Sexually Transmitted Infections Adopting a Sexual Health Paradigm (2021) / Chapter Skim
Currently Skimming:
Appendix B: STI Screening and Treatment Guidelines Issued by Health Professional Societies
Appendix B: STI Screening and Treatment Guidelines Issued by Health Professional Societies
Pages 663-686
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 663... ...
. This analysis compared the CDC/USPSTF recommendations to STI guidelines published by various health professional organizations, including the American Academy of Family Physicians (AAFP)
|
From page 664... ...
. TABLE B-1 Screening and Treatment Recommendations, Chlamydia Screening/Testing Recommendations Treatment Recommendations CDC Women: Sexually active women under Recommended Regimens: 25 years of age.
|
From page 665... ...
(Workowski and Bolan, 2015) USPSTF Women: Screening for chlamydia in sexually active women age 24 years and younger and in older women who are at increased risk for infection (Grade B)
|
From page 666... ...
(ACOG Committee Opinion, 2018) ACP No explicit guidelines for STIs on its Clinical Guidelines and Recommendations page: "For more screening and preventive care guidelines, the ACP recommends visiting the United States Preventive Services Task Force (USPSTF)
|
From page 667... ...
Sexually active women uncomplicated infection of cervix, age 25 years and older if at increased urethra, rectum, and pharynx: risk (new sex partner, more than one sex Ceftriaxone 250 mg IM in a single partner, a sex partner with concurrent dose PLUS Azithromycin 1 g partners, or a sex partner who has an STI, orally in a single dose. inconsistent condom use among persons who are not in mutually monogamous NOTE: Toward the end of the relationships; previous or coexisting development of this report, sexually transmitted infections; and the treatment guidelines for exchanging sex for money or drugs)
|
From page 668... ...
USPSTF Women: Screening for gonorrhea in sexually active women age 24 years and younger and in older women who are at increased risk for infection (Grade B)
|
From page 669... ...
ACP No explicit guidelines for STIs on its Clinical Guidelines and Recommendations page: "For more screening and preventive care guidelines, the ACP recommends visiting the United States Preventive Services Task Force (USPSTF) and the Canadian Task Force on Preventive Health Care websites." (ACP, n.d.)
|
From page 670... ...
TABLE B-3 Screening and Treatment Recommendations, Syphilis Screening/Testing Recommendations Treatment Recommendations CDC Women: No recommendation. Primary and Secondary Syphilis Pregnant Women: All pregnant women Recommended Regimen for at the first prenatal visit.
|
From page 671... ...
(AAP and ACOG, 2017) ACP No explicit guidelines for STIs on its Clinical Guidelines and Recommendations page: "For more screening and preventive care guidelines, the ACP recommends visiting the United States Preventive Services Task Force (USPSTF)
|
From page 672... ...
(ACOG, 2020c) ACP No explicit guidelines for STIs on its Clinical Guidelines and Recommendations page: "For more screening and preventive care guidelines, the ACP recommends visiting the United States Preventive Services Task Force (USPSTF)
|
From page 673... ...
TABLE B-5 Screening and Treatment Recommendations, HPV Screening/Testing Recommendations Vaccine/Treatment Recommendations CDC Screening for Cervical Cancer: HPV Vaccines: Three-dose series of Women: Women 21–29 years of IM injections over a 6-month period, age every 3 years with cytology. with the second and third doses given Women 30–65 years of age every 1–2 and 6 months after the first dose, 3 years with cytology, or every respectively.
|
From page 674... ...
The vaccines are not licensed or recommended for use in men or women aged >26 years. HPV vaccines are not recommended for use in pregnant women.
|
From page 675... ...
. Women <21: Recommends against screening for cervical cancer in women younger than 21 years (Grade D)
|
From page 676... ...
AAPA Screening: Vaccination: • Do not recommend screening • National guidelines recommend for oral HPV (no screening tool that all children receive the HPV currently exists)
|
From page 677... ...
Despite this, consensus is apparent on screening recommendations, particularly for pregnant women, and on routine vaccination. TABLE B-6 Screening and Treatment Recommendations, Hepatitis B Screening/Testing Vaccine/Treatment Recommendations Recommendations CDC Women: Women at increased risk.
|
From page 678... ...
(AAP and ACOG, 2017) ACP Screening for HBV:+ Vaccination:+ • High-risk persons (persons born in • Recommend vaccination countries with >2% HBV prevalence, in all unvaccinated adults MSM, persons who inject drugs, (including pregnant women)
|
From page 679... ...
TABLE B-7 Screening and Treatment Recommendations, Trichomoniasis Screening/Testing Recommendations Treatment Recommendations CDC Women: * Consider for women receiving Recommended Regimen: care in high-prevalence settings (e.g., Metronidazole 2 g orally in a STD clinics and correctional facilities)
|
From page 680... ...
(ACOG Committee Opinion, 2018) ACP No explicit guidelines for STIs on its Clinical Guidelines and Recommendations page: "For more screening and preventive care guidelines, the ACP recommends visiting the United States Preventive Services Task Force (USPSTF)
|
From page 681... ...
(Barrow et al., 2020) USPSTF Intensive behavioral counseling for all sexually active adolescents and for adults who are at increased risk for STIs (Grade B)
|
From page 682... ...
APHA opposes Title X changes restricting access to basic reproductive and sexual health services. In effect, the new rule stops providers offering the full range of reproductive health services from using Title X funds for basic health care, including cancer screening, STI testing, and contraception.
|
From page 683... ...
(ANA, 1991) American Journal of Nursing: Article: Improving Adolescent Sexual and Reproductive Health Across Health Care Settings Table 2 gives recommend Counseling, Screening, Vaccination, and Testing Talking Points for Nurses.
|
From page 684... ...
2019. APHA opposes Title X changes restricting access to basic reproductive and sexual health services.
|
From page 685... ...
2019. Screening for hepatitis B virus infection in pregnant women: US Preventive Services Task Force reaffirmation recommendation statement.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.