinar: San Francisco Department of Public Health, San Francisco City Clinic
November 4, 2021
The San Francisco Department of Public Health continues to see concerning rises in sexually transmitted infections (STIs).
This half-day, virtual event provides important updates in the field of sexual health to help providers strengthen the delivery of STI prevention and care. Hear from local experts on STI epidemiology in San Francisco, important recommendations to prevent congenital syphilis, updates from the 2021 CDC STI Treatment Guidelines, and a lively case panel.
Learning Objectives
Summarize current STI trends in San Francisco
Identify and screen those most at risk for syphilis in San Francisco
Describe updated treatment recommendations for chlamydia, gonorrhea, Mycoplasma genitalium, NGU, and trichomonas
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Training STD Clinical Update Webinar: Congenital Syphilis Prevention Update for California Family Planning and Primary Care Providers
STD Clinical Update Webinar: Congenital Syphilis Prevention Update for California Family Planning and Primary Care Providers
September 28, 2021
Presented by Drs. Eric Tang and Sara Kennedy
The California Department of Public Health (CDPH) continues to see dramatic statewide increases in cases of congenital syphilis (CS), a severe yet preventable condition when syphilis is passed from mother to fetus. This webinar, presented by the California Prevention Training Center, features Dr. Eric Tang, public health medical officer at CDPH, who will provide a clinical overview of CS prevention and discuss the new Expanded Syphilis Screening Recommendations from CDPH as it relates to family planning and primary care providers.
After his presentation, Dr. Sara Kennedy, Chief Medical Officer of Planned Parenthood Northern California, will present her organization’s experience implementing expanded syphilis screening in their clinics to detect and treat syphilis cases to ultimately prevent CS cases in California.
Learning Objectives
Understand the epidemiology and recognize the risk factors for syphilis and congenital syphilis in California
Screen for syphilis based on the Expanded Syphilis Screening Recommendations from the California Department of Public Health
Appropriately diagnose and manage syphilis cases in your practice
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Training 2021 Implementing the CDC STI Treatment Guidelines: A Conversation for Family PACT Providers
2021 Implementing the CDC STI Treatment Guidelines: A Conversation for Family PACT Providers
The long-awaited 2021 CDC Sexually Transmitted Infections Treatment Guidelines were published in MMWR on July 22, 2021. This webinar will focus on significant changes from the 2015 CDC STD Treatment Guidelines, including updated guidelines for the screening, diagnosis and treatment of gonorrhea, chlamydia, syphilis, pelvic inflammatory disease, genital herpes, Mycoplasma genitalium, and vaginal trichomoniasis. To assist health care providers in obtaining a sexual history, the updated “Five P’s” approach will be reviewed. In addition, current Family PACT benefits for each type of sexually transmitted infection discussed in the program will be explained.
Learning Objectives:
List 3 examples of sexual history questions for each the “Five P’s” of sexual history taking
Explain why the treatment guidelines for both chlamydia and gonorrhea genital tract infections were updated in the 2021 Guidelines
List the indications for obtaining chlamydia and gonorrhea samples from the anus and the oropharynx
Describe the consequences of Mycoplasma genitalium genital infection in males and females
List 2 updates in the 2021 Guidelines regarding vaginal trichomoniasis
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