New Directions In STD Treatment - University of Hawaii
New Directions In STD Treatment - University of Hawaii New Directions In STD Treatment - University of Hawaii
Diagnostic Tests for Syphilis � Darkfield / DFA-TP � PCR � VDRL/RPR � FTA-abs / TP-PA (MHA-TP) � EIA
Syphilis EIA Tests �Treponemal test but test performance may be inferior to TP-PA (Captia and TrepChek) � Specificity concerns �Can be used for screening but if positive then need quantitative RPR/VDRL �Advantages if comparable sensitivity and specificity � Not miss prozones � Low cost �Both IgM and IgG tests available � No clinical value of IgM in adult syphilis diagnosis
- Page 1 and 2: New Directions in STD Treatment: Hi
- Page 3 and 4: CDC 2006 STD Treatment Guidelines D
- Page 5 and 6: Challenging Management Dilemmas in
- Page 7 and 8: Sexual History Taking: The 5 P’s
- Page 9 and 10: Recommend Nucleic Acid Amplificatio
- Page 11 and 12: Percent Screened Estimated Chlamydi
- Page 13 and 14: STD Screening for MSM STD Site Type
- Page 15 and 16: Prevalence of rectal chlamydia and
- Page 17 and 18: Prevalence of pharyngeal chlamydia
- Page 19 and 20: C. trachomatis NAAT Testing …not
- Page 21 and 22: Chlamydia Treatment in Pregnancy Re
- Page 23 and 24: Percent 16 14 12 10 Infection Durin
- Page 25 and 26: Provider Barriers to PDPT, CA 2002
- Page 27 and 28: Gonorrhea Screening in Females �
- Page 29 and 30: Percent of Neisseria gonorrhoeae Is
- Page 31 and 32: Gonorrhea Treatment of Urogenital I
- Page 33 and 34: Lymphogranuloma Venereum (LGV) C. t
- Page 35 and 36: LGV Proctocolitis: Serologic Diagno
- Page 37 and 38: Phil and the Penis on the Go
- Page 39 and 40: The Three “R”s of Syphilis �
- Page 41: Latent Syphilis � No clinical man
- Page 45 and 46: Criteria for CSF Examination � Ne
- Page 47 and 48: Syphilis Resistant to Azithromycin!
- Page 51 and 52: HSV Issues � Role of type-specifi
- Page 53 and 54: Rates of Transmission of HSV-2 to S
- Page 55 and 56: Genital Herpes - Treatment Issues
- Page 57 and 58: HPV Issues � Clarify uses of HPV
- Page 59 and 60: Issues Regarding Anal Cancer Screen
- Page 61 and 62: Cervicitis - Diagnostic Issues �
- Page 63 and 64: Pelvic Inflammatory Disease Issues
- Page 65 and 66: PID: Oral Treatment Regimens Oral r
- Page 67 and 68: Vaginitis Trichomonas Bacterial Vag
- Page 69 and 70: Tinidazole: A New Treatment Option
- Page 71 and 72: Proposed Management Trichomoniasis
- Page 73 and 74: BV Treatment Recommended regimens:
- Page 75: STD Resources California STD/HIV Pr
Syphilis EIA Tests<br />
�Treponemal test but test performance may be<br />
inferior to TP-PA (Captia and TrepChek)<br />
� Specificity concerns<br />
�Can be used for screening but if positive then<br />
need quantitative RPR/VDRL<br />
�Advantages if comparable sensitivity and<br />
specificity<br />
� Not miss prozones<br />
� Low cost<br />
�Both IgM and IgG tests available<br />
� No clinical value <strong>of</strong> IgM in adult syphilis diagnosis
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