New Directions In STD Treatment - University of Hawaii
New Directions In STD Treatment - University of Hawaii
New Directions In STD Treatment - University of Hawaii
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Syphilis Issues<br />
� Diagnostic issues<br />
� Criteria for diagnosing early latent is change to be<br />
consistent with the surveillance case definition<br />
� <strong>New</strong> EIA testing algorithms:<br />
� reflexive quantitative RPR/VDRL<br />
� alternative treponemal test for discrepancies<br />
� FP in low risk populations<br />
� Some experts recommend CSF exam for<br />
� All patients with latent syphilis and RPR ≥ 1:32<br />
� HIV-infected patients with latent syphilis and CD4 count ≤<br />
350<br />
� Recommend against the use <strong>of</strong> azithromycin<br />
� Note penicillin usage problems<br />
� BIC shortage<br />
� Specify use <strong>of</strong> Bicillin L-A (NOT Bicillin C-R)
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