Summary These guidelines for the treatment of persons who have sexually transmitted diseases STDs were developed by CDC after consultation with a group of professionals knowledgeable in the field of STDs who met in Atlanta, Georgia, during April
Summary These guidelines for the treatment of persons who have sexually transmitted diseases STDs were developed by CDC after consultation with a group of professionals knowledgeable in the field of STDs who met in Atlanta, Georgia, during April Introduction Physicians and other health-care providers play a critical role in preventing and treating sexually transmitted diseases STDs.
These guidelines for the treatment of STDs are intended to assist with that effort. Although these guidelines emphasize treatment, prevention strategies and diagnostic recommendations also are discussed. Methods This report was produced through a multistage process.
Beginning inCDC personnel and professionals knowledgeable in the field of STDs systematically reviewed evidence, including published abstracts and peer-reviewed journal articles concerning each of the major STDs, focusing on information that had become available since publication of the Sexually Transmitted Diseases Treatment Guidelines, 1.
Background papers were written and tables of evidence were constructed summarizing the type of study e. A draft document was developed on the basis of the reviews. In AprilCDC staff members and invited consultants assembled in Atlanta, Georgia, for a 3-day meeting to present the key questions regarding STD treatment that emerged from the evidence-based reviews and the information available to answer those questions.
When relevant, the questions focused on four principal outcomes of STD therapy for each individual disease: Cost-effectiveness and other advantages e. The consultants then assessed whether the questions identified were relevant, ranked them in order of priority, and attempted to arrive at answers using the available evidence.
In addition, the consultants evaluated the quality of evidence supporting the answers on the basis of the number, type, and quality of the studies. In several areas, the process diverged from that previously described.
The recommendations for STD screening during pregnancy were developed after CDC staff reviewed the recommendations from other knowledgeable groups. Throughout this report, the evidence used as the basis for specific recommendations is discussed briefly.
More comprehensive, annotated discussions of such evidence will appear in background papers that will be published in a supplement issue of Clinical Infectious Diseases.
When more than one therapeutic regimen is recommended, the sequence is in alphabetical order unless the choices for therapy are prioritized based on efficacy, convenience, or cost.
For STDs with more than one recommended treatment regimen, it can be assumed that all regimens have similar efficacy and similar rates of intolerance or toxicity, unless otherwise specified. Persons treating STDs should use recommended regimens primarily; alternative regimens can be considered in instances of substantial drug allergy or other contraindications to the recommended regimens.
These recommendations were developed in consultation with public and private sector professionals knowledgeable in the treatment of persons with STDs see Consultants list.
The recommendations are applicable to various patient-care settings, including family planning clinics, private physicians' offices, managed care organizations, and other primary-care facilities. These recommendations are meant to serve as a source of clinical guidance: Primary prevention of STD begins with changing the sexual behaviors that place persons at risk for infection.
Health-care providers have a unique opportunity to provide education and counseling to their patients. As part of the clinical interview, health-care providers should routinely and regularly obtain sexual histories from their patients and address management of risk reduction as indicated in this report.
Counseling skills, characterized by respect, compassion, and a nonjudgmental attitude toward all patients, are essential to obtaining a thorough sexual history and to delivering prevention messages effectively. Key techniques that can be effective in facilitating rapport with patients include the use of 1 open-ended questions e.
How is it for you? One approach to eliciting information concerning five key areas of interest has been summarized.
Partners "Do you have sex with men, women, or both? Prevention of pregnancy "Are you or your partner trying to get pregnant? Practices "To understand your risks for STDs, I need to understand the kind of sex you have had recently. If yes, "Do you use condoms: For condom answers If "never: Many patients seeking treatment or screening for a particular STD should be evaluated for all common STDs; even so, all patients should be informed concerning all the STDs for which they are being tested and if testing for a common STD e.
Each of these specific actions is discussed separately in this report.
Client-centered counseling can have a beneficial effect on the likelihood of patients using risk-reduction practices and can reduce the risk for future acquisition of an STD. Other approaches use motivational interviewing to move clients toward achievable risk reduction goals.
CDC provides additional information on these and other effective behavioral interventions at http:+ I will only accept facebook friend requests from people I know in person. + I will only accept linkedin requests from people I have worked with or had at least a few email exchanges with (remind me on the request if this is the case).
CJA , uop CJA , CJA week 1, CJA week 2, CJA week 3, CJA week 4, CJA week 5, CJA week 6, CJA tutorials, CJA free, CJA assignments CJA Week 2 Learning Team Policy Analysis II Paper NEW by Assignment Cloud on Prezi.
Sexually Transmitted Diseases Treatment Guidelines, Please note: An update has been published for this report.
To view the update, please click here.. Prepared by Kimberly A. Workowski, MD. CJA Week 5 Learning Team Ima Goodenough Evaluation Presentation NEW Check this A+ tutorial guideline at h.
Oct 24, · Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: [email protected] Accommodation and the title of the report in the subject line of e-mail.
Budget and Policy Paper Culprit reentry as well as integration budgets and policy are extremely important in the criminal justice system. Having the ability to guide people who are going through a tough time is a thing which the criminal justice system needs to continue to do so as to assist people steer clear of jail and obtain the assistance they .