Management and Emerging Issues in Sexually Transmitted Diseases

CME Program Director: John P. Phair, MD

Faculty:

Jeanne Marrazzo, MD, MPH

Learning Objectives

Upon completion of this activity, participants should be able to:

• Describe the use of serologic tests to diagnose and manage syphilis, including neurosyphilis, in the HIV-infected patient
• Discuss the current epidemiology of lymphogranuloma venereum in the HIV-infected patient
• Review diagnostic and therapeutic approaches to management of lymphogranuloma venereum in the HIV-infected patient
• List risk factors for infection with quinolone-resistant Neisseria gonorrhoeae including recommendations for treatment
• Explain the role of newly available serologic tests for type-specific antibody to herpes simplex virus and the implications of a positive test in the HIV-infected patient

Topics covered include:

• Introduction
• Syphilis: The Great Pretender
• LGV: What Is It and Why Worry?
• Quinolone-Resistant Gonorrhea: Implications for Diagnosis and Management
• Genital Herpes: New Screening Tests and Relationship With HIV Transmission
• Early Detection of STIs in HIV-Infected Patients: The Critical Role of Screening
• Conclusions
• Summary—Implications for Clinical Practice