Sexually Transmitted Diseases

2017 ◽  
Author(s):  
Karen J. Vigil
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sexual Behaviors ◽  
Dual Therapy ◽  
The United States ◽  
Asymptomatic Infection ◽  
Sexually Active ◽  
Gonococcal Infection ◽  
Sexually Transmitted ◽  
Effective Diagnosis ◽  
Active Patients

Sexually transmitted diseases (STDs) are common in HIV-infected patients. Education and counseling on changes in sexual behaviors of patients with STDs and their sexual partners, identification of asymptomatic infection, and effective diagnosis and treatment are the cornerstone for prevention. HIV-infected patients with syphilis should have a detailed neurologic examination. Penicillin is the treatment of choice for syphilis. Gonococcal infection is an important cause of urethritis, cervicitis, pharyngitis, and proctitis in HIV-infected sexually active patients. Dual therapy for gonorrhea and chlamydia is recommended. Most Chlamydia trachomatis infections are asymptomatic and thus detected only by routine, periodic screening. Human papillomavirus is the most common STD in the United States.

Sexually Transmitted Diseases

2019 ◽  
pp. 487-492
Author(s):  
Karen J. Vigil
Keyword(s):  
Hiv Infection ◽  
Sexually Transmitted Diseases ◽  
Sexual Behaviors ◽  
Sexual Partners ◽  
Diagnosis And Treatment ◽  
Sexually Transmitted ◽  
Decrease Rate ◽  
Effective Diagnosis ◽  
Living With Hiv

Upon completion of this chapter, the reader should be able to demonstrate knowledge regarding the diagnosis and treatment of most prevalent sexual transmitted diseases in patients living with HIV infection, in order to decrease rate of transmission. Sexually transmitted diseases (STDs) are common in PLWH. Education and counseling on changes in sexual behaviors of patients with STDs and their sexual partners, identification of asymptomatically infection, and effective diagnosis and treatment form the cornerstone for prevention....

scholarly journals Pleasure and Sex Education: The Need for Broadening Both Content and Measurement

2020 ◽  
Vol 110 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Leslie M. Kantor ◽  
Laura Lindberg
Keyword(s):  
United States ◽  
Sexually Transmitted Diseases ◽  
Sex Education ◽  
The United States ◽  
Sexual Pleasure ◽  
Healthy Relationships ◽  
Sexually Transmitted ◽  
Lack Of Information ◽  
Sexual And Gender Minority ◽  
And Gender

Sex education in the United States is limited in both its content and the measures used to collect data on what is taught. The risk-reduction framework that guides the teaching of sex education in the United States focuses almost exclusively on avoiding unintended pregnancy and sexually transmitted diseases, overlooking other critical topics such as the information and skills needed to form healthy relationships and content related to sexual pleasure. Young people express frustration about the lack of information on sexuality and sexual behavior that is included in sex education programs; sexual and gender minority youths, in particular, feel overlooked by current approaches. International guidance provides a more robust framework for developing and measuring sex education and suggests a number of areas in which US sex education can improve to better meet the needs of youths.

scholarly journals Frequency and antibiotic resistance of Ureaplasma urealyticum and Mycoplasma hominis in genital samples of sexually active individuals

2011 ◽  
Vol 152 (42) ◽  
pp. 1698-1702 ◽  
Author(s):  
Balázs Farkas ◽  
Eszter Ostorházi ◽  
Katinka Pónyai ◽  
Béla Tóth ◽  
Elmardi Adlan ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Sexually Transmitted Diseases ◽  
Ureaplasma Urealyticum ◽  
Antibiotic Sensitivity ◽  
Mycoplasma Hominis ◽  
High Rate ◽  
Sexually Active ◽  
Sexually Transmitted ◽  
Causative Agents ◽  
Resistant Strains

Ureaplasma urealyticum and Mycoplasma hominis have important role among the causative agents of sexually transmitted diseases. Aim: The aim of the study was to determine the frequency and antibiotic resistance of Ureaplasma urealyticum and Mycoplasma hominis in genital samples obtained from patients examined in the Sexually Transmitted Diseases Centre of the Department of Dermatology, Venerology and Dermatooncology, Semmelweis University, Budapest between May 1, 2008 and July 31, 2010. Patients and methods: Samples were taken from the urethra in men and from the cervix and urethra in women by universal swab (Biolab®) into Urea-Myco DUO kit (Bio-Rad®) and were incubated for 48 hours at 37 C°. Antibiotic sensitivity of positive samples was determined in U9 bouillon using SIR Mycoplasma kit (Bio-Rad®). Results: Samples for 4154 patients aged 16-60 years were examined. In 247/4154 samples (6%) U. urealyticum and in 26/4154 samples (0.63%) M. hominis was isolated from the genital tract. Most U. urealyticum and M. hominis strains (75% and 77%, respectively) were cultured from cervix, while the remaining 25%, and 23% from the male and female urethra, respectively. U. urealyticum and M. hominis were most commonly detected in patients aged between 21 and 40 years. The majority of U. urealyticum strains were sensitive to tetracycline (94%), doxycycline (95%), azithromycin (88%) and josamycin (90%), but were resistant to ofloxacin (21%), erythromycin (85%) and clindamycin (79%). Seventy-seven percent of the U. urealyticum strains were simultaneously resistant to erythromycin and clindamycin, suggesting that ex iuvantibus therapies may select cross-resistant strains to both antibiotics. The resistance of M. hominis to clindamycin, doxycycline, ofloxacin and tetracycline varied between 4% and 12 %. Conclusions: Because none of the strains was sensitive to all examined antibiotics, the antibiotic sensitivity of U. urealyticum and M. hominis strains should be determined. The high rate of ofloxacin, erythromycin and clindamycin resistance should be considered in the therapy of U. urealyticum infections in Hungary. This is the firstsuch a clinical microbiological study in this topic in Hungary. Orv. Hetil., 2011, 152, 1698–1702.

