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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STI Expert Hour Webinar: Addressing Systemic Racism in Sexual Health Settings

February 10, 2022

Presented by Leo Moore, MD, MSHPM

Social determinants of health grounded in racism may contribute to adverse sexual and reproductive health outcomes. This webinar will discuss some of the systemic and individual-level influences on the sexual health care experience that can result in medical mistrust. We will also discuss opportunities and provide evidence-based recommendations to promote health equity in sexual health care for patients from communities of color.

Learning objectives

  1. Describe two social determinants of health that may be affected by systemic racism.
  2. Discuss at least one intervention that can be implemented to improve health equity in sexual health care settings.

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.

Learning Objectives

  1. Describe California’s congenital syphilis epidemiology
  2. Discuss the pathophysiology and management of syphilis, including among pregnant patients
  3. Explain and apply the CDPH recommendation to confirm syphilis status among pregnant patients receiving care in emergency departments

2021 CDC STI Treatment Guidelines Update: What’s New

December 10, 2021

Presented by Drs. Sharon Adler and Kelly Johnson

Learn more about the 2021 CDC STI Treatment Guidelines. Updated every 4-5 years, CDC’s STI Treatment Guidelines provide current evidence-based diagnostic, management, and treatment recommendations, and serve as a source of clinical guidance for managing sexually transmitted infections (STIs). This webinar will cover 2021 changes.

Learning Objectives

  1. Learn about and become proficient with the treatment updates
  2. Discuss and be able to share the rationale for the updates
  3. Understand the changes needed and apply them to clinical practice

California STI Treatment Guidelines Table for Adults and Adolescents—2021

These guidelines reflect the 2021 CDC STI Treatment Guidelines for adults and adolescents who are HIV negative as well as those with HIV.

View the online version of the guidelines

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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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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

  1. Summarize current STI trends in San Francisco
  2. Identify and screen those most at risk for syphilis in San Francisco
  3. Describe updated treatment recommendations for chlamydia, gonorrhea, Mycoplasma genitalium, NGU, and trichomonas

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

  1. Understand the epidemiology and recognize the risk factors for syphilis and congenital syphilis in California
  2. Screen for syphilis based on the Expanded Syphilis Screening Recommendations from the California Department of Public Health
  3. Appropriately diagnose and manage syphilis cases in your practice

2021 CDC STI Treatment Guidelines Webinar

2021 CDC STI Treatment Guidelines Webinar presented by National Network of STD Prevention Training Center (NNPTC) faculty Dr. Ina Park, Dr. Rosalyn Plotzker, and Dr. Christine Johnston.

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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