Updated CDC 2015 STD Treatment Guidelines

The NH DHHS issued a health alert on August 13 regarding STD treatment guidelines.

NH Division of Public Health Services (NH DPHS) draws your attention to the following:

1). Healthcare providers should review the new 2015 CDC STD Treatment Guidelines: http://www.cdc.gov/std/tg2015/tg-2015-print.pdf

2). The following are some key changes and additions to prior STD treatment guidelines:

a). Given the emergence of antibiotic resistant Neisseria gonorrhoeae, the preferred therapy for treatment of gonorrhea is with ceftriaxone 250 mg intramuscular once AND azithromycin 1 g orally once.

b). The treatment recommendations for Chlamydia trachomatis remain the same except during pregnancy where the recommended therapy is with azithromycin 1 g orally once; amoxicillin has been demoted to an alternative regimen during pregnancy.

c). Routine screening for C. trachomatis and N. gonorrhoeae on an annual basis is recommended for all sexually active females under 25 years of age. Screening of other at risk populations, including males in high prevalence clinical settings, continues to be recommended.

d). All men who have sex with men (MSM) with HIV infection should be screened for Hepatitis C virus (HCV).

e). Mycoplasma genitalium is recognized as an emerging cause of sexually transmitted urethritis, cervicitis, and pelvic inflammatory disease (PID). While there are no FDA approved tests for M. genitalium, infection should be suspected in persons with persistent or recurrent urethritis, cervicitis, or PID who test negative for chlamydia and gonorrhea infection.

f). Due to increasing reports of gonorrhea, chlamydia, and syphilis infections in New Hampshire, all healthcare providers should take a thorough sexual history to determine patient risk and need for STD screening.

g). The National Network of STD Clinical Prevention Training Centers (NNPTC) has launched a new online system to provide clinical consultation about STDs, called the STD Clinical Consultation Network (STDCCN).

Click here for the full health alert.