scholarly journals Sexually transmitted infections and sexual behaviors of men who have sex with men in an American Deep South PrEP clinic

2020 ◽  
Vol 31 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Ronnie M Gravett ◽  
Andrew O Westfall ◽  
Edgar T Overton ◽  
Kachina Kudroff ◽  
Christina A Muzny ◽  
...  
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Incidence Rate ◽  
Sexual Behaviors ◽  
The United States ◽  
Sexual Partners ◽  
Deep South ◽  
Multiple Sexual Partners ◽  
Sexually Transmitted ◽  
Sex With Men

HIV pre-exposure prophylaxis (PrEP) effectively prevents HIV acquisition among men who have sex with men (MSM), but PrEP uptake has been associated with sexually transmitted infections (STIs). The effect of PrEP on STIs in MSM in the Deep South of the United States is unknown. We performed a retrospective analysis of adult MSM at an American Deep South PrEP clinic to calculate the prevalence and incidence rate of bacterial STIs (chlamydia, gonorrhea, and syphilis) and identify associated risk factors by linking incident STI to patient-reported outcomes; 139 MSM accessed the clinic between 2014 and 2018 with baseline bacterial STI prevalence of 11%. Twenty-six of 81 eligible MSM on PrEP had incident STIs with an incidence rate of 33.1 cases per 100 person-years. Significantly higher proportions of high PrEP adherence, multiple sexual partners, and inconsistent condom use were seen in those with incident STI, and we identified MSM with both high PrEP adherence and multiple sexual partners as being at especially high risk for bacterial STIs (hazard ratio: 7.57, 95% confidence interval: 1.75–32.74). Bacterial STIs are common after initiating PrEP in this clinic, and MSM reporting high PrEP adherence and multiple sexual partners have a significant risk for incident STI. High-risk sexual behaviors persisted after starting PrEP, highlighting the importance of ongoing, intensive sexual health screening and interventions.

scholarly journals Extragenital Infections Caused byChlamydia trachomatisandNeisseria gonorrhoeae: A Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-17 ◽  
Author(s):  
Philip A. Chan ◽  
Ashley Robinette ◽  
Madeline Montgomery ◽  
Alexi Almonte ◽  
Susan Cu-Uvin ◽  
...  
Keyword(s):  
Sexually Transmitted Diseases ◽  
Risk Behaviors ◽  
The United States ◽  
Anatomical Site ◽  
Review Of The Literature ◽  
Future Directions ◽  
Sexually Transmitted ◽  
Public Health Burden ◽  
Health Burden ◽  
Sex With Men

In the United States, sexually transmitted diseases due toChlamydia trachomatisandNeisseria gonorrhoeaecontinue to be a major public health burden. Screening of extragenital sites including the oropharynx and rectum is an emerging practice based on recent studies highlighting the prevalence of infection at these sites. We reviewed studies reporting the prevalence of extragenital infections in women, men who have sex with men (MSM), and men who have sex only with women (MSW), including distribution by anatomical site. Among women, prevalence was found to be 0.6–35.8% for rectal gonorrhea (median reported prevalence 1.9%), 0–29.6% for pharyngeal gonorrhea (median 2.1%), 2.0–77.3% for rectal chlamydia (median 8.7%), and 0.2–3.2% for pharyngeal chlamydia (median 1.7%). Among MSM, prevalence was found to be 0.2–24.0% for rectal gonorrhea (median 5.9%), 0.5–16.5% for pharyngeal gonorrhea (median 4.6%), 2.1–23.0% for rectal chlamydia (median 8.9%), and 0–3.6% for pharyngeal chlamydia (median 1.7%). Among MSW, the prevalence was found to be 0–5.7% for rectal gonorrhea (median 3.4%), 0.4–15.5% for pharyngeal gonorrhea (median 2.2%), 0–11.8% for rectal chlamydia (median 7.7%), and 0–22.0% for pharyngeal chlamydia (median 1.6%). Extragenital infections are often asymptomatic and found in the absence of reported risk behaviors, such as receptive anal and oral intercourse. We discuss current clinical recommendations and future directions for research.

scholarly journals Risky Sexual Behaviors and Sexually Transmitted Diseases: A Comparison Study of Cocaine-Dependent Individuals in Treatment versus a Community-Matched Sample

2009 ◽  
Vol 23 (9) ◽  
pp. 727-734 ◽  
Author(s):  
Patricia A. Cavazos-Rehg ◽  
Edward L. Spitznagel ◽  
Mario Schootman ◽  
Jaime R. Strickland ◽  
Stephanie E. Afful ◽  
...  
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sexual Behaviors ◽  
Risky Sexual Behaviors ◽  
Comparison Study ◽  
Matched Sample ◽  
Sexually Transmitted
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