The Centers for Disease Control and Prevention (CDC) recently released guidelines on the use of doxycycline for postexposure prophylaxis of gonorrhea, chlamydia, and syphilis.1 This is an important document given the decades-long trend of increasing incidence of these three sexually transmitted ...
If the draft recommendation is adopted, Doxy-PEP would be recommended for gay andbisexual men; other men who have sex with men; andtransgender womenwho have been diagnosed with at least one STI caused by bacteria in the past year. Those infections include gonorrhea, chlamydia or syphilis. The...
These guidelines are supported by findings from an NIH-funded study published in theNew England Journal of Medicineearlier this year, which reported thatdoxycycline PEP reduces STI rates by approximately two-thirds. The open-label randomized clinical trial focused on men who have sex with men (...
A thorough evaluation for otic, ophthalmic, and neurologic symptoms is essential for anyone with syphilis because these complications can occur at any stage and require 10 to 14 days of treatment with intravenous aqueous crystalline penicillin G. Family physicians can reduce STI rates by taking a ...
The recommendations apply to men who have sex with men as well as transgender women who have had a bacterial STI—meaning syphilis, chlamydia, or gonorrhea—diagnosed within the past year. Clinicians can also consider counseling their patients who haven’t had a recent bacterial STI but...
Sexual history, anogenital examination, and STI testing were documented as performed at a higher rate in ID clinic compared to ED or PCP settings. STIs were diagnosed in 20.4% of patients diagnosed with mpox; syphilis was the most common STI among patients diagnosed with mpox (17.5%). ...
RESULTS. Significant deviations from CDC guidelines were observed: 78.8% of practitioners took inadequate sexual history, 95.0% did not order comprehensive STI screening (gonorrhea, chlamydia, HIV, and syphilis), and only 60.8% initiated empiric antibiotic therapy. Of those, only 71.6% were guide...