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Sexually Transmitted Diseases

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Family Medicine
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Abstract

Sexually transmitted infections (STIs) are of great healthcare and economic burden to the United States. In fact, most sexually active men and women will contract an STI at least once in their lifetime (Centers for Disease Control and Prevention, CDC factsheet: incidence, prevalence, and cost of sexually transmitted infections in the United States. Fact sheet, pp 1–4, 2013). According to 2008 US estimates, STIs resulted in 16 billion dollars of direct medical costs (Owusu-Edusei et al., Sex Transm Dis 40:97–201, 2013). Additionally, 19.7 million new infections occurred, with 50% occurring in individuals 15–24 years of age (Satterwhite et al., Sex Transm Dis 40:187–193, 2013). Overall, human papillomavirus (HPV) is the most common sexually transmitted infection. Other common infections include chlamydia, gonorrhea, hepatitis B virus, herpes simplex virus type 2 (HSV-2), human immunodeficiency virus (HIV), syphilis, and trichomoniasis (Centers for Disease Control and Prevention, CDC factsheet: incidence, prevalence, and cost of sexually transmitted infections in the United States. Fact sheet, pp 1–4, 2013). Chlamydia, gonorrhea, and syphilis infection rates continue to increase in numbers over the years although this may be related to improve screening practices (Centers for Disease Control and Prevention, Sexually transmitted disease surveillance 2018. US Department of Health and Human Services, Atlanta, 2019). Family physicians have a responsibility to improve prevention, detection, and treatment of STIs in order to decrease transmission and prevent subsequent morbidity and mortality.

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References

  1. Centers for Disease Control and Prevention. CDC factsheet: incidence, prevalence, and cost of sexually transmitted infections in the United States. Fact sheet. 2013, p. 1–4.

    Google Scholar 

  2. Owusu-Edusei K, Cheson H, Gift T, Tao G, Mahajan R, Ocfemia M, Kent C. The estimated direct medical cost of selected sexually transmitted infections in the United States, 2008. Sex Transm Dis 2013;40(3):97–201.

    Google Scholar 

  3. Satterwhite C, Torrone E, Meites E, Dunne E, Mahajan R, Ocfemia C, Su J, Xu F, Weinstock H. Sexually transmitted infections among US women and men: prevalence and incidence estimates, 2008 Sex Transm Dis 2013;40(3):187–193.

    Google Scholar 

  4. Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2018. Atlanta: US Department of Health and Human Services; 2019.

    Google Scholar 

  5. Mishori M, McClaskey E, Winklerprins V. Chlamydia trachomatis infections: screening diagnosis and management. Am Fam Physician. 2012;86(12):1127–32.

    PubMed  Google Scholar 

  6. CDC Screening Recommendations and Considerations Referenced in Treatment Guidelines and Original Sources [Internet]. 2015. https://www.cdc.gov/std/tg2015/screening-recommendations.htm

  7. Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines, 2010. MMWR Recomm Rep. 2010;59(RR-12):1–110 [published correction appears in MMWR Morb Mortal Wkly Rep. 2011;60(1):18].

    Google Scholar 

  8. Jones RB, Rabinovitch RA, Katz BP, et al. Chlamydia trachomatis in the pharynx and rectum of heterosexual patients at risk for genital infection. Ann Intern Med. 1985;102:757–62.

    Article  CAS  Google Scholar 

  9. Centers for Disease Control and Prevention. Expedited partner therapy in the management of sexually transmitted diseases. Atlanta: US Department of Health and Human Services; 2006.

    Google Scholar 

  10. Mayor M, Roett M, Uduhiri K. Diagnosis and management of gonococcal infections. Am Fam Physician. 2012;86(10):931–8.

    PubMed  Google Scholar 

  11. Centers for Disease Control and Prevention. Update to CDC’s sexually transmitted diseases treatment guidelines, 2006: fluoroquinolones no longer recommended for treatment of gonococcal infections. MMWR Morb Mortal Wkly Rep. 2007;56:332–6.

    Google Scholar 

  12. Centers for Disease Control and Prevention. Update to CDC’s sexually transmitted diseases treatment guidelines, 2010: oral cephalosporins no longer a recommended treatment for gonococcal infections. MMWR Morb Mortal Wkly Rep. 2012;61(31):590–4.

    Google Scholar 

  13. Mavedzenge S, Pol B, Cheng H, Montgomery E, Blanchard D, de Bruyn G, Ramjee G, Straten A. Epidemiological synergy of Trichomonas vaginalis and HIV in Zimbabwean and South African women. Sex Transm Dis 2010;37:460–466.

    Google Scholar 

  14. Klebanoff M, Carey J, Hauth J, Hillier S, Nugent R, Thom E, Ernest J, Heine R, Wapner R, Trout W, Moawad A, Leveno K, Miodovnik M, Sibai B, Van Dorsten J, Dombrowski M, O’Sullivan M, Varner M, Langer O, McNellis D, Roberts J. Failure of metronidazole to prevent preterm delivery among pregnant women with asymptomatic Trichomonas vaginalis infection. N Engl J Med 2001;345:487–493.

    Google Scholar 

  15. Kigozi G, Brahmbhatt H, Wabwire-Mangen F, Wawer M, Serwadda D, Sewankambo N, Gray R. Treatment of Trichomonas in pregnancy and adverse outcomes of pregnancy: a subanalysis of a randomized trial in Rakai Uganda. Am J Obstet Gynecol 2003;189:1398–1400.

    Google Scholar 

  16. Whiteman MK, Kuklina E, Jamieson DJ, Hillis SD, Marchbanks PA. Inpatient hospitalization for gynecologic disorders in the United States. Am J Obstet Gynecol. 2010;202(6):541.e1–6.

    Article  Google Scholar 

  17. National STD curriculum- syphilis [Internet]. 2020. https://www.std.uw.edu/go/pathogen-based/syphilis/core-concept/all

  18. Karnes J, Usatine R. Management of external genital warts. Am Fam Physician. 2014;90(5):312–8.

    PubMed  Google Scholar 

  19. Wilson J. Treatment of genital warts- what’s the evidence? Int J STD AIDS. 2002;13:216–20.

    Article  Google Scholar 

  20. Centers for Disease Control and Prevention. CDC factsheet: genital herpes. Fact sheet. 2017. https://www.cdc.gov/std/herpes/stdfact-herpes-detailed.htm

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Correspondence to Courtney Kimi Suh .

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Suh, C.K. (2020). Sexually Transmitted Diseases. In: Paulman, P., Taylor, R., Paulman, A., Nasir, L. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0779-3_43-2

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  • DOI: https://doi.org/10.1007/978-1-4939-0779-3_43-2

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-0779-3

  • Online ISBN: 978-1-4939-0779-3

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Chapter history

  1. Latest

    Sexually Transmitted Diseases
    Published:
    17 July 2020

    DOI: https://doi.org/10.1007/978-1-4939-0779-3_43-2

  2. Original

    Sexually Transmitted Diseases
    Published:
    20 June 2015

    DOI: https://doi.org/10.1007/978-1-4939-0779-3_43-1