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Sexually Transmitted Diseases 

Sexually Transmitted Diseases
Sexually Transmitted Diseases

Karen J. Vigil

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date: 27 October 2020

Sexually transmitted diseases (STDs) are common in HIV-infected patients. Education and counseling on changes in sexual behaviors of patients with STDs and their sexual partners, identification of asymptomatic infection, and effective diagnosis and treatment are the cornerstone for prevention. HIV-infected patients with syphilis should have a detailed neurologic examination. Penicillin is the treatment of choice for syphilis. Gonococcal infection is an important cause of urethritis, cervicitis, pharyngitis, and proctitis in HIV-infected sexually active patients. Dual therapy for gonorrhea and chlamydia is recommended. Most Chlamydia trachomatis infections are asymptomatic and thus detected only by routine, periodic screening. Human papillomavirus is the most common STD in the United States.

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