A revised dosage for ceftriaxone and an alternative agent for bacterial vaginosis are among the newer recommendations. The guidelines are widely viewed as the most authoritative source of information on the diagnosis, treatment, and follow-up of STDs, and they are the standard for publicly and privately funded clinics focusing on sexual health. Uncomplicated gonorrhea. Cephalosporins are the only class of antibiotic recommended as first-line treatment for gonorrhea. In a recommendation revision, the CDC opted to no longer recommend quinolone antibiotics for the treatment of gonorrhea, because of widespread bacterial resistance.
Medical care following a sexual assault
The second dose should be given months after the first dose. These guidelines are primarily limited to the identification, prophylaxis, and treatment of STDs and conditions among adolescent and adult female sexual assault survivors. However, some of the following guidelines might still apply to male sexual assault survivors. The documentation of findings, collection of nonmicrobiologic specimens for forensic purposes, and the management of potential pregnancy or physical and psychological trauma are beyond the scope of these guidelines. Examinations of survivors of sexual assault should be conducted by an experienced clinician in a way that minimizes further trauma to the survivor. The decision to obtain genital or other specimens for STD diagnosis should be made on an individual basis. Care systems for survivors should be designed to ensure continuity including timely review of test results , support adherence, and monitor adverse reactions to any prescribed therapeutic or prophylactic regimens.
Clinical pathways to support adults who experienced sexual assault: consultation
October 17, When a patient presents to your emergency department, urgent care or clinic with a chief complaint of sexual assault within the last 24 hours, the challenge is recognizing that, along with safety and criminal justice concerns, this patient has emergent health needs. One of the most urgent of these is that the patient may have been exposed to HIV.
In , revisions were made to the Gonococcal Infections chapter in response to emerging antimicrobial resistance. As such, this chapter also requires updates. A Supplementary Statement has been developed to highlight key changes key changes to screening, management and follow-up of sexually transmitted infections STI in cases of suspected or confirmed sexual assault until such time as until such time as updated guidance is available. This Supplementary Statement should be used in conjunction with the chapter to ensure that the most current recommendations are being implemented in your practice. Supplementary Statement.