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CDC updates STD guidelines
Workowski KA. MMWR Recomm Rep. 2010;59(RR12):1-110.
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The CDC has issued updated guidelines for treating patients who have or are at risk for STDs. The guidelines, published in Morbidity and Mortality Weekly: Recommendations and Reports, expand and revise the agency’s STD guidelines from 2006.
The updated recommendations are the product of a meeting of invited health care professionals held in Atlanta last year. The conference attendees reviewed the available literature and attempted to answer key questions that arose from their review.
New information includes an expanded diagnostic evaluation for cervicitis and trichomoniasis; new treatment guidelines for bacterial vaginosis and genital warts; and an evaluation of the efficacy of azithromycin for chlamydial infections during pregnancy.
Also included is new information on lymphogranuloma venereum proctocolitis among men who have sex with men and the role of Mycoplasma genitalium and trichomoniasis in urethritis/cervicitis, as well as treatment-related implications.
The guidelines also update the criteria for spinal fluid examination when evaluating for neurosyphilis; provide information on the emergence of azithromycin-resistant Treponema pallidum and the increasing prevalence of antimicrobial-resistant Neisseria gonorrhoeae; examine hepatitis C transmission during sex; update the diagnostic evaluation process after sexual assault; and propose STD prevention approaches.
The full guidelines are available on the CDC’s website. The CDC will review the guidelines in a webinar for health care professionals on Jan. 13.
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