CURRENT - Diagnosis & Treatment - Sexually Transmitted Diseases (PDF Version)

SOURCE :
CURRENT - Diagnosis & Treatment - Sexually Transmitted Diseases
AUTHORS :
Jeffrey D. Klausner,MD,MPH
Director, STD Prevention and Control Services - San Francisco Department of Public Health - Associate Clinical Professor of Medicine - Department of Medicine,Divisions of AIDS and Infectious Diseases - University of California, San Francisco
Edward W. Hook III,MD
Professor of Medicine,Microbiology, and Epidemiology - University of Alabama at Birmingham - Director, STD Control Program - Jefferson County Department of Public Health - Birmingham, Alabama
SUMMARY :
Sexually transmitted diseases (STDs) are common problems that have an impact on patients seen by many, if not all, clinicians, irrespective of their chosen practice. Family practitioners, internists, pediatricians, obstetriciangynecologists, urologists, and dermatologists all regularly care for patients at risk for STDs. They are also common: the Centers for Disease Control and Prevention (CDC) estimates that nearly 20 million new STD cases occur each year, with about half among people less than 25 years of age. In addition, STD diagnosis and management is a dynamic area in medicine with significant recent advances in prevention, diagnosis, treatment, and clinical care. The advent of a vaccine for human papillomavirus, which is recommended for females aged 9–26, provides an important opportunity for clinicians to assess and discuss sexual activity with adolescents and their parents while offering a highly effective preventive intervention. Similarly, for the most common bacterial STDs, nucleic acid-based assays enable rapid and accurate identification of infections by clinicians, using noninvasively collected specimens (urine) and eliminating barriers to screening. Finally, multiple clinical trials have demonstrated the safety and efficacy of single-dose therapy for a number of common STDs and the widespread recognition that reinfection is common has led to important changes in partner management and recommendations for retesting. Each of these new elements for managing the infections caused by the nearly 30 organisms that are principally transmitted sexually provides clinicians with new tools for efficient, effective STD management.
We hope that the busy clinician, whether the experienced subspecialist, recently trained graduate, or hardworking mid-level practitioner, will find the up-to-date, practical, and evidence-based chapters in Current Diagnosis Management of Sexually Transmitted Diseases a useful and easy reference guiding the day-to-day clinical care of the patients they surely see who are at risk for STDs. Students of medicine and physicians in training will note the informative discussions of epidemiology and pathogenesis in certain chapters and tables summarizing the differential diagnosis of syndromes, lists of etiologic organisms, and clinical practice points.
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