Introduction -- -- Methods -- Clinical Prevention Guidance -- STD/HIV Prevention Counseling -- Prevention Methods -- Partner Management -- Reporting and Confidentiality -- -- Special Populations -- Pregnant Women -- Adolescents -- Children -- MSM -- Women Who Have Sex with Women (WSW) -- -- HIV Infection: Detection, Counseling, and Referral -- Detection of HIV Infection: Screening and Diagnostic Testing -- Counseling for Patients with HIV Infection and Referral to Support Services -- -- Diseases Characterized by Genital Ulcers -- Management of Patients Who Have Genital Ulcers -- Chancroid -- Genital HSV Infections -- Granuloma Inguinale (Donovanosis) -- Lymphogranuloma Venereum -- Syphilis -- -- Congenital Syphilis -- Evaluation and Treatment of Infants During the First Month of Life -- Evaluation and Treatment of Older Infants and Children -- -- Management of Patients Who Have a History of Penicillin Allergy -- Recommendations -- Penicillin Allergy Skin Testing -- -- Diseases Characterized by Urethritis and Cervicitis -- Management of Male Patients Who Have Urethritis -- Management of Patients Who Have Nongonococcal Urethritis -- Management of Patients Who Have Cervicitis -- Chlamydial Infections -- Chlamydial Infections Among Infants -- Gonococcal Infections -- -- Diseases Characterized by Vaginal Discharge -- Management of Patients Who Have Vaginal Infections -- Bacterial Vaginosis -- Trichomoniasis -- Vulvovaginal Candidiasis -- -- Pelvic Inflammatory Disease -- Diagnostic Considerations -- Treatment -- -- Epididymitis -- Diagnostic Considerations -- -- HPV Infection -- HPV Tests -- Treatment -- -- Genital Warts -- Treatment -- Regimens -- Counseling -- Follow-Up -- Management of Sex Partners -- -- Cervical Cancer Screening for Women Who Attend STD Clinics or Have a History of STDs -- Recommendations -- Follow-Up -- Other Management Considerations -- Vaccine Preventable STDs -- Hepatitis A -- -- Hepatitis B -- Diagnosis -- Treatment -- Prevention -- Preexposure Vaccination -- Prevaccination Antibody Screening -- Postvaccination Testing for Serologic Response -- Postexposure Prophylaxis -- Special Considerations -- -- Hepatitis C -- Diagnosis and Treatment -- Prevention -- Postexposure Follow-Up -- -- Proctitis, Proctocolitis, and Enteritis -- Treatment -- Follow-Up -- Management of Sex Partners -- -- Ectoparasitic Infections -- Pediculosis Pubis -- -- Scabies -- Other Management Considerations -- Crusted Scabies -- Follow-Up -- Management of Sex Partners and Household Contacts -- Management of Outbreaks in Communities, Nursing Homes,and Other Institutional Settings -- -- Sexual Assault and STDs -- Adults and Adolescents -- Evaluation for Sexually Transmitted Infections -- Sexual Assault or Abuse of Children -- -- References -- -- Terms and Abbreviations Used in This Report

"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 19-21, 2005. The information in this report updates the Sexually Transmitted Diseases Treatment Guidelines, 2002 (MMWR 2002;51[No. RR-6]). Included in these updated guidelines are an expanded diagnostic evaluation for cervicitis and trichomoniasis; new antimicrobial recommendations for trichomoniasis; additional data on the clinical efficacy of azithromycin for chlamydial infections in pregnancy; discussion of the role of Mycoplasma genitalium and trichomoniasis in urethritis/cervicitis and treatment-related implications; emergence of lymphogranuloma venereum protocolitis among men who have sex with men (MSM); expanded discussion of the criteria for spinal fluid examination to evaluate for neurosyphilis; the emergence of azithromycin- resistant Treponema pallidum; increasing prevalence of quinolone-resistant Neisseria gonorrhoeae in MSM; revised discussion concerning the sexual transmission of hepatitis C; postexposure prophylaxis after sexual assault; and an expanded discussion of STD prevention approaches." - p. 1

Guidelines and Recommendations

United States